Improved short-term outcomes for mechanical neck pain with HVLA thrust manipulation .
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Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial
J Orthop Sports Phys Ther. 2012 Jan;42(1):5-18. doi: 10.2519/jospt.2012.3894. Epub 2011 Sep 30107 patients were randomized to receive either high-velocity low-amplitude (HVLA) thrust manipulation or non-thrust mobilization to determine which method provided improved short-term outcomes in the treatment of mechanical neck pain. Disability, pain, range of motion and motor control of the cervical flexors were assessed 48 hours post-intervention. The results indicated that HVLA thrust manipulation significantly improved all outcomes of interest when compared to non-thrust mobilization.
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