This is an interestig study on the immediate effects of thoracic spine and rib manipulation in patients with primary complaints of shoulder pain. 21 subjects with shoulder pain were qualified for the inclusion. Following the physical examination, all subjects received high-velocity thrust manipulative therapy to the upper thoracic spine and/or ribs. The type and number of manipulative techniques performed during the treatment session were based on the presence or absence of specific thoracic and/or rib impairments. Post-treatment effects demonstrated a 51% reduction in shoulder pain and a corresponding increase in shoulder range of motion (30 to 38 degrees). The results from this study suggest that thoracic and rib manipulative therapy is associated with improved shoulder pain and motion in patients with shoulder pain. These interventions support the concept of a regional interdependence between the thoracic spine, upper ribs, and shoulder.
Reference: Strunce JB, Walker MJ, Boyles RE, Young BA. The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain. J Man Manip Ther. 2009;17(4):230-6.
Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic
www.laurelregionalchiropractic.com
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