Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey.
J Back Musculoskelet Rehabil. 2021;34(5):735-743. doi: 10.3233/BMR-191798.
Performing thoracic manipulations for neck pain can result in immediate improvements in neck function.
The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain.
Eighty male volunteers between 18-25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later.
There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG.
A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.
进行胸椎推拿治疗颈部疼痛可以立即改善颈部功能。
本研究旨在探讨胸椎推拿对慢性机械性颈痛患者颈椎关节位置觉和颈椎活动度的即刻影响。
80 名 18-25 岁的男性志愿者，患有慢性或复发性颈肩部疼痛，持续至少 3 个月，伴或不伴有手臂疼痛，随机分为两组：胸椎推拿组（TMG：50 例）和对照组（CG：30 例），采用预试验-后试验的实验设计。TMG 组接受胸椎伸展推拿治疗，而 CG 组不接受干预。在基线和 5 分钟后评估个体的颈椎关节位置误差和颈椎活动度。
TMG 和 CG 在年龄（p=0.764）、体重指数（p=0.917）和颈部疼痛残疾量表（NPDS）评分（p=0.436）等人口统计学变量方面在基线结果上无差异。干预后两组在 30 度和 50 度时所有方向的关节位置误差结果相似。与 CG 相比，TMG 组在干预后颈椎前屈（p<0.001）和右侧旋转（p=0.004）的活动度差异更高。
单次胸椎推拿对轻度机械性颈痛患者的关节位置觉似乎没有效果。然而，胸椎推拿可能是一种有效的选择，可以作为辅助治疗来增加颈椎的屈伸和旋转。
