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      Immediate Effects of Cervical and Thoracic Mobilization on Cervical Range of Motion in the Sagittal Plane and Pain in Patients with Forward Head Posture

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      https://www.riss.kr/link?id=A108400959

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      다국어 초록 (Multilingual Abstract)

      Purpose: Forward head posture (FHP) is known to cause pain, limit range of motion, and reduce quality of life. Joint mobilization is commonly used to correct FHP. However, no study has compared cervical, thoracic, and combined cervical and thoracic joint mobilization for FHP. The aim of this study was to investigate and compare the effects of each mobilization technique on range of motion in the sagittal plane and pain in patients with FHP.
      Methods: Forty-five patients were recruited and randomly divided into three groups: the mobilization group (CM; n = 15), the cervical and thoracic mobilization group (CTM; n = 15), and the thoracic mobilization group (TM; n = 15). Each intervention was performed in sets of three and repeated six times. Range of motion and pain were assessed pre- and post-intervention. The cervical range of motion was evaluated using a goniometer, and pain was evaluated using a visual analogue scale and pain thresholds of the suboccipital and upper trapezius muscles.
      Results: All groups showed an increase in range of motion post-intervention, but the increase in the CTM group was significantly greater than in the CM and TM groups (p < 0.05). Pain measured using the visual analogue scale decreased in all groups, but the decreases in the CM and CTM groups were significantly greater than in the TM group (p < 0.05). The pain thresholds of the suboccipital and upper trapezius muscles increased in all groups, but the increase in the CTM group was significantly greater than in the CM and TM groups (p < 0.05).
      Conclusion: Overall, our findings suggest that CTM may be more effective than CM or TM for improving cervical range of motion in the sagittal plane and pain in patients with FHP.
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      Purpose: Forward head posture (FHP) is known to cause pain, limit range of motion, and reduce quality of life. Joint mobilization is commonly used to correct FHP. However, no study has compared cervical, thoracic, and combined cervical and thoracic jo...

      Purpose: Forward head posture (FHP) is known to cause pain, limit range of motion, and reduce quality of life. Joint mobilization is commonly used to correct FHP. However, no study has compared cervical, thoracic, and combined cervical and thoracic joint mobilization for FHP. The aim of this study was to investigate and compare the effects of each mobilization technique on range of motion in the sagittal plane and pain in patients with FHP.
      Methods: Forty-five patients were recruited and randomly divided into three groups: the mobilization group (CM; n = 15), the cervical and thoracic mobilization group (CTM; n = 15), and the thoracic mobilization group (TM; n = 15). Each intervention was performed in sets of three and repeated six times. Range of motion and pain were assessed pre- and post-intervention. The cervical range of motion was evaluated using a goniometer, and pain was evaluated using a visual analogue scale and pain thresholds of the suboccipital and upper trapezius muscles.
      Results: All groups showed an increase in range of motion post-intervention, but the increase in the CTM group was significantly greater than in the CM and TM groups (p < 0.05). Pain measured using the visual analogue scale decreased in all groups, but the decreases in the CM and CTM groups were significantly greater than in the TM group (p < 0.05). The pain thresholds of the suboccipital and upper trapezius muscles increased in all groups, but the increase in the CTM group was significantly greater than in the CM and TM groups (p < 0.05).
      Conclusion: Overall, our findings suggest that CTM may be more effective than CM or TM for improving cervical range of motion in the sagittal plane and pain in patients with FHP.

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      참고문헌 (Reference)

      1 Jull G, "Whiplash, headache, and neck pain: research-based directions for physical therapies" Elsevier Health Sciences 2008

      2 Takahashi T, "Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people" 16 (16): 273-279, 2005

      3 Konstantinou K, "The use and reported effects of mobilization with movement techniques in low back pain management; a cross-sectional descriptive survey of physiotherapists in Britain" 7 (7): 206-214, 2002

      4 Krauss J, "The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion : a randomized clinical trial" 16 (16): 93-99, 2008

      5 Moutzouri M, "The effects of the Mulligan Sustained Natural Apophyseal Glide(SNAG)mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system" 9 : 131-, 2008

      6 Lee J, "The effects of cervical mobilization combined with thoracic mobilization on forward head posture of neck pain patients" 25 (25): 7-9, 2013

      7 Gong W, "The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine" 27 (27): 1609-1611, 2015

      8 Lau HM, "The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain-a randomized controlled trial" 16 (16): 141-147, 2011

      9 Alkhawajah HA, "The effect of mobilization with movement on pain and function in patients with knee osteoarthritis : a randomized double-blind controlled trial" 20 (20): 452-, 2019

      10 Ali A, "The e fficacy of sustained natural apophyseal glides with and without isometric exercise training in non-specific neck pain" 30 (30): 872-874, 2014

      1 Jull G, "Whiplash, headache, and neck pain: research-based directions for physical therapies" Elsevier Health Sciences 2008

      2 Takahashi T, "Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people" 16 (16): 273-279, 2005

      3 Konstantinou K, "The use and reported effects of mobilization with movement techniques in low back pain management; a cross-sectional descriptive survey of physiotherapists in Britain" 7 (7): 206-214, 2002

      4 Krauss J, "The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion : a randomized clinical trial" 16 (16): 93-99, 2008

      5 Moutzouri M, "The effects of the Mulligan Sustained Natural Apophyseal Glide(SNAG)mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system" 9 : 131-, 2008

