Thoracic Spine Thrust Manipulation VS Cervical Spine Thrust Manipulation: Acute Neck Pain .
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Thoracic Spine Thrust Manipulation Versus Cervical Spine Thrust Manipulation in Patients With Acute Neck Pain: A Randomized Clinical Trial
J Orthop Sports Phys Ther. 2011 Apr;41(4):208-20. Epub 2011 Feb 1824 patients suffering from acute neck pain and meeting 4 out of 6 clinical prediction rule (CPR) criteria for thoracic thrust joint manipulation (TJM) treatment for neck pain where randomized into either a group receiving cervical TJM or Thoracic TJM, followed by 3 sessions of a standardized exercise program. The results indicated that cervical TJM resulted in greater reduction in self reported pain, neck disability index score (NDI), and results on the Fear-Avoidance Beliefs Questionnaire-Physical Activities (FABQ-PA). These results demonstrate that cervical TJM provides better outcomes for patients in comparison to thoracic TJM and should be considered the standard of treatment, unless there are contraindications present.
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