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Thoracic Manipulation

Michael Masaracchio, Kaitlin Kirker, Rebecca States, William J Hanney, Xinliang Liu, Morey Kolber
OBJECTIVE: To investigate the role of thoracic spine manipulation (TSM) on pain and disability in the management of mechanical neck pain (MNP). DATA SOURCES: Electronic databases PubMed, CINAHL, Pedro, Embase, AMED, the Cochrane Library, and were searched in January 2018. STUDY SELECTION: Eligible studies were completed RCTs, written in English, had at least 2 groups with one group receiving TSM, had at least one measure of pain or disability, and included patients with MNP of any duration...
2019: PloS One
Santiago Lorenzo, Cassandra M Nicotra, Akshay R Mentreddy, Hiral J Padia, Derek O Stewart, Mohamed O Hussein, Thomas A Quinn
Context: Standard pulmonary rehabilitation (SPR) does not use osteopathic manipulative treatment (OMT), but OMT has potential to improve lung function and patient perception of breathing. Objective: To analyze the immediate effects of OMT and SPR techniques on pulmonary function using spirometry and subjective ratings in young, healthy persons. Methods: Participants were healthy students recruited from the Lake Erie College of Osteopathic Medicine-Bradenton and were randomly assigned to either the OMT or SPR group...
February 11, 2019: Journal of the American Osteopathic Association
Pierre Côté, Hainan Yu, Heather M Shearer, Kristi Randhawa, Jessica J Wong, Silvano Mior, Arthur Ameis, Linda J Carroll, Margareta Nordin, Sharanya Varatharajan, Deborah Sutton, Danielle Southerst, Craig Jacobs, Maja Stupar, Anne Taylor-Vaisey, Douglas P Gross, Robert J Brison, Mike Paulden, Carlo Ammendolia, J David Cassidy, Patrick Loisel, Shawn Marshall, Richard N Bohay, John Stapleton, Michel Lacerte
OBJECTIVES: To develop an evidence-based guideline for the non-pharmacological management of persistent headaches associated with neck pain (i.e., tension-type or cervicogenic). METHODS: This guideline is based on systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of clinical benefits, cost-effectiveness, societal and ethical values, and patient experiences when formulating recommendations. Target audience includes clinicians; target population is adults with persistent headaches associated with neck pain...
February 1, 2019: European Journal of Pain: EJP
Torsten Liem
Background: Cases of pertussis, or whooping cough, have increased in recent years despite widespread vaccination and adequate antibiotic treatments. Osteopathic physicians may want to consider using osteopathic manipulative treatment (OMT) as an adjunctive treatment modality for pertussis; however, suitable OMT techniques are not specified in the research literature. Objective: To search the historical osteopathic literature to identify OMT techniques that were used in the management of pertussis in the pre-antibiotic era...
February 1, 2019: Journal of the American Osteopathic Association
Y S Mao, J He, S G Gao, Q Xue, L G Yuan, Y Zhao, N N Ding
Esophageal cancer is one of the most prevalent cancers in China. Lymph node metastasis is one of the most important prognostic factors and severely affect the long-term survival after surgical treatment. Therefore, systemic two-field lymph node dissection including thoracic and abdominal draining nodes of the esophagus during surgery is essential in order to improve the long-term survival for the patients with thoracic esophageal cancer, and it is also the basis for precise staging and postoperative adjuvant treatment regimen- making...
January 23, 2019: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
Isabelle Pagé, Martin Descarreaux
BACKGROUND: Spinal manipulative therapy (SMT) includes biomechanical parameters that vary between clinicians, but for which the influence on the therapy clinical effects is unknown. This parallel-randomized controlled trial aimed to investigate the effect of SMT biomechanical parameters on the outcomes of participants with chronic thoracic pain (CTP) following three treatment sessions (follow-up at one week). METHODS: Adults reporting CTP (pain within the evaluated region [T6 to T8] for ≥3 months) were asked to participate in a four-session trial...
January 18, 2019: BMC Musculoskeletal Disorders
Tyler Kennedy, Kendal Broadie
The Drosophila giant fiber (GF) escape circuit is an extensively studied model for neuron connectivity and function. Researchers have long taken advantage of the simple linear neuronal pathway, which begins at peripheral sensory modalities, travels through the central GF interneuron (GFI) to motor neurons, and terminates on wing/leg muscles. This circuit is more complex than it seems, however, as there exists a complex web of coupled neurons connected to the GFI that widely innervates the thoracic ganglion...
