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Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial

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 p...

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Autores principales: Puntumetakul, Rungthip, Suvarnnato, Thavatchai, Werasirirat, Phurichaya, Uthaikhup, Sureeporn, Yamauchi, Junichiro, Boucaut, Rose
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296956/
https://www.ncbi.nlm.nih.gov/pubmed/25624764
http://dx.doi.org/10.2147/NDT.S69579
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author Puntumetakul, Rungthip
Suvarnnato, Thavatchai
Werasirirat, Phurichaya
Uthaikhup, Sureeporn
Yamauchi, Junichiro
Boucaut, Rose
author_facet Puntumetakul, Rungthip
Suvarnnato, Thavatchai
Werasirirat, Phurichaya
Uthaikhup, Sureeporn
Yamauchi, Junichiro
Boucaut, Rose
author_sort Puntumetakul, Rungthip
collection PubMed
description 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). Cervical range of motion (CROM), visual analog scale (VAS), and the Thai version of the Neck Disability Index (NDI-TH) scores were measured at baseline, and at 24-hour and at 1-week follow-up. RESULTS: At 24-hour and 1-week follow-up, neck disability and pain levels were significantly (P<0.05) improved in the STM and MTM groups compared with the control group. CROM in flexion and left lateral flexion were increased significantly (P<0.05) in the STM group when compared with the control group at 1-week follow-up. The CROM in right rotation was increased significantly after MTM compared to the control group (P<0.05) at 24-hour follow-up. There were no statistically significant differences in neck disability, pain level at rest, and CROM between the STM and MTM groups. CONCLUSION: These results suggest that both single-level and multiple-level thoracic manipulation improve neck disability, pain levels, and CROM at 24-hour and 1-week follow-up in patients with CMNP.
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spelling pubmed-42969562015-01-26 Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial Puntumetakul, Rungthip Suvarnnato, Thavatchai Werasirirat, Phurichaya Uthaikhup, Sureeporn Yamauchi, Junichiro Boucaut, Rose Neuropsychiatr Dis Treat Original Research 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). Cervical range of motion (CROM), visual analog scale (VAS), and the Thai version of the Neck Disability Index (NDI-TH) scores were measured at baseline, and at 24-hour and at 1-week follow-up. RESULTS: At 24-hour and 1-week follow-up, neck disability and pain levels were significantly (P<0.05) improved in the STM and MTM groups compared with the control group. CROM in flexion and left lateral flexion were increased significantly (P<0.05) in the STM group when compared with the control group at 1-week follow-up. The CROM in right rotation was increased significantly after MTM compared to the control group (P<0.05) at 24-hour follow-up. There were no statistically significant differences in neck disability, pain level at rest, and CROM between the STM and MTM groups. CONCLUSION: These results suggest that both single-level and multiple-level thoracic manipulation improve neck disability, pain levels, and CROM at 24-hour and 1-week follow-up in patients with CMNP. Dove Medical Press 2015-01-12 /pmc/articles/PMC4296956/ /pubmed/25624764 http://dx.doi.org/10.2147/NDT.S69579 Text en © 2015 Puntumetakul et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Puntumetakul, Rungthip
Suvarnnato, Thavatchai
Werasirirat, Phurichaya
Uthaikhup, Sureeporn
Yamauchi, Junichiro
Boucaut, Rose
Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title_full Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title_fullStr Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title_full_unstemmed Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title_short Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
title_sort acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296956/
https://www.ncbi.nlm.nih.gov/pubmed/25624764
http://dx.doi.org/10.2147/NDT.S69579
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