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Thoracic manipulation neck

Francisco Bautista-Aguirre, Ángel Oliva-Pascual-Vaca, Alberto M Heredia-Rizo, Juan J Boscá-Gandía, François Ricard, Cleofás Rodriguez-Blanco
BACKGROUND: Cervical and thoracic spinal manipulative therapy has shown positive impact for relief of pain and improve function in non-specific mechanical neck pain. Several attempts have been made to compare their effectiveness although previous studies lacked a control group, assessed acute neck pain or combined thrust and nonthrust techniques. AIM: To compare the immediate effects of cervical and thoracic spinal thrust manipulations on mechanosensitivity of upper limb nerve trunks and grip strength in patients with chronic non-specific mechanical neck pain...
February 17, 2017: European Journal of Physical and Rehabilitation Medicine
Carlos S Duque, Juan P Dueñas, Marcela Marulanda, Diana Pérez, Andres Londoňo, Soham Roy, Mai Al Khadem
During thyroidectomy and neck dissection surgery for advanced or recurrent metastatic thyroid cancer under intraoperative monitoring, we used the available technology to assess the feasibility of such an intervention to monitor those patients with phrenic nerves at risk. A retrospective review of patients operated on from January 2009 to December 2015 by a single surgeon (CSD) was conducted. Patients who had neck and mediastinal dissection, with or without total thyroidectomy, due to advanced or recurrent metastatic disease to the neck were selected...
March 2017: Updates in Surgery
Beth K Deschenes, Jason Zafereo
Patients with cervical radiculopathy (CR) may present with accompanying symptoms of hyperalgesia, allodynia, heaviness in the arm, and non-segmental pain that do not appear to be related to a peripheral spinal nerve. These findings may suggest the presence of central or autonomic nervous system involvement, requiring a modified management approach. The purpose of this case report is to describe the treatment of a patient with signs of CR and upper extremity (UE) hyperalgesia who had a significant decrease in her UE pain and hypersensitivity after a single thoracic spine manipulation (TSM)...
January 2017: Physiotherapy Theory and Practice
Steve Karas, Angela Westerheide, Laura Daniel
BACKGROUND: There is extensive evidence that mobilization and manipulation of the thoracic spine is associated with improved outcomes in patients with neck pain. However, these evidence-based techniques are not always utilized. Successful knowledge translation programmes are needed to move the best available evidence to clinical practice. The purpose of the present research was to evaluate the effects of a structured knowledge translation programme on the frequency of manual therapy techniques performed by physical therapists on patients with neck pain...
June 2016: Musculoskeletal Care
Kwan-Woo Lee, Won-Ho Kim
[Purpose] To investigate the effects of thoracic manipulation and deep craniocervical flexor training on the muscle strength and endurance, range of motion, and the disability index of the neck of patients with chronic nonspecific neck pain. [Subjects and Methods] Forty-six patients with chronic neck pain participated. They received an intervention for 35 minutes a day, three times a week for 10 weeks. Subjects were randomly assigned to one control and two experimental groups: group A (thoracic manipulation combined with deep craniocervical flexor training, n=16), group B (deep craniocervical flexor training, n=15), and group C (active self-exercise as a control group, n=15)...
January 2016: Journal of Physical Therapy Science
Hwan-Seo Yang, Young-Min Oh, Jong-Pil Eun
Cervical intradural disc herniation (IDH) is an extremely rare condition, comprising only 0.27% of all disc herniations. Three percent of IDHs occur in the cervical, 5% in the thoracic, and over 92% in the lumbar spinal canal. There have been a total of 31 cervical IDHs reported in the literature. The pathogenesis and imaging characteristics of IDH are not fully understood. A preoperative diagnosis is key to facilitating prompt intradural exploration in patients with ambivalent findings, as well as in preventing reoperation...
February 2016: Medicine (Baltimore)
James R Dunning, Raymond Butts, Firas Mourad, Ian Young, Cesar Fernandez-de-Las Peñas, Marshall Hagins, Thomas Stanislawski, Jonathan Donley, Dustin Buck, Todd R Hooks, Joshua A Cleland
BACKGROUND: Although commonly utilized interventions, no studies have directly compared the effectiveness of cervical and thoracic manipulation to mobilization and exercise in individuals with cervicogenic headache (CH). The purpose of this study was to compare the effects of manipulation to mobilization and exercise in individuals with CH. METHODS: One hundred and ten participants (n = 110) with CH were randomized to receive both cervical and thoracic manipulation (n = 58) or mobilization and exercise (n = 52)...
