Effect of Thoracic Manipulation Along With Neck Stabilization Exercises On Pain and Range Of Motion In Subjects With Mechanical Neck Pain

Authors

  • Kiran K Kamble II MPT, Department of Musculo skeletal Physiotherapy, KIMSDU, Karad Author
  • Dr Sandeep B Shinde Associate Professor,Department of Musculo skeletal Sciences, KIMSDU, Karad Author

DOI:

https://doi.org/10.61841/xtvwsz53

Keywords:

Mechanical neck pain, Thoracic manipulation, Neck stabilization Exercise

Abstract

BACKGROUND—Mechanical neck pain is a musculoskeletal disorder characterized by pain, stiffness, and reduced cervical and thoracic spine range of motion. People of the age group 25-35 years are most commonly associated with these symptoms. Hence, this study is conducted to improve neck muscle function and reduce symptoms.

OBJECTIVES—To determine the effect of thoracic manipulation along with neck stabilization exercises on pain, range of motion, and cervical spine stability in subjects with mechanical neck pain.

MATERIAL AND METHOD:68 individuals diagnosed with mechanical neck pain by a certified physiotherapist or an orthopedist were selected as subjects. Subjects were divided into 2 groups, 34 in each group. Group A received thoracic manipulation and neck stabilization exercises, while group B received a conventional group of exercises. Pre- and post-assessments were taken by visual analogue scale , bubble inclinometer, and stabilizer pressure biofeedback unit.

RESULT: Both the groups showed improvement in pain. Range of motion and cervical spine stability. But the group is improved in comparison with group B (P<0.0001)

CONCLUSION: Thoracic manipulation with neck stabilization exercises has a significant effect on pain, range of motion, and cervical spine stability. 

 

 

Downloads

Download data is not yet available.

References

1. Lee K, Kim W. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial. J.Phys.Ther.Sci 2016;28:1

2. Thavatchai S et et.al. The effect of thoracic manipulation versus mobilization for chronic neck pain: a randomized controlled trial pilot study. J.Phys.Ther.Sci.2013;25:865-871

3. Webb et al., The Cervical and Thoracic Spine Mechanical Diagnosis and therapy,2006,1:52-55.

4. Robin M, Stephen M, The cervical and thoracic spine mechanical diagnosis and therapy, 2006, 1: 12-20.

5. Elliott J, Jull G, Noteboom JT, Darnell R, Galloway G, Gibbon WW. Fatty infiltration in the cervical extensor muscles in persistent whiplash-associated disorders: a magnetic resonance imaging analysis. Spine (Phila Pa 1976). 2006;31:E847-E855.

6. Elliott J, Jull G, Noteboom JT, Galloway G. MRI study of the cross-sectional area for the cervical extensor musculature in patients with persistent whiplash-associated disorders (WAD). Man Ther. 2008;13:258-265.

7. Falla D, Bilenkij G, Jull G. Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine (Phila Pa 1976). 2004;29:1436-1440

8. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976). 2004;29:2108-2114.

9. Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia. 2007;27:793-802

10. O’Leary S, Falla D, Elliott JM, Jull G. Muscle dysfunction in cervical spine pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39:324-333.

11. Barton PM, Hayes KC. Neck flexor muscle strength, efficiency, and relaxation times in normal subjects

and subjects with unilateral neck pain and headache. Arch Phys Med Rehabil. 1996;77:680-687

12. Chiu TT, Lo SK. Evaluation of cervical range of motion and isometric neck muscle strength: reliability and

validity. Clin Rehabil. 2002;16:851-858.

13. Falla D, Farina D. Muscle fiber conduction velocity of the upper trapezius muscle during dynamic

Contraction of the upper limb in patients with chronic neck pain. Pain. 2005;116:138-145.

14. Ylinen J, Salo P, Nykänen M, Kautiainen H, Häkkinen A. Decreased isometric neck strength in women

with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil.

2004;85:1303-1308.

15. Thavatchai S al. The effect of thoracic manipulation versus mobilization for chronic neck pain: a

randomized controlled trial pilot study. J.Phys.Ther.Sci.2013;25:865-871

16. Keating L, Lubke C, Powell V et al.: Mid thoracic tenderness : a comparison of pressure pain threshold

between spinal regions in asymptomatic subjects. Man Ther, 2001, 6: 34-39.

17. Di Fabio R P : Manipulation of cervical spine : risks and benefits. Phys Ther, 1999, 79: 50-65.

18. Raquel M al., Immediate changes in widespread pressure pain sensitivity, neck pain and cervical range of

motion after cervical and thoracic thrust manipulation in patients with bilateral chronic mechanical neck

pain. J Orthop Sports Phys Ther 2012;42:806-814

19. Fryer G, Carob J, Mclver S. The effect of manipulation and mobilization on pressure pain threshold in the

thoracic spine. Journal ofeopathic Medicine. 2004;1:8-14

20. Ordway NR, Seymour R, Donelson RG, et al.: Cervical sagittal range-of-motion analysis using three

methods. Cervical range-of-motion device, 3-space, and radiography. Spine, 1997, 22: 501–508.

21. Dusunceli, Y. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J

Rehabil Med. 2009;41(8):626-31.

22. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low

back pain. Spine (Phila Pa 1976). 2001;26:E243-E248.

23. Saal JA. The new back school prescription: stabilization training. Part II. Occup Med. 1992;7:33-42.

24. Stuge B, Laerum E, Kirkesola G, Vøllestad N. The efficacy of a treatment program focusing on specific

Stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine (a., Pa.)

1976). 2004;29:351-359.

25. Exelby L: Peripheral mobilizations with movement. Manr, 1996, 1(3): 118-126.

26. Cleland JA, Glynn P, Whitman JM, et et.al: Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Man Ther, 2005; 127-135.

27. Butler DS. Mobilization of nervous system. Churchill Livingstone, Melbourne, 1st 1991:23-24.

28. Martínez-Segura R, De-la-Llave-Rincón AI, Ortega-Santiago R, et al.: Immediate changes in widespread pressure pain sensitivity, neck pain, and cervical range of motion after cervical or thoracic thrust manipulation in patients with bilateral chronic mechanical neck pain: a randomized clinical trial. J Orthop

Sports Phys Ther, 2012, 42: 806–814.

29. Linton SJ, van Tulder MW. Preventive interventions for back and neck pain problems: what is the evidence? Spine (Phila Pa 1976). 2001;26:778-787.

30. Michalsen A, Traitteur H, Lüdtke R, et al. Yoga for chronic neck pain: a pilot randomized controlled clinical trial. J Pain. 2012;13:1122-113.

31. Sawant RS, Shinde SB. Effect of hydrotherapy-based exercises for chronic nonspecific low back pain. Indian J Physiother Occup Ther. 2019 Jan 1;13(1).

32. Mohite SA, Shinde SB. Effect of Early Intervention with Spinal Isometric Exercises in Acute Lumbar Intervertebral Disc Prolapse. Indian Journal of Physiotherapy & Occupational Therapy. 2019 Apr 1;13(2).

Downloads

Published

31.07.2020

How to Cite

K Kamble, K., & B Shinde, S. (2020). Effect of Thoracic Manipulation Along With Neck Stabilization Exercises On Pain and Range Of Motion In Subjects With Mechanical Neck Pain. International Journal of Psychosocial Rehabilitation, 24(5), 7600-7608. https://doi.org/10.61841/xtvwsz53