The Effectiveness of Manual Therapies on the Thoracic Spine: Difference between revisions
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== ''The Thoracic Spine:'' == | == ''The Thoracic Spine:'' == | ||
'''Anatomy | ==== '''Anatomy''' ==== | ||
==== Consists of 12 Vertebrae ==== | |||
---- | ---- | ||
==== '''Main Conditions:''' ==== | |||
---- | ---- | ||
==== '''Contraindications to Manual Therapy:''' ==== | |||
---- | ---- | ||
| Line 27: | Line 16: | ||
== Manual Therapies == | == Manual Therapies == | ||
'''Mobilisations:''' | ==== '''Mobilisations:''' ==== | ||
===== '''''Sympo-excitatory response''''' ===== | |||
Joint mobilisations have been defined by maitland as an externally imposed, small amplitude passive motion that is intended to produce gliding or traction at a joint<ref name=":0">3. Edmond S. Joint Mobilization/Manipulation - E-Book. 3rd ed. Elsevier Health Sciences.; 2016.</ref>. | |||
They are often used in the Physiotherapy management in order to produce mechanical and neurophysiological effects<ref name=":0" />. It has been theorised by many authors that this is achieved when the sympathetic nervous system is excited following mobilisations, and thus the pain threshold increases. There have been several RCT's surrounding this area of interest so a systematic review was written by Kingston et al (2014) on the topic<ref>4. Kingston L, Claydon L, Tumilty S. The effects of spinal mobilizations on the sympathetic nervous system: A systematic review. Manual Therapy. 2014;19(4):281-287.</ref> and found that each study did demonstrate an sympo-excitatory response. Therefore following an acute injury, or where a patient is suffering from painful inflammation of the target area, it would be useful to treat them centrally, using mobilisations, away from the target area. This can be performed at any level of the spine, including the thoracic spine. | |||
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===== '''''Pulmonary Function''''' ===== | |||
Recent evidence has been published acknowledging the benefits of thoracic mobilisations on pulmonary function in patients. When combined with self stretching exercises such as | |||
Video: | Video: | ||
---- | ---- | ||
==== '''Manipulations:''' ==== | |||
Video: | Video: | ||
---- | ---- | ||
==== '''Soft Tissue (STT):''' ==== | |||
Video: | Video: | ||
---- | ---- | ||
== '''Summary:''' == | |||
---- | |||
== References: == | |||
<references /> | |||
Revision as of 12:09, 26 May 2019
The Thoracic Spine:[edit | edit source]
Anatomy[edit | edit source]
Consists of 12 Vertebrae[edit | edit source]
Main Conditions:[edit | edit source]
Contraindications to Manual Therapy:[edit | edit source]
Manual Therapies[edit | edit source]
Mobilisations:[edit | edit source]
Sympo-excitatory response[edit | edit source]
Joint mobilisations have been defined by maitland as an externally imposed, small amplitude passive motion that is intended to produce gliding or traction at a joint[1].
They are often used in the Physiotherapy management in order to produce mechanical and neurophysiological effects[1]. It has been theorised by many authors that this is achieved when the sympathetic nervous system is excited following mobilisations, and thus the pain threshold increases. There have been several RCT's surrounding this area of interest so a systematic review was written by Kingston et al (2014) on the topic[2] and found that each study did demonstrate an sympo-excitatory response. Therefore following an acute injury, or where a patient is suffering from painful inflammation of the target area, it would be useful to treat them centrally, using mobilisations, away from the target area. This can be performed at any level of the spine, including the thoracic spine.
Pulmonary Function[edit | edit source]
Recent evidence has been published acknowledging the benefits of thoracic mobilisations on pulmonary function in patients. When combined with self stretching exercises such as
Video:
Manipulations:[edit | edit source]
Video:
Soft Tissue (STT):[edit | edit source]
Video:
