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Articles

The Effectiveness of Thoracic Spine Manipulation for the Management of Musculoskeletal Conditions: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Pages 237-246 | Published online: 18 Jul 2013

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Gebrerufael Solomon Tsegay, Gebremedhin Berhe Gebregergs, Gidey Gomera Weleslassie & Teklehaimanot Tekle Hailemariam. (2023) Effectiveness of Thoracic Spine Manipulation on the Management of Neck Pain: A Systematic Review and Meta-Analysis of Randomized Control Trials. Journal of Pain Research 16, pages 597-609.
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Nicola R. Heneghan, Sally E. Davies, Emilio J. Puentedura & Alison Rushton. (2018) Knowledge and pre-thoracic spinal thrust manipulation examination: a survey of current practice in the UK. Journal of Manual & Manipulative Therapy 26:5, pages 301-309.
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Steve Karas, Megan J. Olson Hunt, Bill Temes, Martin Thiel, Trenton Swoverland & Brett Windsor. (2018) The effect of direction specific thoracic spine manipulation on the cervical spine: a randomized controlled trial. Journal of Manual & Manipulative Therapy 26:1, pages 3-10.
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Max K Jordon, Paul F. Beattie, Sarah D’Urso & Sarah Scriven. (2017) Spinal manipulation does not affect pressure pain thresholds in the absence of neuromodulators: a randomized controlled trial. Journal of Manual & Manipulative Therapy 25:4, pages 172-181.
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Charles R. Hazle$suffix/text()$suffix/text() & Matthew Lee. (2016) Strategies to overcome size and mechanical disadvantages in manual therapy. Journal of Manual & Manipulative Therapy 24:3, pages 120-127.
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Amy McDevitt, Jodi Young, Paul Mintken & Josh Cleland. (2015) Regional interdependence and manual therapy directed at the thoracic spine. Journal of Manual & Manipulative Therapy 23:3, pages 139-146.
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Sean P. Riley, Mark P. Cote, Robin R. Leger, Brian T. Swanson, Vincent Tafuto, Phillip S. Sizer & Jean-Michel Brismée. (2015) Short-term effects of thoracic spinal manipulations and message conveyed by clinicians to patients with musculoskeletal shoulder symptoms: a randomized clinical trial. Journal of Manual & Manipulative Therapy 23:1, pages 3-11.
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Kenneth Brown, Tyler Luszeck, Skyler Nerdin, Jon Yaden & Jodi L. Young. (2014) The effectiveness of cervical versus thoracic thrust manipulation for the improvement of pain, disability, and range of motion in patients with mechanical neck pain. Physical Therapy Reviews 19:6, pages 381-391.
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Jodi L. Young, Doug Walker, Shane Snyder & Kelly Daly. (2014) Thoracic manipulation versus mobilization in patients with mechanical neck pain: a systematic review. Journal of Manual & Manipulative Therapy 22:3, pages 141-153.
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Palesa A. Huisman, Caroline M. Speksnijder & Anton de Wijer. (2013) The effect of thoracic spine manipulation on pain and disability in patients with non-specific neck pain: a systematic review. Disability and Rehabilitation 35:20, pages 1677-1685.
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Derrick G Sueki, Joshua A Cleland & Robert S Wainner. (2013) A regional interdependence model of musculoskeletal dysfunction: research, mechanisms, and clinical implications. Journal of Manual & Manipulative Therapy 21:2, pages 90-102.
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Cheryl Sparks, Joshua Cleland, James Elliott & Andrew Strubhar. (2013) Supraspinal structures may be associated with hypoalgesia following thrust manipulation to the spine: a review of the literature. Physical Therapy Reviews 18:2, pages 112-116.
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Hendrik K. van der KOLK & Aldo SCAFOGLIERI. (2021) Throwing performance after high-velocity low-amplitude thrust manipulation at the cervicothoracic and thoracolumbar junction in elite female water polo players: a randomized blind cross-over study. The Journal of Sports Medicine and Physical Fitness 61:7.
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Nicola R. Heneghan, Emilio J. Puentedura, Isabel Arranz & Alison Rushton. (2020) Thoracic thrust joint manipulation: An international survey of current practice and knowledge in IFOMPT member countries. Musculoskeletal Science and Practice 50, pages 102251.
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Jacob N. Thorp & John Willson. (2019) Thoracic spine manipulation did not improve maximal mouth opening in participants with temporomandibular dysfunction. Physiotherapy Research International 25:2.
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Su-jin Kim, Suhn-yeop Kim & Min-ji Lee. (2020) The Effects of Thoracic Spine Self-mobilization Exercise Using a Tool on Pain, Range of Motion, and Dysfunction of Chronic Neck Pain Patients. Physical Therapy Korea 27:1, pages 1-10.
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Laura R. Fisher, Brent A. Alvar, Sara F. Maher & Joshua A. Cleland. (2020) Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy 50:1, pages 24-32.
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Nicola R. Heneghan, Katie Webb, Tom Mahoney & Alison Rushton. (2019) Thoracic spine mobility, an essential link in upper limb kinetic chains in athletes: A systematic review. Translational Sports Medicine 2:6, pages 301-315.
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Hwa-jeong Lee & Suhn-yeop Kim. (2019) Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture and Pain in Individuals With Mechanical Neck Pain. Physical Therapy Korea 26:3, pages 42-56.
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Nicola R. Heneghan, S. Gormley, C. Hallam & Alison Rushton. (2019) Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK. Musculoskeletal Science and Practice 39, pages 58-66.
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Chi Ngai Lo, Joseph Ng, Chin Kin Au & Edwin Choon Wyn Lim. (2019) The Effectiveness of Spinal Manipulation in Increasing Muscle Strength in Healthy Individuals: A Systematic Review and Meta-Analysis. Journal of Manipulative and Physiological Therapeutics 42:2, pages 148-158.
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Pedro Belón-Perez & Antonio Ignacio Cuesta-Vargas. (2018) Immediate Effects of Thoracic Spine Manipulation Upon Shoulder Functionality in Patients With Sutured Rotator Cuff Repair: A Prospective Study. Journal of Manipulative and Physiological Therapeutics 41:7, pages 589-595.
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Patrícia Lopes-Souza, Carla Fontoura Dionello, Danúbia da Cunha Sá-Caputo, Eloá Moreira-Marconi, Eric Heleno Freire Ferreira Frederico, Renata Marques Marchon, Anke BergmannTrentham Furness & Mario Bernardo-Filho. (2018) Whole body vibration exercise in the management of cancer therapy-related morbidities: A systematic review. Drug Discoveries & Therapeutics 12:4, pages 239-247.
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Nikolas L. Krott, Gunnar M. Bloyinski & Erik Cattrysse. (2018) 3-Dimensional Cervical Movement Characteristics and the Influence of Thoracic Treatment on a Subgroup of Acute Neck Pain Patients. Journal of Manipulative and Physiological Therapeutics 41:4, pages 304-314.
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Anke Langenfeld, B. Kim Humphreys, Rob A. de Bie & Jaap Swanenburg. (2018) Comparing manual and mechanically assisted manipulations of the thoracic spine in neck pain patients: A pilot study. F1000Research 7, pages 156.
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Jodi L. Young, Daniel I. Rhon, Rutger M.J. de Zoete, Joshua A. Cleland & Suzanne J. Snodgrass. (2018) The influence of dosing on effect size of exercise therapy for musculoskeletal foot and ankle disorders: a systematic review. Brazilian Journal of Physical Therapy 22:1, pages 20-32.
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Y.H.J.M. Karel, G.G.M. Scholten-Peeters, M. Thoomes-de Graaf, E. Duijn, J.B. van Broekhoven, B.W. Koes & A.P. Verhagen. (2017) Physiotherapy for patients with shoulder pain in primary care: a descriptive study of diagnostic- and therapeutic management. Physiotherapy 103:4, pages 369-378.
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Cheryl L. Sparks, Wen C. Liu, Joshua A. Cleland, Joseph P. Kelly, Sarah J. Dyer, Kathryn M. Szetela & James M. Elliott. (2017) Functional Magnetic Resonance Imaging of Cerebral Hemodynamic Responses to Pain Following Thoracic Thrust Manipulation in Individuals With Neck Pain: A Randomized Trial. Journal of Manipulative and Physiological Therapeutics 40:9, pages 625-634.
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Tejal M. Shah, Michael Weinborn, Giuseppe Verdile, Hamid R. Sohrabi & Ralph N. Martins. (2017) Enhancing Cognitive Functioning in Healthly Older Adults: a Systematic Review of the Clinical Significance of Commercially Available Computerized Cognitive Training in Preventing Cognitive Decline. Neuropsychology Review 27:1, pages 62-80.
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L. Treffel, N. Massabuau, K. Zuj, M.-A. Custaud, G. Gauquelin-Koch, S. Blanc, C. Gharib & C. Millet. (2017) Pain and Vertebral Dysfunction in Dry Immersion: A Model of Microgravity Simulation Different from Bed Rest Studies. Pain Research and Management 2017, pages 1-10.
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J. Steere & T.W. Flynn. 2017. Orthopaedic Physical Therapy Secrets. Orthopaedic Physical Therapy Secrets 474 479 .
Paul E. Mintken, Amy W. McDevitt, Joshua A. Cleland, Robert E. Boyles, Amber R. Beardslee, Scott A. Burns, Matthew D. Haberl, Lauren A. Hinrichs & Lori A. Michener. (2016) Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy 46:8, pages 617-628.
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Steve Karas, Angela Westerheide & Laura Daniel. (2016) A Knowledge Translation Programme to Increase the Utilization of Thoracic Spine Mobilization and Manipulation for Patients with Neck Pain. Musculoskeletal Care 14:2, pages 98-109.
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Craig A. Wassinger, Dustin Rich, Nicholas Cameron, Shelley Clark, Scott Davenport, Maranda Lingelbach, Albert Smith, G. David Baxter & Joshua Davidson. (2016) Cervical & thoracic manipulations: Acute effects upon pain pressure threshold and self-reported pain in experimentally induced shoulder pain. Manual Therapy 21, pages 227-232.
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N.R. Heneghan & A. Rushton. (2016) Understanding why the thoracic region is the ‘Cinderella’ region of the spine. Manual Therapy 21, pages 274-276.
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Scott Burns & William Egan. 2016. Current Concepts of Orthopaedic Physical Therapy 4th ed.. Current Concepts of Orthopaedic Physical Therapy 4th ed. 1 43 .
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Luca Buzzatti, Steven Provyn, Peter Van Roy & Erik Cattrysse. (2015) Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis. Manual Therapy 20:6, pages 783-789.
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Paulo Fernandes Pires, Amanda Carine Packer, Almir Vieira Dibai-Filho & Delaine Rodrigues-Bigaton. (2015) Immediate and Short-Term Effects of Upper Thoracic Manipulation on Myoelectric Activity of Sternocleidomastoid Muscles in Young Women With Chronic Neck Pain: A Randomized Blind Clinical Trial. Journal of Manipulative and Physiological Therapeutics 38:8, pages 555-563.
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Anita Gross, Pierre Langevin, Stephen J Burnie, Marie-Sophie Bédard-Brochu, Brian Empey, Estelle Dugas, Michael Faber-Dobrescu, Cristy Andres, Nadine Graham, Charles H Goldsmith, Gert Brønfort, Jan L Hoving & Francis LeBlanc. (2015) Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Cochrane Database of Systematic Reviews.
Crossref
Masashi Aoyagi, Ramakrishnan Mani, Jacob Jayamoorthy & Steve Tumilty. (2015) Determining the level of evidence for the effectiveness of spinal manipulation in upper limb pain: A systematic review and meta-analysis. Manual Therapy 20:4, pages 515-523.
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Amanda Carine Packer, Paulo Fernandes Pires, Almir Vieira Dibai-Filho & Delaine Rodrigues-Bigaton. (2015) Effect of Upper Thoracic Manipulation on Mouth Opening and Electromyographic Activity of Masticatory Muscles in Women With Temporomandibular Disorder: A Randomized Clinical Trial. Journal of Manipulative and Physiological Therapeutics 38:4, pages 253-261.
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Rogelio A. Coronado, Joel E. Bialosky, Mark D. Bishop, Joseph L. Riley3rd3rd, Michael E. Robinson, Lori A. Michener & Steven Z. George. (2015) The Comparative Effects of Spinal and Peripheral Thrust Manipulation and Exercise on Pain Sensitivity and the Relation to Clinical Outcome: A Mechanistic Trial Using a Shoulder Pain Model. Journal of Orthopaedic & Sports Physical Therapy 45:4, pages 252-264.
Crossref
Anita Gross, Theresa M Kay, Jean-Philippe Paquin, Samuel Blanchette, Patrick Lalonde, Trevor Christie, Genevieve Dupont, Nadine Graham, Stephen J Burnie, Geoff Gelley, Charles H Goldsmith, Mario Forget, Jan L Hoving, Gert Brønfort & Pasqualina L Santaguida. (2015) Exercises for mechanical neck disorders. Cochrane Database of Systematic Reviews 2015:1.