February 6, 2016: BMC Musculoskeletal Disorders
Sharanya Varatharajan, Brad Ferguson, Karen Chrobak, Yaadwinder Shergill, Pierre Côté, Jessica J Wong, Hainan Yu, Heather M Shearer, Danielle Southerst, Deborah Sutton, Kristi Randhawa, Craig Jacobs, Sean Abdulla, Erin Woitzik, Andrée-Anne Marchand, Gabrielle van der Velde, Linda J Carroll, Margareta Nordin, Carlo Ammendolia, Silvano Mior, Arthur Ameis, Maja Stupar, Anne Taylor-Vaisey
PURPOSE: To update findings of the 2000-2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders and evaluate the effectiveness of non-invasive and non-pharmacological interventions for the management of patients with headaches associated with neck pain (i.e., tension-type, cervicogenic, or whiplash-related headaches). METHODS: We searched five databases from 1990 to 2015 for randomized controlled trials (RCTs), cohort studies, and case-control studies comparing non-invasive interventions with other interventions, placebo/sham, or no interventions...
July 2016: European Spine Journal
Shannon Petersen, Nathan Domino, Christopher Postma, Cody Wells, Chad Cook
INTRODUCTION: Scapulothoracic muscle weakness has been associated with neck pain (NP). Little evidence exists regarding lower trapezius (LT), middle trapezius (MT) and serratus anterior (SA) strength in this population. LT strength changes have been observed following thoracic manipulation in healthy subjects. The purpose of the present study was to examine scapulothoracic strength changes following cervical manipulation in subjects with NP. METHODS: Twenty-two subjects with NP and 17 asymptomatic control (AC) subjects underwent strength testing of the LT, MT and SA using a hand-held dynamometer...
December 2016: Musculoskeletal Care
Jessica J Wong, Heather M Shearer, Silvano Mior, Craig Jacobs, Pierre Côté, Kristi Randhawa, Hainan Yu, Danielle Southerst, Sharanya Varatharajan, Deborah Sutton, Gabrielle van der Velde, Linda J Carroll, Arthur Ameis, Carlo Ammendolia, Robert Brison, Margareta Nordin, Maja Stupar, Anne Taylor-Vaisey
BACKGROUND CONTEXT: In 2008, the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders (Neck Pain Task Force) found limited evidence on the effectiveness of manual therapies, passive physical modalities, or acupuncture for the management of whiplash-associated disorders (WAD) or neck pain and associated disorders (NAD). PURPOSE: This review aimed to update the findings of the Neck Pain Task Force, which examined the effectiveness of manual therapies, passive physical modalities, and acupuncture for the management of WAD or NAD...
December 2016: Spine Journal: Official Journal of the North American Spine Society
Babak Alagha
BACKGROUND: Acute and chronic spinal symptoms such as neck pain may limit flying performance significantly and disqualify the pilot from flight duty. Mechanical neck pain is very common among pilots because of their exposure to vibration, +GZ forces, helmet weight, poor neck posture during air combat maneuvers, previous neck injuries, and poor treatment plans for such injuries. Successful treatment of such injuries requires appropriate therapeutic procedures as well as an aeromedical assessment...
October 2015: Aerospace Medicine and Human Performance
Anita Gross, Pierre Langevin, Stephen J Burnie, Marie-Sophie Bédard-Brochu, Brian Empey, Estelle Dugas, Michael Faber-Dobrescu, Cristy Andres, Nadine Graham, Charles H Goldsmith, Gert Brønfort, Jan L Hoving, Francis LeBlanc
BACKGROUND: Manipulation and mobilisation are commonly used to treat neck pain. This is an update of a Cochrane review first published in 2003, and previously updated in 2010. OBJECTIVES: To assess the effects of manipulation or mobilisation alone compared wiith those of an inactive control or another active treatment on pain, function, disability, patient satisfaction, quality of life and global perceived effect in adults experiencing neck pain with or without radicular symptoms and cervicogenic headache (CGH) at immediate- to long-term follow-up...
September 23, 2015: Cochrane Database of Systematic Reviews
Paulo Fernandes Pires, Amanda Carine Packer, Almir Vieira Dibai-Filho, Delaine Rodrigues-Bigaton
OBJECTIVE: The aim of this study was to assess the immediate and short-term effects of upper thoracic spine manipulation on pain intensity and myoelectric activity of the sternocleidomastoid muscles in young women with chronic neck pain. METHODS: A randomized clinical trial was carried out involving 32 women with chronic neck pain (mean age, 24.8 ± 5.4 years) allocated to an experimental group and a placebo group. Three evaluations were carried out: baseline, immediate postintervention, and short-term postintervention (48-72 hours after intervention)...
