In Patients With Thoracic Spine Pain Is Thoracic Manipulation Effective In Reducing Pain And Improving Function
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In Patients With Thoracic Spine Pain Is Thoracic Manipulation Effective In Reducing Pain And Improving Function
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Author : Nicole DeCristoforo
language : en
Publisher:
Release Date : 2015
In Patients With Thoracic Spine Pain Is Thoracic Manipulation Effective In Reducing Pain And Improving Function written by Nicole DeCristoforo and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Manipulation (Therapeutics) categories.
ABSTRACT: Background: Published research addressing thoracic spine pain is less prevalent in comparison to cervical and lumbar pain. Because there are similar anatomic features between the lower cervical spine and upper thoracic spine, thoracic spine manipulation (TSM) is applicable when treating both regions. The purpose of this review was to determine the effectiveness of TSM in reducing pain and improving function in both the thoracic spine and the cervical spine due to the biomechanical link between the 2 regions. Our patient is a 26 year old female with a 7 year history of thoracic spine pain, cervical stiffness, and a history of herniated discs in the thoracic region, with the specific location and extent of the injury unknown. Methods: A comprehensive search was performed using the PubMed, MEDLINE, CINAHL, and PEDro databases. The search yielded 14 articles that met predefined inclusion and exclusion criteria. These articles were then appraised and annotated for quality and applicability to the clinical question. Articles were synthesized in order to make a final clinical decision. Results: A total of 7 high quality articles were selected for review, including 5 RCTs and 2 systematic reviews. Discussion/Conclusion: According to the literature, TSM is a beneficial intervention for patients with thoracic pain and cervical pain with immediate and short-term reductions in pain and disability. Clinicians should consider using TSM for patients with cervical spine pain and acute or subacute thoracic spine pain. TSM is not recommended as a first line of treatment for our patient due to the lack of literature investigating the use of TSM for patients with chronic thoracic spine pain.
Tsm
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Author : John R. Krauss
language : en
Publisher:
Release Date : 2006
Tsm written by John R. Krauss and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Physical therapy categories.
Thoracic Manipulation In Adults With Mechanical Neck Pain
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Author : Oyinade Bokime Agbeja-Akindele
language : en
Publisher: LAP Lambert Academic Publishing
Release Date : 2014-12
Thoracic Manipulation In Adults With Mechanical Neck Pain written by Oyinade Bokime Agbeja-Akindele and has been published by LAP Lambert Academic Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-12 with Manipulation (Therapeutics) categories.
Neck pain is a common musculoskeletal disorder. It can be disabling, and constitutes a high health and economic burden. A large majority of neck pains are of mechanical origin. There has been a growing research interest on optimal interventions but there are no 'gold standards'. Spinal manipulation a form of manual therapy is often used in clinical practice to treat individuals with neck pain.However, in recent time manipulation applied directly to the cervical region has come under close scrutiny because of the potential risk of cervical arterial dysfunction. On the other hand, there is growing evidence for the use of thoracic spine manipulation in treating neck pain. Despite the relatively large number of randomized controlled trials carried on its effectiveness, the evidence of the effectiveness of thoracic manipulation in treating neck pain has been described as inconsistent and inconclusive. Therefore, this systematic review critically appraised, synthesized, and provides a clearer and more accurate overall assessment on the effectiveness of thoracic manipulation in reducing pain and disability in adults with mechanical neck pain.
