Unit 3. Thoracic Spine Bulletin Board
In the past, studies have shown that patients with musculoskeletal shoulder pain tend to lack thoracic mobility when compared to patients without shoulder dysfunction. When I treat a shoulder pain patient, I always evaluate and treated cervical, cervico-thoracic junction, and thoracic segments. The relationship between thoracic spine posture, shoulder ROM, and scap¬ular kinematics is well described in the literature. Lewis et al. (1) found that altering posture in patients with musculoskeletal shoulder pain improves pain free range-of-motion (ROM) during shoulder elevation.
Two studies have specifically as¬sessed the effects of thoracic spine manip¬ulation on pain and dysfunction associated with RCT. Both Boyles et al (2) and …show more content…
Improving thoracic and rib segmental mobility following manipulation may provide biomechanical contributions towards improved shoulder range of motion, particularly for overhead …show more content…
After two days, there was a significant decrease in pain levels in over 50 percent of individuals. Strunce et al. demonstrated that thoracic spine and upper rib manipulative therapy is associated with improvement in shoulder pain and ROM immediately following intervention in patients with a primary complaint of shoulder pain. These results support the concept and current evidence that suggests that a clinically relevant relationship exists between the thoracic spine, ribs, and shoulder regions, and that clinically important improvements in pain and motion can be achieved when this concept is used to guide the physical therapist’s examination, evaluation, and treatment
In the past, studies have shown that patients with musculoskeletal shoulder pain tend to lack thoracic mobility when compared to patients without shoulder dysfunction. When I treat a shoulder pain patient, I always evaluate and treated cervical, cervico-thoracic junction, and thoracic segments. The relationship between thoracic spine posture, shoulder ROM, and scap¬ular kinematics is well described in the literature. Lewis et al. (1) found that altering posture in patients with musculoskeletal shoulder pain improves pain free range-of-motion (ROM) during shoulder elevation.
Two studies have specifically as¬sessed the effects of thoracic spine manip¬ulation on pain and dysfunction associated with RCT. Both Boyles et al (2) and …show more content…
Improving thoracic and rib segmental mobility following manipulation may provide biomechanical contributions towards improved shoulder range of motion, particularly for overhead …show more content…
After two days, there was a significant decrease in pain levels in over 50 percent of individuals. Strunce et al. demonstrated that thoracic spine and upper rib manipulative therapy is associated with improvement in shoulder pain and ROM immediately following intervention in patients with a primary complaint of shoulder pain. These results support the concept and current evidence that suggests that a clinically relevant relationship exists between the thoracic spine, ribs, and shoulder regions, and that clinically important improvements in pain and motion can be achieved when this concept is used to guide the physical therapist’s examination, evaluation, and treatment