The effect of thoracic spine manipulation on pain and disability in patients with non-specific neck pain: a systematic review

@article{Huisman2013TheEO,
  title={The effect of thoracic spine manipulation on pain and disability in patients with non-specific neck pain: a systematic review},
  author={P. A. Huisman and Caroline M. Speksnijder and Anton de Wijer},
  journal={Disability and Rehabilitation},
  year={2013},
  volume={35},
  pages={1677 - 1685}
}
Abstract Purpose: The aim of this systematic review was to determine the efficacy of thoracic spine manipulation (TSM) in reducing pain and disability in patients diagnosed with non-specific neck pain. Methods: An extensive literature search of PubMed, The Cochrane Library, CINAHL and EMBASE was conducted in February 2012. Randomized controlled trials (RCTs) or controlled clinical trials evaluating the effect of TSM in patients aged 18 to 65 years with non-specific neck pain were eligible… 
Thoracic spine manipulation for the management of mechanical neck pain: A systematic review and meta-analysis
TLDR
TSM has been shown to be more beneficial than thoracic mobilization, cervical mobilization, and standard care in the short-term, but no better than cervical manipulation or placeboThoracic spine manipulation to improve pain and disability.
The effectiveness of cervical versus thoracic thrust manipulation for the improvement of pain, disability, and range of motion in patients with mechanical neck pain
TLDR
Based on the results found in this review, cervical and thoracic thrust manipulations are equally valuable in relieving pain, disability, and improving ROM for a patient with mechanical neck pain in the short term.
Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK.
TLDR
Despite limited research exercise is widely used in all areas of practice and across all level of expertise and further research is required to investigate exercise prescription for TSPD and implementation of evidence-based practice.
Immediate and Short‐term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial
TLDR
One session of thoracic manipulation resulted in improvements in pain, disability, cervical ROM, and deep neck flexor endurance in patients with cervical radiculopathy.
Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment.
TLDR
Randomised controlled trials undertaken to assess whether manipulation or mobilisation improves clinical outcomes for adults with acute/subacute/chronic neck pain suggest multiple sessions of cervical manipulation may be favoured over transcutaneous electrical nerve stimulation for pain reduction at short-term follow-up.
Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: a randomized controlled trial.
TLDR
This double-blind randomized trial has compared the short-term effects of two thoracic SM maneuvers in subjects with chronic non-specific neck pain and reduced pain in the short term.
Comparing manual and mechanically assisted manipulations of the thoracic spine in neck pain patients: A pilot study
TLDR
Both manual and electromechanical manipulations are well tolerated, and show that they can be both successful treatments for neck pain in combination with exercises.
The importance of selecting the correct site to apply spinal manipulation when treating spinal pain: Myth or reality? A systematic review
TLDR
None of the nine articles of low or moderate risk of bias and acceptable quality reported that “clinically-relevant” SMT has a superior outcome on any outcome compared to “not clinically-relevant,” which contrasts with ideas held in educational programs and clinical practice that emphasize the importance of joint-specific application of SMT.
Thoracic Manipulation an Adjunctive Treatment for Neck Pain: Case Study and Literature Review
TLDR
The outcomes of this case are consistent with the current body of evidence for thoracic manipulation, which while not conclusive, show a trend toward improved outcomes when combined with exercise.
Immediate changes in neck pain intensity and widespread pressure pain sensitivity in patients with bilateral chronic mechanical neck pain: a randomized controlled trial of thoracic thrust manipulation vs non-thrust mobilization.
TLDR
It is suggested that thoracic thrust manipulation and non-thrust mobilization induce similar changes in widespread PPT in individuals with mechanical neck pain; however, the changes were clinically small.
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