Short Term Effects Of Thoracic Spine Trust Manipulation For Individuals With Low Back Pain
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Author : Laura Fisher
language : en
Publisher:
Release Date : 2018
Short Term Effects Of Thoracic Spine Trust Manipulation For Individuals With Low Back Pain written by Laura Fisher and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
Study Design: Randomized controlled trial with blind assessor. Background: Low back pain (LBP) is one of the most prevelant and costly musculoskeletal conditions in the United States (US) resulting in more global disability than any other condition. Most patients with acute LBP will improve over a short time, but many patients will proceed to chronicity resulting in a reduced quality of life and a high societal burden. The treatment of LBP has been studied extensively, yet the most effective treatment strategies remain to be elucidated. Objective: The purpose was to determine the short-term effectiveness of thoracic manipulation when compared to sham thoracic manipulation. Methods: Consecutive patients in a large health care ssytem with LBP were stratified based on symptom duration and randomly assigned to one of two groups. The intervention group received three visits of thoracic manipulation and core strengthening exercises. The control group received core strengthening and sham manipulative therapy. Both groups received education regarding LBP. Factorial repeated measures ANCOVA was completed for pain, disability, and fear-avoidance with duration of symptoms as the covariate. Mann Whitney-U test was used for GROC at follow up. Multiple regression was used to determine follow up scores, with duration of symptoms and baseline scores as covariates. Results: Ninety participants completed the study. The overall group-by-time interaction for the ANCOVA was not significant for MODQ, NPRS, FABQ. GROC was not significantly different between the groups. Disability, pain, FABQ-PA and FABQ-total were significantly reduced from initial to final; however, there was no significant difference between groups. Intervention group did significantly differ in the multiple regression when baseline scores were accounted for with manipulation having lower disability. Time and duration of symptoms were the primary factors in predicting outcomes of disability and pain. Conclusion: The current study did not show improved outcomes in individuals with LBP receiving the thoracic manipulation. Patient education regarding nature of pain and impact on activity remain crucial in the management of this disabling condition. This trial was prospectively registered.
Case Studies In Pain Management
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Author : Alan David Kaye
language : en
Publisher: Cambridge University Press
Release Date : 2014-10-16
Case Studies In Pain Management written by Alan David Kaye and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-16 with Medical categories.
Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics Thoracic Spine Flexion Extension Excursion And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome
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Author : Joseph Rahmon Kardouni
language : en
Publisher:
Release Date : 2013
Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics Thoracic Spine Flexion Extension Excursion And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome written by Joseph Rahmon Kardouni and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Effects of thoracic spinal manipulative therapy on thoracic spine and shoulder kinematics, thoracic spine flexion/extension excursion, and pressure pain sensitivity in patients with subacromial pain syndrome By Joseph R. Kardouni, Ph.D., PT A dissertation submitted in partial fulfillment of the requirements for the degree of Ph. D., at Virginia Commonwealth University. Virginia Commonwealth University, 2013. Major Director: Lori A. Michener, Ph. D., PT, ATC, Professor, Department of Physical Therapy In patients with shoulder pain, the use of manual therapy directed at the spine and shoulder have been reported to provide superior outcomes to exercise based interventions or usual care without the use of manual therapy. Clinical trials have also reported improved pain and disability after thoracic spinal manipulative therapy (SMT) as a stand-alone treatment for shoulder pain. Although clinical efficacy is reported for the use of thoracic SMT for the treatment of shoulder pain, the mechanisms underlying the clinical benefits are not well understood. This limits the directed use of SMT. The benefits could be due to changes in spine or shoulder motion or neurophysiologic mechanisms of pain modulation. Elucidating the mechanism of manual therapy will aid the directed use of thoracic SMT for treating patients with shoulder pain. The research described in chapters 3 and 4 was performed to assess the effects of thoracic SMT in patients with subacromial pain syndrome with regard to biomechanical changes at the thoracic spine and shoulder and effects on central and peripheral pain sensitivity. Subjects with shoulder impingement pain symptoms were randomly assigned to receive 