Immediate Effects of Unilateral thoracic Postero-Anterior Pressure Versus transverse Pressure in Chronic Mechanical Neck Pain: A Comparative study Shukla Rishav1,*, Sahay Pallavi2, Sharma Rachana3, Sarkar Bibhuti4, Biswas Abhishek5 1Professional Trainee, Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India 2Physiotherapist, Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India 3Sr. Prof. Trainee, Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India 4Physiotherapist, Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India 5Director, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India *Corresponding author: Rishav Shukla, Professional Trainee, Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), Kolkata, West Bengal, India
Online published on 16 January, 2018. Abstract Background The prevalence of neck pain has generally been reported to be 45–54% and approximately 50% for workers of any kind. Related to this, approximately 25% of out-patient physical therapy visits concern presentations of pain in the neck region Objective The main objective of this study was to compare two different manual techniques for thoracic spine in patients with chronic mechanical neck pain and study its impact on pain and range of motion in the cervical spine in lateral flexion and rotation after a single intervention Method Patients with Chronic Mechanical neck pain were included according to the criteria. They were divided into two groups randomly. One group received Unilateral thoracic postero-anterior pressure(Group A) while the other received Transverse thoracic pressure(Group B) to the thoracic spine. Data was collected at baseline and ten minutes after a single session was given. Results Both the groups reported significant improvement in pain and range. In Group A the NPRS went down from 6.2±1.28 to 3.25±1.16 whereas in B it went down from 5.75±1.44 to 2.45±1.39. The lateral flexion to right nd left in group A increased from 25.78 to 36.45 and 27.56 to 37 whereas in group B it increased from 27.31 to 35.71 and 28.3 to 35.85 respectively. The rotation range of motion to the right and left in group A increased from 61.26 to 75.28 and 62.55 to 74.2 whereas in group B it increased from 64.56 to 73.73 and 62.88 to 73.41 respectively. There was mild to moderate better improvement in group A and group B in terms of pain and range. There was no significant difference in range of lateral flexion to left between both the groups. Conclusion Patients with Chronic Mechanical Neck Pain showed reduction in pain with Unilateral Thoracic Postero-anterior Pressure. Which can be considered a better form of treatment based on the results found in the present study. Top Keywords Chronic Mechanical Neck Pain, Mobilisation, Manual Therapy, Thoracic Spine. Top |