An article in this months journal of orthopaedic and sports physical therapy, examined the ability of a thrust joint manipulation (TJM) directed at the cervical spine to decrease neck pain and improve perceived disability. The examiners used the current clinical prediction rule for performing a thoracic thrust manipulation and when 4 out of the 6 variables of this CPR were present, patients had a more favorable response when the TJM was directed at the cervical spine vs. thoracic. Despite a small sample size and only 1 tester, this article demonstrated interesting findings. To read the original article go here.
- symptom duration < 30 days
- no symptoms distal to the shoulder
- no aggrevation in symptoms by looking up
- FABQ score of < 12
- Decreased upper thoracic spine kyphosis
- Cervical extension ROM < 30deg