References from Presentations

References from Presentations

Power of the Thoracic Adjustment Presentation, CalChiro Napa, CA, November 17, 2023

How Thoracic Mobilization Effects the Shoulder and Neck. By Dr. Makani Lew, DC, DACRB.  https://freetofeelhealthy.blogspot.com/

REFERENCES

THORACIC MOBILIZATION - EFFECT ON SHOULDER

Easy Searches

https://pubmed.ncbi.nlm.nih.gov/?term=thoracic+mobilization+shoulder

https://www.jospt.org/action/doSearch?AllField=thoracic+mobilization+shoulder

Mintken PE, McDevitt AW, Cleland JA, Boyles RE, Beardslee AR, Burns SA, Haberl MD, Hinrichs LA, Michener LA. Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled Trial. J Orthop Sports Phys Ther. 2016 Aug;46(8):617-28. doi: 10.2519/jospt.2016.6319. PMID: 27477473. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551755/  

N = 114

Conclusion: Adding 2 sessions of high-dose cervicothoracic manual therapy to an exercise program did not improve pain or disability in patients with shoulder pain, but did improve patient-perceived success at 4 weeks and 6 months and acceptability of symptoms at 4 weeks

 

Kardouni JR, Pidcoe PE, Shaffer SW, Finucane SD, Cheatham SA, Sousa CO, Michener LA. Thoracic Spine Manipulation in Individuals With Subacromial Impingement Syndrome Does Not Immediately Alter Thoracic Spine Kinematics, Thoracic Excursion, or Scapular Kinematics: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015 Jul;45(7):527-38. doi: 10.2519/jospt.2015.5647. Epub 2015 May 21. PMID: 25996365. https://pubmed.ncbi.nlm.nih.gov/25996365/ 

N = 52 - half SMT, half sham SMT

Conclusion: CONCLUSION: Thoracic spine extension and excursion did not change significantly following thoracic SMT. There were small but likely not clinically meaningful changes in scapular internal rotation in both groups. Patient-reported pain and function improved in both groups; however, there were no significant differences in the changes between the SMT and the sham SMT groups. Over-all, patient-reported outcomes improved in both groups without meaningful changes to thoracic or scapular motion

Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316. PMID: 32887287; PMCID: PMC7551755.

N = 30

Conclusion: The combination therapy of thoracic mobilization and extension exercise can be regarded as a promising method to improve thoracic alignment and shoulder function in patients with subacromial impingement syndrome.

 

Muth S, Barbe MF, Lauer R, McClure PW. The effects of thoracic spine manipulation in subjects with signs of rotator cuff tendinopathy. J Orthop Sports Phys Ther. 2012 Dec;42(12):1005-16. doi: 10.2519/jospt.2012.4142. Epub 2012 Aug 17. PMID: 22951537. https://pubmed.ncbi.nlm.nih.gov/22951537/

N = 30 participants

Conclusion: Immediate improvements in shoulder pain and function post-TSM are not likely explained by alterations in scapular kinematics or shoulder muscle activity. For people with pain associated with RCT, TSM may be an effective component of their treatment plan to improve pain and function

 

THORACIC MOBILIZATION - EFFECT ON THE NECK

Easy Searches

https://pubmed.ncbi.nlm.nih.gov/?term=thoracic+mobilization+cervical

https://www.jospt.org/action/doSearch?AllField=thoracic+mobilization+cervical

 

Tsegay GS, Gebregergs GB, Weleslassie GG, Hailemariam TT. Effectiveness of Thoracic Spine Manipulation on the Management of Neck Pain: A Systematic Review and Meta-Analysis of Randomized Control Trials. J Pain Res. 2023 Feb 27;16:597-609. doi: 10.2147/JPR.S368910. PMID: 36875686; PMCID: PMC9983435. https://pubmed.ncbi.nlm.nih.gov/36875686/  

N = 8 RCTs, 457 participants

Conclusion: This review suggested that thoracic spine manipulation was effective in reducing pain and neck disability in all adults with chronic mechanical neck pain compared to other interventions.

 

Cross KM, Kuenze C, Grindstaff TL, Hertel J. 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 Sep;41(9):633-42. doi: 10.2519/jospt.2011.3670. Epub 2011 Aug 31. PMID: 21885904. https://pubmed.ncbi.nlm.nih.gov/21885904/

N= 6 RCTs, 93 participants

Conclusion: Thoracic spine thrust manipulation reduced pain and improved ROM among patients with acute or subacute mechanical neck pain.

 

Dunning JR, Cleland JA, Waldrop MA, Arnot CF, Young IA, Turner M, Sigurdsson G. Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012 Jan;42(1):5-18. doi: 10.2519/jospt.2012.3894. Epub 2011 Sep 30. PMID: 21979312. https://pubmed.ncbi.nlm.nih.gov/21979312/

N = 107 - half thrust, half non-thrust

Conclusion: The combination of upper cervical and upper thoracic HVLA thrust manipulation is appreciably more effective in the short term than non-thrust mobilization in patients with mechanical neck pain.

(Earnshaw Letter to Editor in reply to Dunning article RE: mobilization vs manipulation)

 

Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. J Orthop Sports Phys Ther. 2014 Jun;44(6):440-9. doi: 10.2519/jospt.2014.5026. Epub 2014 May 10. PMID: 24816502. https://pubmed.ncbi.nlm.nih.gov/24816502/

N = 1

Conclusion: Immediate reductions in cervical-region pain (mean ± SD, 2.0 ± 1.1) and headache (2.0 ± 1.3) intensity were reported every treatment session immediately following thoracic spine thrust manipulation.

 

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Last update 11/17/2023





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