Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain

Thoracic spine manipulation has become a popular alternative to local cervical manipulative therapy for mechanical neck pain. This study investigates the acute effects of single-level and multiple-level thoracic manipulations on chronic mechanical neck pain (CMNP). At 24-hour and 1-week follow-up, neck disability and pain levels were significantly (P<0.05) better in the STM and MTM groups in comparison to the control group. CROM in flexion and left lateral flexion were increased significantly (P<0.05) in the STM group when compared with the control group at 1-week follow-up. The CROM in right rotation was increased significantly after MTM in comparison to the control group (P<0.05) at 24-hour follow-up. There were no statistically significant differences in neck disability, pain level at rest, and CROM between the STM and MTM groups.

These results indicate that both single-level and multiple-level thoracic manipulation improve neck disability, pain levels, and CROM at 24-hour and 1-week follow-up in patients with CMNP.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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