October 2015: Journal of Manipulative and Physiological Therapeutics
Amy McDevitt, Jodi Young, Paul Mintken, Josh Cleland
Thoracic spine manipulation is commonly used by physical therapists for the management of patients with upper quarter pain syndromes. The theoretical construct for using thoracic manipulation for upper quarter conditions is a mainstay of a regional interdependence (RI) approach. The RI concept is likely much more complex and is perhaps driven by a neurophysiological response including those related to peripheral, spinal cord and supraspinal mechanisms. Recent evidence suggests that thoracic spine manipulation results in neurophysiological changes, which may lead to improved pain and outcomes in individuals with musculoskeletal disorders...
July 2015: Journal of Manual & Manipulative Therapy
David Griswold, Ken Learman, Bryan O'Halloran, Josh Cleland
OBJECTIVES: Neck pain is routinely managed using manual therapy (MT) to the cervical and thoracic spines. While both mobilizations and manipulations to these areas have been shown to reduce neck pain, increase cervical range of motion, and reduce disability, the most effective option remains elusive. The purpose of this preliminary trial was to compare the pragmatic use of cervical and thoracic mobilizations vs. manipulation for mechanical neck pain. METHODS: This trial included 20 patients with mechanical neck pain...
May 2015: Journal of Manual & Manipulative Therapy
Anke Langenfeld, B Kim Humphreys, Rob A de Bie, Jaap Swanenburg
BACKGROUND: Neck pain is a common musculoskeletal condition with a point prevalence of around 15% in males and 23% in females that often presents in physiotherapy practice. Physical therapy and/or manipulation therapy is generally the first management option for patients with mechanical neck pain. Physical therapists treat mechanical neck pain with a number of interventions including joint mobilization and/or manipulation, therapeutic exercises or education. However, manipulation of the cervical spine carries some risks...
May 27, 2015: Trials
Jinmo Yang, Byoungkwon Lee, Changbeom Kim
[Purpose] The purpose of this study was to conduct cervical stability training and upper thoracic manipulation for patients with chronic neck pain and then investigate the changes of cervical proprioception and pain. [Subjects and Methods] Subjects were 30 workers with mechanical neck pain, who were randomly divided into an upper thoracic manipulation group and a cervical stability training group. Upper thoracic manipulation after cervical stability training was conducted for the upper thoracic manipulation group, and only stability training was conducted for the cervical stability training group...
March 2015: Journal of Physical Therapy Science
Gemma Victoria Espí-López, Anna Arnal-Gómez, Teresa Arbós-Berenguer, Ángel Arturo López González, Teófila Vicente-Herrero
BACKGROUND: Tension-type headache (TTH) is a disease with a great incidence on quality of life and with a significant socioeconomic impact. OBJECTIVES: The aim of this review is to determine the effectiveness of physical therapy by using manual therapy (MT) for the relief of TTH. DATA SOURCES: A review was done identifying randomized controlled trials through searches in MEDLINE, PEDro, Cochrane and CINAHL (January 2002 - April 2012). STUDY SELECTION: English-language studies, with adult patients and number of subjects not under 11, diagnosed with episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH) were included...
2014: Journal of the Japanese Physical Therapy Association
Rungthip Puntumetakul, Thavatchai Suvarnnato, Phurichaya Werasirirat, Sureeporn Uthaikhup, Junichiro Yamauchi, Rose Boucaut
BACKGROUND: Thoracic spine manipulation has become a popular alternative to local cervical manipulative therapy for mechanical neck pain. This study investigated the acute effects of single-level and multiple-level thoracic manipulations on chronic mechanical neck pain (CMNP). METHODS: Forty-eight patients with CMNP were randomly allocated to single-level thoracic manipulation (STM) at T6-T7 or multiple-level thoracic manipulation (MTM), or to a control group (prone lying)...
2015: Neuropsychiatric Disease and Treatment
Jennifer Chu, Diane D Allen, Sarah Pawlowsky, Betty Smoot
OBJECTIVES: Spinal manual therapy (SMT) is commonly used for treatment of musculoskeletal pain in the neck, upper back, or upper extremity. Some authors report a multi-system effect of SMT, including peripheral alterations in skin conductance and skin temperature, suggesting that SMT may initiate a sympathetic nervous system (SNS) response. The focus of this evidence-based review and meta-analysis is to evaluate the evidence of SNS responses and clinically relevant outcomes following SMT to the cervical or thoracic spine...
November 2014: Journal of Manual & Manipulative Therapy
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