The effects of thoracic manipulation versus mobilization for chronic neck pain: a randomized controlled trial pilot study

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2013

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Suvarnnato, T.
Puntumetakul, R.
Kaber, D.
Boucaut, R.
Boonphakob, Y.
Arayawichanon, P.
Chatchawan, U.

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Journal of Physical Therapy Science, 2013; 25(7):865-871

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Thavatchai Suvarnnato, Rungthip Puntumetakul, David Kaber, Rose Boucaut, Yodchai Boonphakob, Preeda Arayawichanon, Uraiwan Chatchawan

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Abstract

[Purpose] To investigate effects of thoracic manipulation versus mobilization on chronic neck pain. [Methods] Thirty-nine chronic neck pain subjects were randomly assigned to single level thoracic manipulation, single level thoracic mobilization, or a control group. The cervical range of motion (CROM) and pain ratings (using a visual analog scale: VAS) were measured before, immediately after and at a 24-hour follow-up. [Results] Thoracic manipulation significantly decreased VAS pain ratings and increased CROM in all directions in immediate and 24-hour follow-ups. The thoracic mobilization group significantly increased in CROM in most directions at immediate follow-up and right and left rotational directions at the 24-hour follow-up. Comparisons between groups revealed the CROM for the manipulation group to increase significantly more than for control subjects in most directions at immediate follow-up and flexion, left lateral flexion and left rotation at the 24-hour follow-up. The CROM for the thoracic mobilization group significantly increased in comparison to the control group in flexion at immediate follow-up and in flexion and left rotation at the 24-hour follow-up. [Conclusion] The study demonstrated reductions in VAS pain ratings and increases in CROM at immediate and 24-hour follow-ups from both single level thoracic spine manipulation and thoracic mobilization in chronic neck pain.

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Copyright © 2013 by the Society of Physical Therapy Science

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