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

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

Rungthip Puntumetakul,1,2 Thavatchai Suvarnnato,1,3 Phurichaya Werasirirat,1 Sureeporn Uthaikhup,2 Junichiro Yamauchi,4,5 Rose Boucaut6 1School of Physical Therapy, Faculty of Associated Medical Sciences, 2Research Center in Back, Neck, Other Joint Pain and Human Performance, 3Physical Therapy Uni...

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Autores principales: Puntumetakul R, Suvarnnato T, Werasirirat P, Uthaikhup S, Yamauchi J, Boucaut R
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/eb432190fa104c698e57e30c9dec4fe2
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spelling oai:doaj.org-article:eb432190fa104c698e57e30c9dec4fe22021-12-02T01:05:58ZAcute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial1178-2021https://doaj.org/article/eb432190fa104c698e57e30c9dec4fe22015-01-01T00:00:00Zhttp://www.dovepress.com/acute-effects-of-single-and-multiple-level-thoracic-manipulations-on-c-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Rungthip Puntumetakul,1,2 Thavatchai Suvarnnato,1,3 Phurichaya Werasirirat,1 Sureeporn Uthaikhup,2 Junichiro Yamauchi,4,5 Rose Boucaut6 1School of Physical Therapy, Faculty of Associated Medical Sciences, 2Research Center in Back, Neck, Other Joint Pain and Human Performance, 3Physical Therapy Unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 4Graduate School of Human Health Sciences, Tokyo Metropolitan University, 5Future Institute for Sport Sciences, Tokyo, Japan; 6School of Health Sciences (Physiotherapy), University of South Australia, Adelaide, SA, Australia 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. Keywords: thoracic manipulation, neck disability, pain level, neck painPuntumetakul RSuvarnnato TWerasirirat PUthaikhup SYamauchi JBoucaut RDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 137-144 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Puntumetakul R
Suvarnnato T
Werasirirat P
Uthaikhup S
Yamauchi J
Boucaut R
Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
description Rungthip Puntumetakul,1,2 Thavatchai Suvarnnato,1,3 Phurichaya Werasirirat,1 Sureeporn Uthaikhup,2 Junichiro Yamauchi,4,5 Rose Boucaut6 1School of Physical Therapy, Faculty of Associated Medical Sciences, 2Research Center in Back, Neck, Other Joint Pain and Human Performance, 3Physical Therapy Unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 4Graduate School of Human Health Sciences, Tokyo Metropolitan University, 5Future Institute for Sport Sciences, Tokyo, Japan; 6School of Health Sciences (Physiotherapy), University of South Australia, Adelaide, SA, Australia 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. Keywords: thoracic manipulation, neck disability, pain level, neck pain
format article
author Puntumetakul R
Suvarnnato T
Werasirirat P
Uthaikhup S
Yamauchi J
Boucaut R
author_facet Puntumetakul R
Suvarnnato T
Werasirirat P
Uthaikhup S
Yamauchi J
Boucaut R
author_sort Puntumetakul R
title 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_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_sort acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/eb432190fa104c698e57e30c9dec4fe2
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AT suvarnnatot acuteeffectsofsingleandmultiplelevelthoracicmanipulationsonchronicmechanicalneckpainanbsprandomizedcontrolledtrial
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AT yamauchij acuteeffectsofsingleandmultiplelevelthoracicmanipulationsonchronicmechanicalneckpainanbsprandomizedcontrolledtrial
AT boucautr acuteeffectsofsingleandmultiplelevelthoracicmanipulationsonchronicmechanicalneckpainanbsprandomizedcontrolledtrial
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