Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain

상부등뼈도수교정과 목뼈부위안정화운동이 만성 목뼈부위 기계학적 통증 환자의 관절가동범위와 장애지수에 미치는 효과 비교

  • Lee, Byoung-Kwon (Department of physical therapy, Konyang University) ;
  • Yang, Jin-Mo (Department of physical therapy, Graduate School, Deajon University) ;
  • Kang, Keung-Hwan (Department of personal training for Rehabilitation, Konyang University)
  • 이병권 (건양대학교 대전캠퍼스 물리치료학과) ;
  • 양진모 (대전대학교 일반대학원 물리치료학과) ;
  • 강경환 (건양대학교 재활퍼스널 트레이닝학과)
  • Received : 2015.03.18
  • Accepted : 2015.04.06
  • Published : 2015.05.31
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Abstract

PURPOSE: The aim of this study is to investigate how upper thoracic manipulation and cervical stability training affects cervical range of motion and neck disability index of patients with chronic mechanical neck pain. METHODS: 30 patients with chronic mechanical neck pain, and randomly divided into the upper thoracic manipulation and the cervical stability training group. Upper thoracic manipulation group was conducted to the upper thoracic manipulation, and cervical stability training was conducted to the cervical stability training. Intervention period was 6 weeks, and 3 sessions, each of which was run for 5~10 minutes. The subjects were measured neck range of motion before and after intervention by electro-goniometer. Neck disability index was used to measure neck disability index Korean version. RESULTS: Comparison within groups, there were significant difference in neck range of motion before and after intervention, and Neck disability index significantly reduced in the cervical stability training group. The comparison between groups, there were no significant difference in neck range of motion and neck disability index. CONCLUSION: Upper thoracic manipulation and cervical stability training to the patients with chronic neck pain was helpful to improve neck range of motion and cervical stability training was helpful to improve neck disability index.