      6 Lee J, "The effects of cervical mobilization combined with thoracic mobilization on forward head posture of neck pain patients" 25 (25): 7-9, 2013

      7 Gong W, "The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine" 27 (27): 1609-1611, 2015

      8 Lau HM, "The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain-a randomized controlled trial" 16 (16): 141-147, 2011

      9 Alkhawajah HA, "The effect of mobilization with movement on pain and function in patients with knee osteoarthritis : a randomized double-blind controlled trial" 20 (20): 452-, 2019

      10 Ali A, "The e fficacy of sustained natural apophyseal glides with and without isometric exercise training in non-specific neck pain" 30 (30): 872-874, 2014

      11 Wilson E, "The M ulligan concept : N AGS, S NAGS a nd mobilizations with movement" 2 (2): 81-89, 2001

      12 Cleland JA, "Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain : a randomized clinical trial" 87 (87): 431-440, 2007

      13 Good M, "Sensation and distress of pain scales : reliability, validity, and sensitivity" 9 (9): 219-238, 2001

      14 Dixon JS, "Reproducibility along a 10 cm vertical visual analogue scale" 40 (40): 87-89, 1981

      15 Youdas JW, "Reliability of measurements of cervical spine range of motioncomparison of three methods" 71 (71): 98-104, 1991

      16 Lau KT, "Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability" 15 (15): 457-462, 2010

      17 Fischer AA, "Pressure threshold meter : its use for quantification of tender spots" 67 (67): 836-838, 1986

      18 Cipriano JJ., "Photographic manual of regional orthopaedic" Williams & Wilkins 1985

      19 Dae-Hyun Kim ; Chang-Ju Kim ; Sung-Min Son, "Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion" 질병관리본부 9 (9): 309-313, 2018

      20 Travell JG, "Myofacial Pain and Dysfunction : The Trigger Point Manual, Volume 2" 10 (10): 254-255, 1995

      21 Mulligan BR., "Manual therapy"

      22 Skyba DA, "Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opioid or GABA receptors in the spinal cord" 106 (106): 159-168, 2003

      23 Harrison DE, "Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation : nonrandomized clinical control trial" 26 (26): 139-151, 2003

      24 González-Iglesias J, "Inclusion of thoracic spine thrust manipulation into an electro-therapy/thermal program for the management of patients with acute mechanical neck pain : a randomized clinical trial" 14 (14): 306-313, 2009

      25 Andrews DP, "Immediate and short-term effects of mulligan concept positional sustained natural apophyseal glides on an athletic young-adult population classified with mechanical neck pain : an exploratory investigation" 26 (26): 203-211, 2018

      26 Friedrich KM, "High-field magnetic resonance imaging of meniscoids in the zygapophyseal joints of the human cervical spine" 32 (32): 244-248, 2007

      27 Engell S, "Force transmission between thoracic and cervical segments of the spine during prone-lying high-velocity low-amplitude spinal manipulation : A proof of principle for the concept of regional interdependence" 69 : 58-63, 2019

      28 Kim G, "Effects of upper thoracic joint mobilization on dynamic stability of patients with chronic neck pain" 23 (23): 753-756, 2011

      29 Quek J, "Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults" 18 (18): 65-71, 2013

      30 Park SY, "Effects of the sustained computer work on upper cervical flexion motion" 26 (26): 441-442, 2014

      31 Seo UH, "Effects of mulligan mobilization and low-level laser therapy on physical disability, pain, and range of motion in patients with chronic low back pain: a pilot randomized controlled trial" 8 (8): 2020

      32 Buran Çirak Y, "Effect of sustained natural apophyseal glides on stiffness of lumbar stabilizer muscles in patients with nonspecific low back pain : randomized controlled trial" 44 (44): 445-454, 2021

      33 최정현 ; 김년준 ; 안호정, "Effect of Kinesiotaping and Joint Mobilization on The Metatarsophalangeal Joint Angle and Pain in Hallux Valgus Patients" 국제물리치료연구학회 8 (8): 1152-1157, 2017

      34 Reiner K, "Do mindfulness-based interventions reduce pain intensity? A critical review of the literature" 14 (14): 230-242, 2013

      35 Yao Y, "Correlation between neck pressure pain threshold and forward head posture in patients with temporomandibular joint disorders" 56 (56): 759-763, 2021

      36 Reid SA, "Comparison of mulligan sustained natural apophyseal glides and maitland mobilizations for treatment of cervicogenic dizziness : a randomized controlled trial" 94 (94): 466-476, 2014

      37 Balzini L, "Clinical characteristics of flexed posture in elderly women" 51 (51): 1419-1426, 2003

      38 Fernández-de-Las-Peñas C, "Changes in pressure pain thresholds over C5-C6zygapophyseal joint after a cervicothoracic junction manipulation in healthy subjects" 31 (31): 332-337, 2008

      39 Sinaki M, "Balance disorder and increased risk of falls in osteoporosis and kyphosis : significance of kyphotic posture and muscle strength" 16 (16): 1004-1010, 2005

      40 Von KorffM, "Assessing global pain severity by self-report in clinical and health services research" 25 (25): 3140-3151, 2000

      41 Chiu TT, "A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain" 30 (30): E1-E7, 2005

      42 Szeto GP, "A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers" 33 (33): 75-84, 2002

      43 Gross AR, "A Cochrane review of manipulation and mobilization for mechanical neck disorders" 29 (29): 1541-1548, 2004

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