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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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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. |
format | Online Article Text |
id | pubmed-4296956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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