Manual Techniques for the Cervicothoracic Spine
Original Editors - Dana Tew
Top Contributors - Kim Jackson, Dana Tew, Mariam Hashem, Abbey Wright, Aya Alhindi and Samuel 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 for neck, back or shoulder pain.[3]
Indications[edit | edit source]
- Head and neck disorders including:
- neck pain and stiffness.
- muscle-tension headache.
- 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].
Thoracic Spine Joint Manipulation and Mobilization[edit | edit source]
References[edit | edit source]
- ↑ American Physical Therapy Association Guide to Physical Therapist Practice. Phys Ther. 2001;81:9–746. 2nd ed.
- ↑ Di Fabio RP . Efficacy of manual therapy. Phys Ther.1992;72:853–864.
- ↑ 3.0 3.1 Gauri 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)
- ↑ 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
- ↑ 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
- ↑ Maitland Techniques-All. Available from: https://www.youtube.com/watch?v=pncefI5qyog
- ↑ SNAGs Lower Cervical Spine C3-7 Available from: https://www.youtube.com/watch?v=fTKOoV5wHBU
- ↑ Upper thoracic functional mobilization. Available from: https://www.youtube.com/watch?v=ZMThXJf6mrE
- ↑ Thoracic Spine mobilization. Reverse Nag. Mulligan Mobilization with movement Technique MWM. Available from: https://www.youtube.com/watch?v=A8juGfCJOcc
- ↑ 10.0 10.1 Mid Thoracic Spine PA Mobs. Available from: https://www.youtube.com/watch?v=-nAurCvHbuM&ab_channel=ModernManualTherapy
