Thoracic Spine Thrust Manipulation Versus Cervical Spine Thrust Manipulation in Patients With Acute Neck Pain : A Randomized Clinical Trial

Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion After Cervical or Thoracic Thrust Manipulation in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Clinical Trial

“…37 Few patients (3%) reported adverse effects after the cervical spine thrust manipulation, which is a lower percentage than that of a previous study 44 but similar to others. 37,38 This may be related to the restrictive inclusion criteria of the current study or the fact that we only included a short-term follow-up period for adverse effects, as it has been suggested that adverse events can occur up to 1 month after treatment.…”

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

“…5,25,42,52,60,64 The treating physical therapist documented the quantity of manual treatment performed on each body region. In this study, 1 "treatment" was operationally defined as 3 periods of 30 seconds of mobilization (grades I-IV) or 1 thrust manipulation.…”

Effectiveness of Thoracic Manipulation on the Treatment of Patients With Mechanical Non-Specific Neck Pain

“…The result of both studies demonstrate that cervical and thoracic Thrust Manipulations were equally effective in reducing pain and improving disability and ROM in patients with neck pain, but one study states that in comparison with cervical manipulation, thoracic manipulation was more effective [45], while the other found cervical manipulation to be the superior intervention [27]. According to a recently published systematic review, TM and CM are both equally effective.…”

“…Recent evidence supports using exercise for alleviating pain and improving dysfunction and disability [1,27,40,47]. In a recent clinical trial, eligible subjects with chronic neck pain were divided into either TM and Deep Craniocervical Flexor (DCF) training group, or craniocervical flexor training alone.…”

“…Cervical Thrust Manipulation is an effective form of manual therapy that can alleviate pain and improve cervical range of motion [17,[26][27][28][29][30], but it can also lead to rare but severe complications related to vertebral artery injury [31][32][33][34][35][36]. To avoid this potential risk, indirect techniques aimed at the thoracic spine such as Thoracic manipulation Thrust (TM) are often used by therapists in the management of mechanical non-specific neck pain [37].…”