Cervico-thoracic Mobilization Research Articles

Effectiveness of Thoracic Manipulation and Cervicothoracic Mobilisation in Decreasing Pain and Increasing Rom in Nonspecific Neck Pain

BACKGROUND: Hypomobility of the cervicothoracic (CT) junction has been suggested neck discomfort as one of its causes.There are, however, few trials that have contrasted the impact of CT junction mobilisation against a successful neck pain intervention. The treatment of distant spinal segments using thoracic spine manipulation is non-specific and is founded on the notion of interregional reliance.Recent studies have examined the usefulness of segment-specific spinal mobilisation in the cervical spine, although no firm findings could be drawn from earlier research. The aforementioned factors call for research into the effectiveness of a particular CT junction mobilisation vs a general thoracic manipulation intervention in neck discomfort. MATERIAL AND METHODS: Participants in a randomised clinical trial with mechanical neck soreness and Cervicothoracic junction dysfunction were randomly assigned to the mid-thoracic (T3-T6) manipulation group or the C7-T1 stage Maitland mobilisation group. The results of the cervical flexion, extension, facet flexion, and rotation degrees of movement (ROM) before and after the intervention have been measured the use of a cervical range of motion (CROM) device. The severity of self-stated ache become measured using the numerical pain score scale (NPRS). After the intervention, a one-way ANCOVA was used to evaluate the outcomes. RESULTS: For the study, 48 individuals have been enrolled, with a median age of 36.Forty eight±12.Forty eight for the thoracic manipulation organization and 34.25± 12.24 for the CT junction organization. After treatment, there were no discernible differences in cervical variety of movement (ROM) or self-said ache depth among thegroups (p-value = 0.07, 0.96, 003, 0.Forty, 0.30, 0.31 for flexion, extension, bilateralside bending, and rotation, respectively), nor in neck pain depth (p = 0.67). The cervical ROM and pain, however, extensively stepped forward in both businesses whilst in comparison within-institution, pre- and post. CONCLUSION: This preliminary investigation showed that thoracic manipulation had the same effects on the outcomes of cervical range of motion and neck discomfort as level-specific Cervicothoracic mobilisation in patients with non-specific neck pain when it was compared to remote mid-thoracic manipulation. KEYWORDS: Cervicothoracic Mobilization, Thoracic manipulation, Non-specific neck pain, ROM, mechanical neck pain

Immediate Effect of Cervico-thoracic Mobilization on Deep Neck Flexors Strength in Individuals with Forward Head Posture: A Randomized Controlled Trial

ABSTRACT Introduction Forward head posture is the most frequently observed postural deviations and is said to be associated with shortening of posterior cervical extensors and weakening of the anterior deep cervical flexors. Manual therapy has the potential to achieve reflexogenic changes in muscle and enhance the motor activity and strength. Purpose of the study To evaluate the immediate effect of grade IV cervicothoracic Maitland mobilization on deep neck flexors strength in individuals with forward head posture. Study design A Single-blinded randomized placebo-controlled trial. Method Sixty individuals were randomly divided into two groups. Placebo-controlled (PBO) group (n = 30) received the grade I and experimental (EXP) group (n = 30) received grade IV posteroanterior central and unilateral Maitland mobilization from the upper cervical to the upper thoracic spine. Outcome measure: Clinical Cranio-cervical flexion test (CCFT) was used to measure the motor activity and the strength of deep neck flexors. Results The strength of deep neck flexors effectively increased (p = <0.0001) after advocating grade IV mobilization. Conclusion This study concluded that grade IV central and unilateral posteroanterior Maitland mobilization demonstrated significant increase in the deep neck flexors strength in individuals with forward head posture.

Effect of Cervicothoracic Mobilization in Distal Radius Fractures after Plaster Removal

Introduction: Distal Radius Fracture is one of the most common fractures in forearm. Chronic pain after these fractures could affect as much as 30% of patients. 22 to 39% incidence of Complex Regional pain Syndrome (CRPS) has been reported in patients with distal radius fractures.

Cervico-thoracic Mobilization to Address LBA for a Patient with Lumbar Spondylolisthesis

Background and Purpose: This case report describes the examination, intervention and outcome of a patient with lumbar spondylolisthesis. The patient was managed by myofascial release of levator scapulae and cervico-thoracic central PA mobilization. There is no literature found describing these interventions for lumbar spondylolisthesis. Case Description: The patient was a 43 years old woman with LBA with radiating pain to left lower limb due to lumbar spondylolisthesis. She received stretching of levator scapulae, piriformis & rectus femoris, cervico-thoracic central PA mobilization, passive lumbar flexion mobilization, core strengthening exercises. Treatment was given 5 days a week for 20 sittings. Outcomes: Percentage of slippage. Conclusion: Stretching of levator scapulae and cervico-thoracic central PA mobilization may help in reducing forward slippage in lumbar spondylolisthesis.

Long-gap esophageal atresia: experience with Kato's instrumental anastomosis, with cervicothoracic procedure and primary anastomosis, and with retrosternal colonic interposition.

Twenty-four patients with long-gap esophageal atresia have been treated since 1960. Instrumental anastomosis according to Kato was applied in seven cases, cervicothoracic procedure with primary anastomosis followed extended mobilization of the upper and lower pouches in four cases, and retrosternal colonic interposition was performed in 13. Currently, treatment of long-gap esophageal atresia, Vogt-type II, should include first a gastrostomy and, 4-6 weeks later, if the baby is thriving, extended cervicothoracic mobilization of the upper pouch up to the larynx and of the lower pouch down to the cardia, followed by primary anastomosis. If primary anastomosis cannot be performed, both pouches should be adapted, by necrosing sutures according to Santulli, and perforated with a thin mandrin. Thus, esophageal replacement is necessary only in exceptional cases, for which retrosternal colonic interposition is recommended.