Effect of Thoracic Manipulation on Pain and Postural Sway in Chronic Mechanical Neck Pain Patients: A Quasi-experimental StudyCorrespondence Address :
Dr. Ammar Suhail,
Department of Physiotherapy, Jalandhar- Delhi, Grand Trunk Road, Phagwara-144001, Punjab, India.
Introduction: Mechanical Neck Pain (MNP) is a prevalent musculoskeletal problem. MNP has a high-risk of becoming chronic in nature. Recent studies demonstrate altered Postural Sway (PS) among MNP patients. There are various management strategies used for improving pain and PS among Chronic MNP (CMNP). Numerous studies have been done on the effect of thoracic thrust manipulation on pain. However, the evidence is deficient for the impact of thoracic manipulation on PS in MNP patients.
Aim: To analyse the effect of Thoracic Spine Manipulation (TSM) on pain and PS in CMNP patients.
Materials and Methods: A total of 31 patients were recruited in the study. All the patients received three sessions of thoracic manipulation on three consecutive days. Numeric Rating Scale (NRS) and PS were measured during three treatment sessions and at baseline. One-way repeated measure Analysis of Variance (ANOVA) was used to examine the effects of treatment on each outcome variable.
Results: Thirty-one patients with a mean age of 22.23 (SD=2.667) years, 61.3% females, and 38.7% males fulfilled the prerequisite considerations to be in the study and consented to partake in the study. Patients showed significant improvements in pain after TSM 1 (F=105.89, p<0.05). The PS measured as sway velocity based on the Center Of Foot Pressure (COFP) showed a significant reduction in both anterolateral direction (F= 3.551, p<0.05) and mediolateral direction PSY (F=5.103, p<0.05).
Conclusion: The results demonstrate that thoracic manipulation improves pain and reduces PS. The study concludes that TSM can alter PS immediately post manipulation. TSM can be an alternative to Cervical Spine Manipulation (CSM) in patients with a contraindication for CSM.
Manual therapy, Neck pain, Spinal manipulation, Sway velocity
Date of Submission: Mar 31, 2021
Date of Peer Review: Jun 30, 2021
Date of Acceptance: Jul 27, 2021
Date of Publishing: Oct 01, 2021
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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