Comparison of immediate effects between single manipulation and single mobilization directed at the thoracic spine in chronic mechanical neck pain

Abstract
Mechanical neck pain is a most common disorder in general population, especially in the working age group. Due to the economic expense caused by mechanical neck pain is extremely high. Recent studies have shown that either performing thoracic spine manipulation or mobilization on mechanical neck pain patients resulted in immediate improvements in symptoms, however no any study has exactly compared effectiveness between thoracic spine manipulation and mobilization on mechanical neck pain yet. The main purpose of this study was to compare immediate effects of single manipulation and single mobilization directed at the thoracic spine in patients with chronic mechanical neck pain. Twenty four subjects with chronic mechanical neck pain participated in this study. Subjects were randomly allocated into two groups; single thoracic manipulation and single thoracic mobilization. Each subject was measured cervical range of motion by a Cervical Range of Motion (CROM) device and assessed pain level by a Visual Analog Scale (VAS) immediately before and after treatment intervention. The results demonstrated that within-group, there was a significant increase range of motion in all directions after performing single thoracic manipulation (P
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Citation
Thai Journal of Physical Therapy; Vol 32 No 2 2010; 62-72