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IJPR.2018.110

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Type of Article:  Original Research

Volume 6; Issue 2 (April 2018)

Page No.: 2664-2670

DOI: https://dx.doi.org/10.16965/ijpr.2018.110

SHORT TERM EFFECTS OF HIGH VELOCITY LOW AMPLITUDE THRUST MANIPULATION TO THORACIC SPINE AND MYOFASCIAL RELEASE THERAPY ON MECHANICAL NECK PAIN, DISABILITY AND CERVICAL RANGE OF MOTION

Shreya Modi 1, Ankit Shrivastava *2, Ashok Shyam 3, Parag Sancheti 4.

1 BPTH student, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India

*2. PT,HOD  Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

3 MS ORTHO, Research officer, Sancheti Institute of Orthopaedics And Rehabilitation, Pune, Maharashtra, India.

4 MS ORTHO, Chairman, Sancheti Institute of Orthopaedics And Rehabilitation, Pune, Maharashtra, India.

Address for correspondence: Dr.Ankit Srivastava , MPTh, Head of department and Associate Professor, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. E-Mail: doc.ankit@gmail.com

ABSTRACT

Background: Mechanical neck pain is a common complaint yet no gold standard treatment exists for such cases. This study was undertaken to find out the effects of myofascial release therapy and high velocity low amplitude thrust manipulations to the thoracic spine and exercises on mechanical neck pain, disability and cervical range of motion (ROM) because of the biomechanical alignment of the thoracic and the cervical spine. High velocity low amplitude (HVLA) thrusts at the thoracic spine have been shown to have minimal risk to patients and also to be an effective intervention for spinal pain while Myofascial Release Therapy (MFR) is a, hands-on approach. It is a form of manual therapy technique that has a profound effect upon the musculoskeletal system.

Purpose of the Study: To find out additional effects of MFR and HVLAT to thoracic spine on Mechanical neck pain, disability and cervical ROM.

Materials and Methods: Total 30 subjects in between age group 18 to 45 years old with mechanical neck pain, restricted cervical ROM were included in the study. The participants were explained their role in the study and a written consent was taken from them and were equally divided into two groups-GROUP A and GROUP B and a pre and post assessment was done with numerical pain rating scale (NPRS), neck disability index questionnaire (NDI) and cervical ROM using universal goniometer. A single blinded study was conducted where Group ‘A’ received MFR and HVLAT on thoracic spine with exercises and Group ‘B’ received HVLAT on thoracic spine and exercises. On the 6th day post assessment was done.

Results: NPRS and NDI and cervical ROM show a significant p value (< 0.005) within the group A and B post intervention. The p value for NPRS, NDI and cervical flexion ROM in between the 2 groups is significant (< 0.005). Cervical Extension, Lateral flexion,rotation lacks its significance between the 2 groups.

Conclusion: The combination of MFR and thoracic HVLAT manipulation with exercises is more effective on pain and functional abilities in the short term than HVLAT with exercises alone in patients with mechanical neck pain.

Key words: HVLAT, Mechanical Neck Pain, Myofascial Release Therapy, Restricted Neck Range Of Motion, Connective Tissue Massage.

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Cite this article: Shreya Modi, Ankit Shrivastava, Ashok Shyam, Parag Sancheti. SHORT TERM EFFECTS OF HIGH VELOCITY LOW AMPLITUDE THRUST MANIPULATION TO THORACIC SPINE AND MYOFASCIAL RELEASE THERAPY ON MECHANICAL NECK PAIN, DISABILITY AND CERVICAL RANGE OF MOTION. Int J Physiother Res 2018;6(2):2628-2632. DOI: 10.16965/ijpr.2018.110
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