Keywords

References

  1. Adams G, Sim J. A Survey of UK manual therapist's practice of and attitudes towards manipulation and its complications. Physiother Res Int. 1998;3(3):206-27. https://doi.org/10.1002/pri.141
  2. Amonoo-Kuofi HS. The number and distribution of muscle spindles in human intrinsic postvertebral muscles. J Anat. 1982;135(3):585-99.
  3. Armstrong BS, McNair PJ, Williams M. Head and neck position sense in whiplash patients and healthy individuals and the effect of the cranio-cervical flexion action. Clin Biomech. 2005;20(7):675-84. https://doi.org/10.1016/j.clinbiomech.2005.03.009
  4. Cassidy JD, Lopes AA, Yong-Hing K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial. J Manipulative Physiol Ther. 1992;15(9):570-5.
  5. Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005;35(9):567-71. https://doi.org/10.2519/jospt.2005.35.9.567
  6. Cleland JA, Childs MJD, McRae M, et al. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10(2):127-35. https://doi.org/10.1016/j.math.2004.08.005
  7. Cleland JA, Glynn P, Whitman JM, et al. Short-term effects of thrust versus non-thrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Phys Ther. 2007;87(4):431-40. https://doi.org/10.2522/ptj.20060217
  8. Cross KM, Kuenze C, Grindstaff TL, et al. 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;41(9):633-42. https://doi.org/10.2519/jospt.2011.3670
  9. Dunning JR, Cleland JA, Waldrop MA, et al. Upper cervical and upper thoracic thrust manipulation versus non-thrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012;42(1):5-18. https://doi.org/10.2519/jospt.2012.3894
  10. Edmond SL. Joint mobilization/manipulation, Extremity and spinal techniques(2nd ed). US. Elsevier. 2006.
  11. Falla DL, Campbell CD, Fagan AE, et al. Relationship between cranio-cervical flexion range of motion and pressure change during the cranio-cervical flexion test. Man Ther. 2003;8(2):92-6. https://doi.org/10.1016/S1356-689X(03)00008-0
  12. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test, Spine. 2004;29(19):2108-14. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  13. Falla DL. Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther. 2004;9(3):125-33. https://doi.org/10.1016/j.math.2004.05.003
  14. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48. https://doi.org/10.1007/s00586-004-0864-4
  15. Gonzalez-Iglesias J, Fernandez-de-Las-Penas C, Cleland, JA, et al. Inclusion of thoracic spine thrust manipulation into an electro-therapy/thermal program for the management of patients with acute mechanical neck pain: a randomized clinical trial. Man Ther. 2009;14(3):306-13. https://doi.org/10.1016/j.math.2008.04.006
  16. Groen GJ, Baljet B, Drukker J. Nerves and nerve plexuses of the human vertebral column. Am J Anat. 1990;188(3):282-96. https://doi.org/10.1002/aja.1001880307
  17. Gross AR, Hoving JL, Haines TA, et al. A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine. 2004;29(14):1541-8. https://doi.org/10.1097/01.BRS.0000131218.35875.ED
  18. Haas M, Groupp, E, Panzer, D, et al. Efficacy of cervical endplay assessment as an indicator for spinal manipulation. Spine. 2003;28(11):1091-6. https://doi.org/10.1097/01.BRS.0000067276.16209.DB
  19. Jull G, Kristjansson E, Dall'Alba P. Impairment in cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9(2):89-94. https://doi.org/10.1016/S1356-689X(03)00086-9
  20. Jull GA. Deep cervical flexor muscle dysfunction in whiplash. Journal of Musculoskelatal Pain. 2000;8(1-2):143-54. https://doi.org/10.1300/J094v08n01_12
  21. Kaltenborn FM, Evjenth O, Kaltenborn TB, et al. The spine:Basic evaluation and mobilization techniques (3rd ed). Norway. Olaf Norli Bokhandel. 1993.
  22. Ko TS, Jung HB, Kim JA. The Effects of Thoracic Mobilization on Pain, Disability Index and Spinal Mobility in Chronic Low Back Pain Patients. Journal of special Education & Rehabilitation science. 2009;48(2):115-37.
  23. Lau HMC, Chiu TTW, Lam TH. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain–a randomized controlled trial. Man Ther. 2011;16(2):141-7. https://doi.org/10.1016/j.math.2010.08.003
  24. Lee EW, Shin WS, Jung KS, et al. Reliability and Validity of the Neck Disability Index in Neck Pain Patients. Phys Ther Kor. 2007;14(3):97-103.
  25. Magee DJ. Orthopedic physical assessment (6th ed). US. Saunders. 2013.
  26. Norlander S, Nordgren B. Clinical symptoms related to musculoskeletal neck-shoulder pain and mobility in the cervico-thoracic spine. Scand J Rehabi Med. 1998;30(4):243-51. https://doi.org/10.1080/003655098443995
  27. O'Leary S, Jull G, Kim M, et al. Specificity in retraining craniocervical flexor muscle performance. JOSPT. 2007;37(1):3-9. https://doi.org/10.2519/jospt.2007.2237
  28. Olson KA. Manual physical therapy of the spine. US. Saunders. 2008.
  29. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-9. https://doi.org/10.1097/00002517-199212000-00001
  30. Paris SV. Spinal manipulative therapy. Clinical orthopaedics and related research. 1983;179:55-61.
  31. Rothstein JM. Guide to physical therapist practice. Phys Ther. 2001;81:9-744.
  32. Suter E, McMorland, G. Decrease in elbow flexor inhibition after cervical spine manipulation in patients with chronic neck pain. Clin Biomech. 2002;17(7):541-4. https://doi.org/10.1016/S0268-0033(02)00025-6
  33. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  34. Zachazewski JE, Quillen WS, Magee DJ. Pathology and intervention in musculoskeletal rehabilitation (1st ed). US. Saunders. 2008.

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