The immediate effects of thoracic transverse mobilization in patients with the primary complaint of mechanical neck pain: a pilot study C. Indy McGregor1; Robert Boyles1; Laura Murahashi2; Tanya Sena3; Robert Yarnall4 Author Affilations Keywords: Transverse vertebral pressure, Thoracic mobilization, Neck pain DOI: dx.doi.org/10.1179/2042618614Y.0000000073 Abstract Full Text References Figures © W. S. Maney & Son Ltd 2014 Abstract Objective: Posterior-to-anterior (PA) vertebral mobilization to the thoracic spine has been studied as an intervention for neck pain. Our purpose was to explore effects of a different mobilization technique, transverse vertebral pressure, on cervical range of motion (ROM) and pain when applied to the thoracic spine among participants with neck pain. Methods: A single-blinded quasi-experimental study with a one-group pretest–posttest design. A transverse group consisted of 21 participants whose neck pain increased with active movements. A non-intervention group of 20 asymptomatic participants was included simply to ensure rater blinding. The treatment group received Grades IV to IV+ transverse mobilizations at T1 through T4 bilaterally. Measurements taken immediately after intervention included pre/post cervical ROM, distant pressure pain threshold (PPT), and a numerical pain rating scale (NPRS). Analysis utilized t-tests and ordinal counterparts. Results: The transverse group demonstrated significant gains in extension and bilateral rotation (P≤0·005) but not flexion or side-bend. A total of 57% of mobilized participants reported clinically meaningful decreased pain (P
Posted on: Tue, 30 Dec 2014 15:44:19 +0000
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