ABSTRACT

Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 67

Physiotherapy in musculoskeletal Conditions: AB No: 82: Thoracic spine manipulation as an adjunct in the treatment of Cervical radiculopathy- A Randomized Controlled Trial

Anand Heggannavar, Yesha Parikh
KAHER Institute of Physiotherapy, Belagavi

Correspondence Address:

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2456-7787.361112

Background: Cervical radiculopathy is a common condition occurring as a result of compression of cervical nerve roots that causes pain radiating from the neck into the distribution of the affected root. Various physical therapy treatment options available, one of which is the thoracic spine manipulation. As cervical spine is the most sensitive segment, there are few risks associated with, therefore, thoracic spine manipulation can be considered as a treatment option as there is a biomechanical association between the cervical and thoracic spine. Purpose: To determine the long term effect of thoracic spine manipulation in patients with cervical radiculopathy. Methods: An experimental study with 34 participants within the age group of 25 to 60 years with neck pain radiating to unilateral or bilateral upper extremity were recruited in the study. Participants were randomly assigned to either of two groups using envelop method. The outcome measure used were numeric pain rating scale, Northwick park neck questionnaire, cervical ROM and neck muscle strength using pressure biofeedback. Control group received conventional therapy and experimental group received thoracic manipulation along with conventional therapy and the effect seen after 1 month was compared. Results: Statistical analysis revealed significant differences (p <0.001) in pre and post values of numeric pain rating scale, Northwick park neck questionnaire, cervical ROM and neck muscle strength using pressure biofeedback in both the groups Between group significance was found in the components of pain rating scale; worst pain right now (p=0.01024). Conclusion(s): Long term effect of thoracic spine manipulation when given as an adjunct therapy to conventional therapy proved to provide significant improvements in pain in subjects with cervical radiculopathy ie in terms of worst pain right now. Implications: Thoracic spine manipulation can be used as an adjunct therapy with conventional therapy for pain relief in subjects with cervical radiculopathy.

Keywords: Thoracic spine manipulation, cervical radiculopathy, Neurodynamics