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http://dx.doi.org/10.13066/kspm.2015.10.2.35

Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain  

Lee, Byoung-Kwon (Department of physical therapy, Konyang University)
Yang, Jin-Mo (Department of physical therapy, Graduate School, Deajon University)
Kang, Keung-Hwan (Department of personal training for Rehabilitation, Konyang University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.10, no.2, 2015 , pp. 35-45 More about this Journal
Abstract
PURPOSE: The aim of this study is to investigate how upper thoracic manipulation and cervical stability training affects cervical range of motion and neck disability index of patients with chronic mechanical neck pain. METHODS: 30 patients with chronic mechanical neck pain, and randomly divided into the upper thoracic manipulation and the cervical stability training group. Upper thoracic manipulation group was conducted to the upper thoracic manipulation, and cervical stability training was conducted to the cervical stability training. Intervention period was 6 weeks, and 3 sessions, each of which was run for 5~10 minutes. The subjects were measured neck range of motion before and after intervention by electro-goniometer. Neck disability index was used to measure neck disability index Korean version. RESULTS: Comparison within groups, there were significant difference in neck range of motion before and after intervention, and Neck disability index significantly reduced in the cervical stability training group. The comparison between groups, there were no significant difference in neck range of motion and neck disability index. CONCLUSION: Upper thoracic manipulation and cervical stability training to the patients with chronic neck pain was helpful to improve neck range of motion and cervical stability training was helpful to improve neck disability index.
Keywords
Cervical stability; Chronic mechanical neck pain; Thoracic manipulation;
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1 Dunning JR, Cleland JA, Waldrop MA, et al. Upper cervical and upper thoracic thrust manipulation versus non-thrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012;42(1):5-18.   DOI
2 Edmond SL. Joint mobilization/manipulation, Extremity and spinal techniques(2nd ed). US. Elsevier. 2006.
3 Falla DL, Campbell CD, Fagan AE, et al. Relationship between cranio-cervical flexion range of motion and pressure change during the cranio-cervical flexion test. Man Ther. 2003;8(2):92-6.   DOI
4 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. 2004;29(19):2108-14.   DOI
5 Falla DL. Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther. 2004;9(3):125-33.   DOI
6 Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48.   DOI
7 Gonzalez-Iglesias J, Fernandez-de-Las-Penas C, Cleland, JA, et al. Inclusion of thoracic spine thrust manipulation into an electro-therapy/thermal program for the management of patients with acute mechanical neck pain: a randomized clinical trial. Man Ther. 2009;14(3):306-13.   DOI
8 Groen GJ, Baljet B, Drukker J. Nerves and nerve plexuses of the human vertebral column. Am J Anat. 1990;188(3):282-96.   DOI
9 Gross AR, Hoving JL, Haines TA, et al. A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine. 2004;29(14):1541-8.   DOI
10 Adams G, Sim J. A Survey of UK manual therapist's practice of and attitudes towards manipulation and its complications. Physiother Res Int. 1998;3(3):206-27.   DOI
11 Amonoo-Kuofi HS. The number and distribution of muscle spindles in human intrinsic postvertebral muscles. J Anat. 1982;135(3):585-99.
12 Armstrong BS, McNair PJ, Williams M. Head and neck position sense in whiplash patients and healthy individuals and the effect of the cranio-cervical flexion action. Clin Biomech. 2005;20(7):675-84.   DOI
13 Cassidy JD, Lopes AA, Yong-Hing K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial. J Manipulative Physiol Ther. 1992;15(9):570-5.
14 Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005;35(9):567-71.   DOI
15 Cleland JA, Childs MJD, McRae M, et al. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10(2):127-35.   DOI
16 Cleland JA, Glynn P, Whitman JM, et al. Short-term effects of thrust versus non-thrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Phys Ther. 2007;87(4):431-40.   DOI
17 Cross KM, Kuenze C, Grindstaff TL, et al. Thoracic spine thrust manipulation improves pain, range of motion, and self-reported function in patients with mechanical neck pain: a systematic review. J Orthop Sports Phys Ther. 2011;41(9):633-42.   DOI
18 Jull GA. Deep cervical flexor muscle dysfunction in whiplash. Journal of Musculoskelatal Pain. 2000;8(1-2):143-54.   DOI
19 Haas M, Groupp, E, Panzer, D, et al. Efficacy of cervical endplay assessment as an indicator for spinal manipulation. Spine. 2003;28(11):1091-6.   DOI
20 Jull G, Kristjansson E, Dall'Alba P. Impairment in cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9(2):89-94.   DOI
21 Kaltenborn FM, Evjenth O, Kaltenborn TB, et al. The spine:Basic evaluation and mobilization techniques (3rd ed). Norway. Olaf Norli Bokhandel. 1993.
22 Ko TS, Jung HB, Kim JA. The Effects of Thoracic Mobilization on Pain, Disability Index and Spinal Mobility in Chronic Low Back Pain Patients. Journal of special Education & Rehabilitation science. 2009;48(2):115-37.
23 Lau HMC, Chiu TTW, Lam TH. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain–a randomized controlled trial. Man Ther. 2011;16(2):141-7.   DOI
24 Lee EW, Shin WS, Jung KS, et al. Reliability and Validity of the Neck Disability Index in Neck Pain Patients. Phys Ther Kor. 2007;14(3):97-103.
25 Magee DJ. Orthopedic physical assessment (6th ed). US. Saunders. 2013.
26 Norlander S, Nordgren B. Clinical symptoms related to musculoskeletal neck-shoulder pain and mobility in the cervico-thoracic spine. Scand J Rehabi Med. 1998;30(4):243-51.   DOI
27 O'Leary S, Jull G, Kim M, et al. Specificity in retraining craniocervical flexor muscle performance. JOSPT. 2007;37(1):3-9.   DOI
28 Olson KA. Manual physical therapy of the spine. US. Saunders. 2008.
29 Paris SV. Spinal manipulative therapy. Clinical orthopaedics and related research. 1983;179:55-61.
30 Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-9.   DOI
31 Rothstein JM. Guide to physical therapist practice. Phys Ther. 2001;81:9-744.
32 Suter E, McMorland, G. Decrease in elbow flexor inhibition after cervical spine manipulation in patients with chronic neck pain. Clin Biomech. 2002;17(7):541-4.   DOI
33 Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
34 Zachazewski JE, Quillen WS, Magee DJ. Pathology and intervention in musculoskeletal rehabilitation (1st ed). US. Saunders. 2008.