Immediate effects of thoracic spine self-mobilization in patients with mechanical neck pain: A randomized controlled trial

• Published in: Journal of bodywork and movement therapies 2019-04, Vol.23 (2), p.417-424
• Main Authors: Nakamaru, Koji, Aizawa, Junya, Kawarada, Keizo, Uemura, Yukari, Koyama, Takayuki, Nitta, Osamu
• Format: Article
• Language: English
• Subjects: Adult; Aged; Disability Evaluation; Double-Blind Method; Female; Humans; Male; Manipulation, Spinal - methods; Mechanical neck pain; Middle Aged; Neck Pain - therapy; Pain Measurement; Randomized controlled trial; Range of motion; Range of Motion, Articular; Self Care; Thoracic spine self-mobilization; Thoracic Vertebrae
• ISSN: 1360-8592; 1532-9283
• DOI: 10.1016/j.jbmt.2018.05.008

To investigate the immediate effects of thoracic spine self-mobilization in patients with mechanical neck pain. Randomized, controlled trial. Thoracic spine self-mobilization is performed after thoracic spine thrust manipulation to augment and maintain its effects. To the best of our knowledge, no study has investigated the effects of thoracic spine self-mobilization alone in individuals with mechanical neck pain. The purpose of this randomized, controlled trial was to evaluate the immediate effects of thoracic spine self-mobilization alone without any other intervention on disability, pain, and cervical range of motion in patients with mechanical neck pain. Fifty-two patients (39 females and 13 males) with mechanical neck pain were randomly allocated to either a thoracic spine self-mobilization group that was performing a thoracic spine active flexion and extension activity using two tennis balls fixed by athletic tape or a placebo thoracic spine self-mobilization group. Outcome measures were collected at pre-intervention and immediately after intervention, including the Neck Disability Index, visual analogue scale, and active cervical range of motion (ROM). The immediate effect of the intervention was analyzed using two-way repeated measures analysis of variance (ANOVA). If interactions were found, a simple main effect test was performed to compare the pre-post intra-group results. The results of two-way repeated measures ANOVA indicated that the main effect of time was significant (p  0.05). The group × time interactions for cervical flexion active ROM (p = 0.005) and cervical extension active ROM (p = 0.036) were significant. The tests of simple main effect in cervical flexion active ROM (p