1 visit of thoracic SMT or sham SMT, applied to the lower, middle, and upper (cervicothoracic junction) thoracic spine. A 3-dimensional electromagnetic tracking system was used to measure thoracic and scapular kinematics during active arm elevation, and thoracic excursion at end-range of flexion and extension pre- post-treatment. Pressure pain threshold (PPT) was measured at the painful shoulder (deltoid) and unaffected regions (contralateral deltoid and bilateral lower trapezius areas) immediately pre- and post-treatment. PPT measures at the painful shoulder were used to assess peripheral and/or central pain sensitivity, and PPT at unaffected regions measured central pain sensitivity. Patient-rated outcomes measures of pain (Numeric Pain Rating Scale-NPRS), function (Pennsylvania Shoulder Score-Penn), and global rating of change (GROC) were used to assess changes in clinical symptoms following treatment. No significant differences were found between treatment groups for the thoracic kinematics or excursion, shoulder kinematics, PPT measures, or patient-rated outcomes. No differences were noted pre- to post-treatment in either group for thoracic kinematics or excursion or PPT measures. In both groups, there was a decrease in mean scapular external rotation over time during ascending arm elevation, but the change was less than measurement error. Outcome measures of NPRS, Penn and GROC indicated clinical improvements in both groups following treatment, but there were no differences between the thoracic SMT or sham SMT groups. There were no meaningful correlations between thoracic and scapular kinematics or thoracic excursion with the outcome measures of NPRS, Penn, or GROC. There was a significant positive correlation (r=0.52 , p=0.009) between change in PPT at the lower trapezius on the unaffected side and baseline Penn scores. Biomechanically, thoracic spine extension and excursion did not change following thoracic SMT, and the SMT group had no greater changes in shoulder kinematics or patient-rated pain and function than the sham SMT group. Additionally, thoracic SMT did not improve peripheral or central pain sensitivity as measured by PPT. Furthermore, improvements in patient-rated outcomes were not found to be related to changes in thoracic spine mobility, or shoulder kinematics with SMT. The single correlation between change in PPT and baseline Penn may indicate a neurophyciologic effect of SMT in patients with higher baseline function scores, but the since no other significant relationships between PPT and outcome were seen, the implications of this finding are limited. Overall, alterations in thoracic spine mobility and pressure pain sensitivity do not appear to be responsible for improved outcomes in patients with subacromial pain syndrome. Future studies should explore the effects of SMT using other measures of thoracic spine motion and experimental pain modalities, as well as greater dosing of SMT over a longer follow-up.
Joint Mobilization Manipulation E Book
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Author : Susan L. Edmond
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-02-05
Joint Mobilization Manipulation E Book written by Susan L. Edmond and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-02-05 with Medical categories.
Clear, step-by-step guidelines show how to perform Physical Therapy procedures! Joint Mobilization/Manipulation: Extremity and Spinal Techniques, 3rd Edition is your go-to resource for evidence-based Interventions treating conditions of the spine and extremities. New full-color photos and illustrations show detail with added realism, and 192 online videos demonstrate the major techniques described in the book. Written by rehabilitation and movement sciences educator Susan Edmond, this text provides current, complete information ranging from the principles of examination and evaluation to making effective manual therapy interventions. Illustrated descriptions of joint mobilizations make procedures easy to understand and then perform. Unique focus on spine and extremities provides an all-in-one resource for essential information. Contraindications, precautions, and indications are included for each joint mobilization to reinforce clinical decision-making. Clearly labeled photos show the direction of force for each therapy technique. Evidence-based information at the beginning of each chapter provides the latest research and rationales for specific procedures. Cervical Spine chapter includes mobilization techniques such as Paris cervical gliding, Grade V (thrust), and muscle energy. Guidelines to the examination of joint play of the spine include current, evidence-based research. Coverage of osteokinematic and arthrokinematic motion, and degrees of freedom, provides perspective on the body planes. 23 NEW videos demonstrate each step of manual therapy techniques. NEW full-color photos and illustrations show techniques with a higher degree of clarity and realism. NEW mobilization and manipulation techniques include step-by-step videos for each. UPDATED research makes this book the most current, evidence-based text available on manual therapy of the spine and extremities.