November 2018: ENeuro
Ismail Oltulu, Hemra Cil, Mustafa Onur Ulu, Vedat Deviren
Although symptomatic thoracic disk herniation (TDH) is relatively rare, its treatment is quite difficult. Our aim is to present the outcomes and complications in patients with thoracic disk herniation treated with minimally invasive lateral transthoracic approach (LTTA). Fifty-nine consecutive patients with 69 symptomatic disk herniations that underwent minimally invasive LTTA to treat TDH between 2007 and 2016 were enrolled. Medical records were reviewed retrospectively. The numbers of TDH were as follows: 41 central, 10 paracentral, and 18 both central and paracentral...
January 8, 2019: Neurosurgical Review
Mary Ella Pierpont, Martina Brueckner, Wendy K Chung, Vidu Garg, Ronald V Lacro, Amy L McGuire, Seema Mital, James R Priest, William T Pu, Amy Roberts, Stephanie M Ware, Bruce D Gelb, Mark W Russell
This review provides an updated summary of the state of our knowledge of the genetic contributions to the pathogenesis of congenital heart disease. Since 2007, when the initial American Heart Association scientific statement on the genetic basis of congenital heart disease was published, new genomic techniques have become widely available that have dramatically changed our understanding of the causes of congenital heart disease and, clinically, have allowed more accurate definition of the pathogeneses of congenital heart disease in patients of all ages and even prenatally...
November 20, 2018: Circulation
Brian T Swanson, Michael B Gans, Ashten Cullenberg, E Kelton Cullenberg, Ryan Cyr, Larry Risigo
BACKGROUND & PURPOSE: The cervicothoracic differentiation test (CTDT), cervical and thoracic unloading are used clinically to guide treatment. This study sought to determine the reliability and diagnostic accuracy of these tests. METHODS: A prospective diagnostic accuracy study was performed at two outpatient clinics and one university research center. A convenience sample of 48 individuals with neck pain was recruited. Cervical and thoracic unloading tests and CTDT were performed with symptom relief considered a positive test...
November 28, 2018: Musculoskeletal Science & Practice
Amber M Beynon, Jeffrey J Hebert, Bruce F Walker
Background: Despite widespread use by manual therapists, there is little evidence regarding the reliability of thoracic spine static palpation to test for a manipulable lesion using stiffness or tenderness as diagnostic markers. We aimed to determine the interrater agreement of thoracic spine static palpation for segmental tenderness and stiffness and determine the effect of standardised training for examiners. The secondary aim was to explore expert consensus on the level of segmental tenderness required to locate a "manipulable lesion"...
2018: Chiropractic & Manual Therapies
Eric Z Herring, John H Shin, Sean J Nagel, Ajit A Krishnaney
BACKGROUND: Idiopathic ventral thoracic spinal cord herniation is a rare condition that usually presents with progressive myelopathy or Brown-Séquard syndrome. More than 100 cases have been reported with significant variance in surgical treatment strategies and likewise, significant variance in patient outcomes. Although laminectomy has often been used, to date, there is no consensus regarding the optimal surgical approach or strategy for ventral dural repair. OBJECTIVE: To report and illustrate a novel approach to repair the ventral dural defect with more than 2 yr of clinical follow-up...
December 4, 2018: Operative Neurosurgery (Hagerstown, Md.)
Nicola R Heneghan, S Gormley, C Hallam, Alison Rushton
BACKGROUND: The thoracic spine (TS) is relatively under-researched compared to the neck and low back. As the challenge of managing spinal pain persists, understanding current physiotherapy clinical practice for TS pain and dysfunction is necessary to inform future research in this area. OBJECTIVE: To investigate physiotherapy practice for managing thoracic spine pain and dysfunction (TSPD) in the UK, with a secondary focus on examining differences across settings and expertise...
November 22, 2018: Musculoskeletal Science & Practice
Teresa Kilgore, Marilyn Malia, Brian Di Giacinto, Stephanie Minter, John Samies
Context: In 2012, the US wound registry estimated that the cost of managing chronic wounds in the United States exceeded $50 billion. A large percentage of these wounds are venous stasis ulcers of the lower extremity. Evidence suggests that adjuvant osteopathic manipulative treatment (OMT) may provide a benefit by reducing edema and subsequent healing times in venous stasis ulcers of the lower extremity. Objective: To determine whether a lymphatic OMT protocol improves wound healing rates among patients with lower-extremity edema...
