Manual Techniques for the Cervicothoracic Spine: Difference between revisions

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== Introduction ==
== Introduction ==
Cervico-thoracic spine joint manipulations or mobilisations are a physiotherapy or chiropractic intervention that can be used for [[Neck Pain: Clinical Practice Guidelines|neck]], [[Lumbar Anatomy|back]] or [[shoulder]] pain.Gauri Milind Ghan & V. Sarath Babu. [https://www.tandfonline.com/doi/full/10.1080/10669817.2020.1834321?scroll=top&needAccess=true Immediate Effect of Cervico-thoracic Mobilization on Deep Neck Flexors Strength in Individuals with Forward Head Posture: A Randomized Controlled Trial,] Journal of Manual & Manipulative Therapy, (2020)


==Conditions treated==
* The Guide to Physical Therapist Practice defines mobilization/manipulation as “skilled passive movements to joints and/or related soft tissue that are applied at varying speeds and amplitudes, including small-amplitude/high-velocity therapeutic movements”American Physical Therapy Association Guide to Physical Therapist Practice. Phys Ther. 2001;81:9–746. 2nd ed..
* Manipulation of the spine (MTS)can also be defined as a form of manual therapy that is used in an effort to reduce pain and improve range of motionDi Fabio RP . Efficacy of manual therapy. Phys Ther.1992;72:853–864..
* Cervico-thoracic spine joint manipulation or mobilization are a physiotherapy or chiropractic intervention that can be used for [[Neck Pain: Clinical Practice Guidelines|neck]], [[Lumbar Anatomy|back]] or [[shoulder]] pain.=":0">Gauri Milind Ghan & V. Sarath Babu. [https://www.tandfonline.com/doi/full/10.1080/10669817.2020.1834321?scroll=top&needAccess=true Immediate Effect of Cervico-thoracic Mobilization on Deep Neck Flexors Strength in Individuals with Forward Head Posture: A Randomized Controlled Trial,] Journal of Manual & Manipulative Therapy, (2020)
== Indications ==
*”Head and neck disorders''' including:
# neck pain and stiffness.
# muscle-tension headache.
# migraine.


=== Neck pain ===
Some evidence has shown that grade IV cervical spine mobilisations (unilateral and central PA) can have an increase in deep neck flexor strength.
Some evidence has shown that grade IV cervical spine mobilisations (unilateral and central PA) can have an increase in deep neck flexor strength.


Thoracic mobilisations alongside deep flexor strengthening exercises have also been shown to help reduce chronic neck pain.Taesung Ko, Uichul Jeong, Kwanwoo Lee, [https://www.jstage.jst.go.jp/article/jpts/22/1/22_1_87/_article Effects of the Inclusion Thoracic Mobilization into Cranio-Cervical Flexor Exercise in Patients with Chronic Neck Pain], Journal of Physical Therapy Science, 2010, Volume 22, Issue 1, Pages 87-91
Thoracic mobilisations alongside deep flexor strengthening exercises have also been shown to help reduce chronic neck pain.Taesung Ko, Uichul Jeong, Kwanwoo Lee, [https://www.jstage.jst.go.jp/article/jpts/22/1/22_1_87/_article Effects of the Inclusion Thoracic Mobilization into Cranio-Cervical Flexor Exercise in Patients with Chronic Neck Pain], Journal of Physical Therapy Science, 2010, Volume 22, Issue 1, Pages 87-91


===Thoracic pain===
*”Thoracic pain'''
*”Shoulder pain'''


= = =肩痛===
Some studies have shown that cervical and thoracic joint mobilisations can help to reduce pain and improve ROM in some patients presenting with sub-acromial pain syndromeS Jena, M Pattnaik, P Mohanty, [https://pdfs.semanticscholar.org/d8f2/0d3bb60fa84c6955bbc10c25760651646458.pdf Effect of cervico-thoracic mobilisation on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome: an experimental study.] International Journal of Physiotherapy and Research, Int J Physiother Res 2016, Vol 4(3):1510-17.{{#ev:youtube|pncefI5qyog|300}}Maitland Techniques-All. Available from: https://www.youtube.com/watch?v=pncefI5qyog{{#ev:youtube|fTKOoV5wHBU|300}}SNAGs Lower Cervical Spine C3-7 Available from: https://www.youtube.com/watch?v=fTKOoV5wHBU
Some studies have shown that cervical and thoracic joint mobilisations can help to reduce pain and improve ROM in some patients presenting with sub-acromial pain syndromeS Jena, M Pattnaik, P Mohanty, [https://pdfs.semanticscholar.org/d8f2/0d3bb60fa84c6955bbc10c25760651646458.pdf Effect of cervico-thoracic mobilisation on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome: an experimental study.] International Journal of Physiotherapy and Research, Int J Physiother Res 2016, Vol 4(3):1510-17.{{#ev:youtube|pncefI5qyog|300}}Maitland Techniques-All. Available from: https://www.youtube.com/watch?v=pncefI5qyog{{#ev:youtube|fTKOoV5wHBU|300}}SNAGs Lower Cervical Spine C3-7 Available from: https://www.youtube.com/watch?v=fTKOoV5wHBU


