The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
55
Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes
A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied
Universidad Rey Juan Carlos
Alcorcón, Madrid, Spain
Change in Pressure pain thresholds
The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle
Time frame: Change between baseline and 1o minutes immediate after the intervention
Change in Neck pain intensity
Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain)
Time frame: Change between baseline and 1o minutes immediate after the intervention
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