The effect of direction specific thoracic spine manipulation on the cervical spine: a randomized controlled trial.

ABSTRACT:

Objectives

To determine the difference on neck outcomes with directional manipulation to the thoracic spine. There is evidence that thoracic spine manipulation is effective in treating patients with neck pain. However, there is no research that determines if the assessment of directional hypomobility and the selection of thrust direction offer improved outcomes.

Methods

A total of 69 patients with cervical spine pain were randomly assigned to receive either a manipulation that was consistent with their thoracic spine motion loss (matched) or opposite their motion loss (unmatched). The patient was given care consistent with the orthopedic section guidelines for neck pain and the physical therapist's clinical reasoning. Baseline outcome measures (NPRS, NDI, GROC) were taken an

SUBMITTER: Karas S 

PROVIDER: S-EPMC5810769 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature