Predictors For Success Of Spinal Manipulation
For Neck Pain
SOURCE: J Manipulative Physiol Ther. 2011 (Mar); 34 (3): 144–152
Manuel Ssavedra-Hernández, PT, Adelaida M. Castro-Sánchez, PT, PhD, César Fernández-de-las-Peñas, PT, DO, PhD, Joshua A. Cleland, PT, PhD, Ricardo Ortega-Santiago, PT, MS, Manuel Arroyo-Morales, MD, PT, PhD
Department of Nursing and Physical Therapy,
Universidad de Almería, Spain.
This newly published JMPT study attempted to identify those prognostic clinical factors that may potentially identify, a priori, patients with mechanical neck pain who are likely to experience a rapid and successful response to spinal manipulation of the cervical and thoracic spine.
Data from 81 subjects were included in the analysis, of which 50 had experienced a successful outcome (61.7%). Five variables were found to be associated with a positive response:
- Initial pain intensity greater than 4.5 points
- Cervical extension less than 46°
- Hypomobility at T1 vertebra (more…)