Karas Steve, Olson Hunt Megan J
Physical Therapy Program, Chatham University, Pittsburgh, PA, USA.
Department of Biostatistics, University of Pittsburgh, PA, USA.
J Man Manip Ther. 2014 May;22(2):108-14. doi: 10.1179/2042618613Y.0000000052.
Randomized clinical trial.
To determine the effectiveness of seated thoracic manipulation versus targeted supine thoracic manipulation on cervical spine pain and flexion range of motion (ROM). There is evidence that thoracic spine manipulation is an effective treatment for patients with cervical spine pain. This evidence includes a variety of techniques to manipulate the thoracic spine. Although each of them is effective, no research has compared techniques to determine which produces the best outcomes.
A total of 39 patients with cervical spine pain were randomly assigned to either a seated thoracic manipulation or targeted supine thoracic manipulation group. Pain and flexion ROM measures were taken before and after the intervention.
Pain reduction (post-treatment-pre-treatment) was significantly greater in those patients receiving the targeted supine thoracic manipulation compared to the seated thoracic manipulation (P<0.05). Although not significant, we did observe greater improvement in flexion ROM in the targeted supine thoracic manipulation group. The results of this study indicate that a targeted supine thoracic manipulation may be more effective in reducing cervical spine pain and improving cervical flexion ROM than a seated thoracic manipulation. Future studies should include a variety of patients and physical therapists (PTs) to validate our findings.
随机临床试验。
确定坐位胸椎手法治疗与仰卧位针对性胸椎手法治疗对颈椎疼痛及颈椎前屈活动度（ROM）的效果。有证据表明胸椎手法治疗对颈椎疼痛患者是一种有效的治疗方法。该证据包括多种胸椎手法治疗技术。虽然每种技术都有效，但尚无研究比较不同技术以确定哪种能产生最佳效果。
总共39例颈椎疼痛患者被随机分配至坐位胸椎手法治疗组或仰卧位针对性胸椎手法治疗组。在干预前后测量疼痛和颈椎前屈ROM。
与坐位胸椎手法治疗组相比，接受仰卧位针对性胸椎手法治疗的患者疼痛减轻程度（治疗后-治疗前）显著更大（P<0.05）。虽然差异不显著，但我们确实观察到仰卧位针对性胸椎手法治疗组的颈椎前屈ROM改善更大。本研究结果表明，仰卧位针对性胸椎手法治疗在减轻颈椎疼痛及改善颈椎前屈ROM方面可能比坐位胸椎手法治疗更有效。未来研究应纳入多种患者和物理治疗师以验证我们的研究结果。