Crossref
Ibrahim M. Moustafa & Aliaa A. Diab. (2014) Multimodal Treatment Program Comparing 2 Different Traction Approaches for Patients With Discogenic Cervical Radiculopathy: A Randomized Controlled Trial. Journal of Chiropractic Medicine 13:3, pages 157-167.
Crossref
Melina N. Haik, Francisco Alburquerque-Sendín, Caroline Z. Silva, Aristides L. Siqueira-Junior, Ivana L. Ribeiro & Paula R. Camargo. (2014) Scapular Kinematics Pre– and Post–Thoracic Thrust Manipulation in Individuals With and Without Shoulder Impingement Symptoms: A Randomized Controlled Study. Journal of Orthopaedic & Sports Physical Therapy 44:7, pages 475-487.
Crossref
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Crossref
Chad Cook, Ken Learman, Steve Houghton, Christopher Showalter & Bryan O'Halloran. (2014) The addition of cervical unilateral posterior–anterior mobilisation in the treatment of patients with shoulder impingement syndrome: A randomised clinical trial. Manual Therapy 19:1, pages 18-24.
Crossref
Roland Bryans, Philip Decina, Martin Descarreaux, Mireille Duranleau, Henri Marcoux, Brock Potter, Richard P. Ruegg, Lynn Shaw, Robert Watkin & Eleanor White. (2014) Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Neck Pain. Journal of Manipulative and Physiological Therapeutics 37:1, pages 42-63.
Crossref
Dayana P. Rosa, Francisco Alburquerque-Sendín, Tania F. Salvini & Paula R. Camargo. (2013) Effect of Seated Thoracic Manipulation on Changes in Scapular Kinematics and Scapulohumeral Rhythm in Young Asymptomatic Participants: A Randomized Study. Journal of Manipulative and Physiological Therapeutics 36:8, pages 546-554.
Crossref
Sharon M.H. Tsang, Grace P.Y. Szeto & Raymond Y.W. Lee. (2013) Movement coordination and differential kinematics of the cervical and thoracic spines in people with chronic neck pain. Clinical Biomechanics 28:6, pages 610-617.
Crossref
Cheryl Sparks, Joshua A. Cleland, James M. Elliott, Michael Zagardo & Wen-Ching Liu. (2013) Using Functional Magnetic Resonance Imaging to Determine if Cerebral Hemodynamic Responses to Pain Change Following Thoracic Spine Thrust Manipulation in Healthy Individuals. Journal of Orthopaedic & Sports Physical Therapy 43:5, pages 340-348.
Crossref
Lisa Maxey & Mark Ghilarducci. 2013. Rehabilitation for the Postsurgical Orthopedic Patient. Rehabilitation for the Postsurgical Orthopedic Patient 73 98 .
Stacey Lillios & Jodi Young. (2012) The Effects of Core and Lower Extremity Strengthening on Pregnancy-Related Low Back and Pelvic Girdle Pain. Journal of Womenʼs Health Physical Therapy 36:3, pages 116-124.
Crossref
Gary P. Austin. 2011. Cervical and Thoracic Pain: Evidence for Effectiveness of Physical Therapy. Cervical and Thoracic Pain: Evidence for Effectiveness of Physical Therapy 1 32 .
Joshua A. Cleland, Julie M. Fritz, Paul E. Mintken, Kristin Carpenter, Paul Glynn, Julie Whitman & John D. Childs. (2010) Author Response. Physical Therapy 90:9, pages 1252-1253.
Crossref
Joshua A. Cleland, Paul E. Mintken, Kristin Carpenter, Julie M. Fritz, Paul Glynn, Julie Whitman & John D. Childs. (2010) Examination of a Clinical Prediction Rule to Identify Patients With Neck Pain Likely to Benefit From Thoracic Spine Thrust Manipulation and a General Cervical Range of Motion Exercise: Multi-Center Randomized Clinical Trial. Physical Therapy 90:9, pages 1239-1250.
Crossref
Paul E. MintkenJoshua A. ClelandKristin J. CarpenterMelanie L. BieniekMike KeirnsJulie M. Whitman. (2010) Author Response. Physical Therapy 90:4, pages 644-646.
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