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首页> 外文期刊>Neuropsychiatric Disease and Treatment >Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a?randomized controlled trial
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Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a?randomized controlled trial

机译：一次和多次胸腔操作对慢性机械性颈部疼痛的急性影响：一项随机对照试验

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Background: Thoracic spine manipulation has become a popular alternative to local cervical manipulative therapy for mechanical neck pain. This study investigated the acute effects of single-level and multiple-level thoracic manipulations on chronic mechanical neck pain (CMNP).Methods: Forty-eight patients with CMNP were randomly allocated to single-level thoracic manipulation (STM) at T6–T7?or multiple-level thoracic manipulation (MTM), or to a control group (prone lying). Cervical range of motion (CROM), visual analog scale (VAS), and the Thai version of the Neck Disability Index (NDI-TH) scores were measured at baseline, and at 24-hour and at 1-week follow-up.Results: At 24-hour and 1-week follow-up, neck disability and pain levels were significantly (P<0.05) improved in the STM and MTM groups compared with the control group. CROM in flexion and left lateral flexion were increased significantly (P<0.05) in the STM group when compared with the control group at 1-week follow-up. The CROM in right rotation was increased significantly after MTM compared to the control group (P<0.05) at 24-hour follow-up. There were no statistically significant differences in neck disability, pain level at rest, and CROM between the STM and MTM groups.Conclusion: These results suggest that both single-level and multiple-level thoracic manipulation improve neck disability, pain levels, and CROM at 24-hour and 1-week follow-up in patients with CMNP.
机译：背景：胸椎手术已成为代替局部颈椎手术治疗机械性颈部疼痛的一种流行替代方法。这项研究调查了单级和多级胸外科手术对慢性机械性颈部疼痛（CMNP）的急性影响。方法：四十八名CMNP患者在T6–T7随机分配到单级胸外科（STM）。或多级胸腔操作（MTM）或对照组（俯卧）。在基线，24小时和1周的随访中测量颈椎运动范围（CROM），视觉模拟量表（VAS）和泰式版本的颈椎残疾指数（NDI-TH）分数。 ：在24小时和1周的随访中，与对照组相比，STM和MTM组的颈部残疾和疼痛水平显着改善（P <0.05）。随访1周，与对照组相比，STM组的屈曲和左侧屈曲CROM明显增加（P <0.05）。在24小时的随访中，与对照组相比，MTM后右旋CROM显着增加（P <0.05）。 STM组和MTM组在颈部残疾，静息疼痛和CROM方面无统计学差异。结论：这些结果表明，单水平和多水平胸腔手术均可改善颈部残疾，疼痛水平和CROM。 CMNP患者的24小时和1周随访。

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