The Effectiveness of Manual Therapies on the Thoracic Spine​: Difference between revisions

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===== '''''Sympo-excitatory response​''''' =====
===== '''''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(Edmond, 2016). ​
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>3. Edmond S. Joint Mobilization/Manipulation - E-Book. 3rd ed. Elsevier Health Sciences.​; 2016.</ref>(Edmond, 2016). ​


They are often used in the Physiotherapy management in order to produce mechanical and neurophysiological effects(Edmond, 2016) . It has been theorised by many authors that this is achieved when the symptathic 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 and found that each study did demostrate 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.​
They are often used in the Physiotherapy management in order to produce mechanical and neurophysiological effects(Edmond, 2016) . It has been theorised by many authors that this is achieved when the symptathic 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 and found that each study did demostrate 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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== References: ==
== References: ==
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Revision as of 12:03, 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](Edmond, 2016). ​

They are often used in the Physiotherapy management in order to produce mechanical and neurophysiological effects(Edmond, 2016) . It has been theorised by many authors that this is achieved when the symptathic 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 and found that each study did demostrate 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 ​

Video:


Manipulations:[edit | edit source]

Video:


Soft Tissue (STT):[edit | edit source]

Video:


Summary:[edit | edit source]


References:[edit | edit source]

<references />

  1. 3. Edmond S. Joint Mobilization/Manipulation - E-Book. 3rd ed. Elsevier Health Sciences.​; 2016.