December 1, 2018: Journal of the American Osteopathic Association
Elena Bignami, Francesco Saglietti, Antonio Di Lullo
Mechanical ventilation during surgery is a highly complex procedure, particularly in cardiothoracic surgery, where patients need to undergo substantial hemodynamic management, involving large fluid exchanges and pharmacological manipulation of vascular resistance, as well as direct manipulation of the lungs themselves. Cardiothoracic surgery is burdened by a high rate of postoperative pulmonary complication (PPC), comorbidity, and mortality. Recent trials have examined various techniques to preserve lung function, although consensus on best practice has yet to be reached...
October 2018: Annals of Translational Medicine
Nicola R Heneghan, Sally E Davies, Emilio J Puentedura, Alison Rushton
OBJECTIVES: The perceived relative safety of thoracic thrust joint manipulation (TTJM) has contributed to evidence supporting its use. Yet, TTJM is not without risk, where transient side effects (SE) and severe adverse events (AE) have been documented. With evidence supporting the importance of prethrust examination in reducing AE in other spinal regions this study investigated TTJM knowledge and pre-TTJM examination. Method : An e-survey, informed by existing evidence and expertise was designed and piloted...
December 2018: Journal of Manual & Manipulative Therapy
Bernardo Benussi, Giuseppe Gatti, Florida Gripshi, Federico Biondi, Aldostefano Porcari, Danilo Ruggiero, Manuel Belgrano, Elisabetta Rauber, Gianfranco Sinagra, Aniello Pappalardo
BACKGROUND: To minimize aortic manipulation and maximize use of arterial conduits are aims of modern coronary surgery. METHODS: From March 2012 to October 2016, 890 consecutive patients with multivessel coronary disease underwent isolated coronary surgery using both internal thoracic arteries (ITAs). In 205 (23%; mean age, 67.6±9.2 years), the right ITA was proximally transected and used as free graft, while its in situ stump was elongated with a saphenous vein graft...
November 13, 2018: Annals of Thoracic Surgery
Pedro Belón-Perez, Antonio Ignacio Cuesta-Vargas
OBJECTIVES: The purpose of this study was to evaluate the immediate effect of thoracic spine manipulation upon active flexion and abduction mobility of the shoulder, spine temperature, and the size of the subacromial space as measured by ultrasound in 3 positions (internal, neutral, and external rotation) of the glenohumeral joint in patients who have undergone surgery because of subacromial impingement. METHODS: Quasi-experimental, prospective, short-term effect study with consecutively sampled participants...
September 2018: Journal of Manipulative and Physiological Therapeutics
Takatsugu Fujii, Shusuke Haruta, Yu Ohkura, Aya Honda, Nao Kobayashi, Tsuyoshi Tanaka, Masaki Ueno, Harushi Udagawa
Diaphragmatic eventration refers to an abnormal elevation of the diaphragm. Here, we report the case of a patient with gastric cancer who underwent successful laparoscopic distal gastrectomy despite the presence of diaphragmatic eventration. The patient was a 72-year-old man diagnosed with early gastric cancer in the antrum, as detected by upper gastrointestinal endoscopy. Preoperative imaging revealed an elevation of the left side of the diaphragm, which was diagnosed as diaphragmatic eventration. Laparoscopic surgery is beneficial for obtaining an optimal field of view...
November 8, 2018: Asian Journal of Endoscopic Surgery
Mégane Pasquier, Florian Barbier-Cazorla, Yannick Audo, Martin Descarreaux, Arnaud Lardon
OBJECTIVE: The purpose of this study was to investigate gender differences and expertise effects on biomechanical parameters as well as force accuracy and variability for students learning spinal manipulation. METHODS: A total of 137 fourth- and fifth-year students were recruited for the study. Biomechanical parameters (preload, time to peak force, peak force, rate of force), as well as accuracy and variability of thoracic spine manipulation performance, were evaluated during 5 consecutive trials using a force-sensing table and a target force of 450 N...
November 8, 2018: Journal of Chiropractic Education
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