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The effects of thoracic manipulation versus mobilization for chronic neck pain: a randomized controlled trial pilot study

机译：胸部手法与动员治疗慢性颈痛的效果：随机对照试验研究

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[Purpose] To investigate effects of thoracic manipulation versus mobilization on chronic neck pain. [Methods] Thirty-nine chronic neck pain subjects were randomly assigned to single level thoracic manipulation, single level thoracic mobilization, or a control group. The cervical range of motion (CROM) and pain ratings (using a visual analog scale: VAS) were measured before, immediately after and at a 24-hour follow-up. [Results] Thoracic manipulation significantly decreased VAS pain ratings and increased CROM in all directions in immediate and 24-hour follow-ups. The thoracic mobilization group significantly increased in CROM in most directions at immediate follow-up and right and left rotational directions at the 24-hour follow-up. Comparisons between groups revealed the CROM for the manipulation group to increase significantly more than for control subjects in most directions at immediate follow-up and flexion, left lateral flexion and left rotation at the 24-hour follow-up. The CROM for the thoracic mobilization group significantly increased in comparison to the control group in flexion at immediate follow-up and in flexion and left rotation at the 24-hour follow-up. [Conclusion] The study demonstrated reductions in VAS pain ratings and increases in CROM at immediate and 24-hour follow-ups from both single level thoracic spine manipulation and thoracic mobilization in chronic neck pain.
机译：［目的］研究胸腔操作与动员对慢性颈部疼痛的影响。 [方法]将39例慢性颈痛患者随机分为单水平胸腔手术，单水平胸腔动员或对照组。在24小时随访之前，之后和之后测量颈椎活动范围（CROM）和疼痛等级（使用视觉模拟量表：VAS）。 [结果]在立即和24小时的随访中，胸腔操作显着降低了VAS疼痛等级，并在各个方向上增加了CROM。在立即随访中，胸腔动员组在大多数方向上的CROM显着增加，在24小时随访中，左右旋转方向的胸腔动员显着增加。各组之间的比较显示，在24小时随访中，操作组的CROM在大多数方向上比对照组的显着增加，且在大多数方向上显着增加。与对照组相比，胸腔动员组的CROM在立即随访时的屈曲度以及在24小时随访时的屈曲度和左旋度均明显高于对照组。 [结论]该研究表明，在单次水平的胸椎操纵和慢性颈痛的胸廓动员中，即刻和24小时随访时，VAS疼痛等级降低，CROM升高。

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