The effects of spinal manipulation added to exercise on pain and quality of life in patients with thoracic spinal pain: a randomized controlled trial

Review written by Dr Sarah Haag info

Key Points

  1. Subjects benefited from both exercise and exercise plus manual therapy.
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BACKGROUND & OBJECTIVE

Neck and low back pain are acknowledged as the leading cause of disability in the world (1), and there are numerous evidence-based guidelines to direct the care of people with neck or low back pain. Thoracic spinal pain does not have the same guidelines to direct care (2).

This study aimed to investigate if spinal manipulation with thoracic spinal exercises would be more effective than thoracic spinal exercises alone on pain and quality of life in patients presenting with thoracic spinal pain.

Neck and low back pain are acknowledged as the leading cause of disability in the world.
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The experimental group experienced a more dramatic improvement in outcomes in the first eight weeks of treatment however the exercise-only control group also had significant improvement.

METHODS

  • 100 participants, 16 to 60 years of age were included if they reported thoracic spinal pain from T1 to T12, demonstrated a mobility deficit in spine range of motion, and pain with compression of the thoracic spine.
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