Revision as of 22:26, 9 February 2023

Original Editors-Dana Tew

Top Contributors-Kim Jackson,Dana Tew,Mariam Hashem,Abbey Wright,Aya AlhindiandSamuel Winter


Cervico-Thoracic Spine Joint Manipulation[edit|edit source]

Introduction[edit|edit source]

  • The Guide to Physical Therapist Practice defines mobilization/manipulation as “skilled passive movements to joints and/or related soft tissue that are applied at varying speeds and amplitudes, including small-amplitude/high-velocity therapeutic movements”[1].
  • Manipulation of the spine (MTS)can also be defined as a form of manual therapy that is used in an effort to reduce pain and improve range of motion［２］.
  • Cervico-thoracic spine joint manipulation or mobilization are a physiotherapy or chiropractic intervention that can be used forneck,backorshoulderpain.[3]

Indications[edit|edit source]

  • Head and neck disordersincluding:
  1. neck pain and stiffness.
  2. muscle-tension headache.
  3. migraine.

Some evidence has shown that grade IV cervical spine mobilisations (unilateral and central PA) can have an increase in deep neck flexor strength[3].

Thoracic mobilisations alongside deep flexor strengthening exercises have also been shown to help reduce chronic neck pain.[4]

  • Thoracic pain
  • Shoulder pain


Some studies have shown that cervical and thoracic joint mobilisations can help to reduce pain and improve ROM in some patients presenting with sub-acromial pain syndrome[5].

[6]

[7]


Thoracic Spine Joint Manipulation and Mobilization[edit|edit source]

[8]

[9]

[10]

[10]

References[edit|edit source]

  1. ↑American Physical Therapy Association Guide to Physical Therapist Practice. Phys Ther. 2001;81:9–746. 2nd ed.
  2. ↑Di Fabio RP . Efficacy of manual therapy. Phys Ther.1992;72:853–864.
  3. ↑3.03.1Gauri Milind Ghan & V. Sarath Babu.Immediate Effect of Cervico-thoracic Mobilization on Deep Neck Flexors Strength in Individuals with Forward Head Posture: A Randomized Controlled Trial,Journal of Manual & Manipulative Therapy, (2020)
  4. ↑Taesung Ko, Uichul Jeong, Kwanwoo Lee,Effects of the Inclusion Thoracic Mobilization into Cranio-Cervical Flexor Exercise in Patients with Chronic Neck Pain, Journal of Physical Therapy Science, 2010, Volume 22, Issue 1, Pages 87-91
  5. ↑S Jena, M Pattnaik, P Mohanty,Effect of cervico-thoracic mobilisation on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome: an experimental study.International Journal of Physiotherapy and Research, Int J Physiother Res 2016, Vol 4(3):1510-17
  6. ↑Maitland Techniques-All. Available from:https://www.youtube.com/watch?v=pncefI5qyog
  7. ↑SNAGs Lower Cervical Spine C3-7 Available from:https://www.youtube.com/watch?v=fTKOoV5wHBU
  8. ↑Upper thoracic functional mobilization. Available from:https://www.youtube.com/watch?v=ZMThXJf6mrE
  9. ↑胸椎动员。反向唠叨。穆里根Mobilization with movement Technique MWM. Available from:https://www.youtube.com/watch?v=A8juGfCJOcc
  10. ↑10.010.1Mid Thoracic Spine PA Mobs. Available from:https://www.youtube.com/watch?v=-nAurCvHbuM&ab_channel=ModernManualTherapy
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