Manual Therapy For Musculoskeletal Pain Syndromes E Book
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Author : Cesar Fernandez de las Penas
language : en
Publisher: Elsevier Health Sciences
Release Date : 2015-04-28
Manual Therapy For Musculoskeletal Pain Syndromes E Book written by Cesar Fernandez de las Penas and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-28 with Medical categories.
A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence. The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education. For the remaining sections, the textbook alternates between the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. The only one-stop manual detailing examination and treatment of the most commonly seen pain syndromes supported by accurate scientific and clinical data Over 800 illustrations demonstrating examination procedures and techniques Led by an expert editorial team and contributed by internationally-renowned researchers, educators and clinicians Covers epidemiology and history-taking Highly practical with a constant clinical emphasis
Physical Therapy Management Of Patients With Spinal Pain
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Author : Deborah Stetts
language : en
Publisher: Taylor & Francis
Release Date : 2024-06-01
Physical Therapy Management Of Patients With Spinal Pain written by Deborah Stetts and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-01 with Medical categories.
In this rapidly changing health care environment, a challenge today’s physical therapist faces is finding, evaluating, and implementing current best evidence into practicce, an integral part of health care professional educational programs. With that goal in mind, Physical Therapy Management of Patients With Spinal Pain: An Evidence-Based Approach provides a comprehensive research-based overview of the examination and physical therapy interventions of the spine. Inside Physical Therapy Management of Patients With Spinal Pain, Drs. Deborah M. Stetts and J. Gray Carpenter evaluate the current evidence related to spinal pain and present it in a format that allows for an easy transition to the clinical environment. By providing effective clinical interventions, rather than relying on habits or tradition, patients benefit from an increased likelihood of improved quality of life with the least potential of personal and financial risk. Some features include: • Over 650 photographs, images, and tables • Access to a supplemental video Website with new book purchase • Best practice for evaluating and treating the lumbar spine, thoracic spine, and cervical spine • Comprehensive coverage of the clinical presentation of spine-related pathologies from evaluation to treatment Each chapter outlines the history, physical examination, physical therapy diagnosis, evidence-based management guidelines, and case studies for each topic. Case studies will challenge the reader’s clinical reasoning skills with the use of current best evidence throughout the initial examination and subsequent treatment sessions. Bonus! Also included with Physical Therapy Management of Patients With Spinal Pain is access to a supplemental Website containing more than 375 video demonstrations corresponding to the tests and measures, examination, evaluation, and intervention procedures covered within the text. Physical Therapy Management of Patients With Spinal Pain: An Evidence-Based Approach is the go-to reference text and accompanying Web site for the physical therapy students, or clinicians who are reaching for best practice through providing the highest level of evidence-informed care in the evaluation and management of patients with spinal pain.
Practical Management Of Pain
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Author : Honorio MD Benzon
language : en
Publisher: Elsevier Health Sciences
Release Date : 2013-09-12
Practical Management Of Pain written by Honorio MD Benzon and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-12 with Medical categories.
Obtain all the core knowledge in pain management you need from one of the most trusted resources in the field. The new edition of Practical Management of Pain gives you completely updated, multidisciplinary overview of every aspect of pain medicine, including evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. In print and online, it is all the expert guidance necessary to offer your patients the best possible relief. "In summary, this is the best explanation of what lies behind MRI that I have read, taking what can be a dry subject and making it readily understandable and really interesting. I would recommend it to anyone starting their MRI training and anyone trying to teach MRI to others." Reviewed by RAD Magazine, June 2015 Understand and apply the latest developments in pain medicine with brand-new chapters covering disability assessment, central post-stroke pain, chronic widespread pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Access up-to-the-minute knowledge on all aspects of pain management, from general principles to specific management techniques, with contributions from renowned experts in the field. Read the full text and view all the images online at expertconsult.com. Understand and apply the latest developments in pain management with brand-new chapters covering disability assessment, central post-stroke pain, widespread chronic pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics).