The effectiveness of thoracic spine manipulation for the management of musculoskeletal conditions: a systematic review and meta-analysis of randomized clinical trials
Open accessAbstract
Thoracic spine manipulation (TSM) is an intervention practiced by different professions, and recently an incursion of research using TSM has been published. The purpose of this review was to examine the effectiveness of TSM for the management of musculoskeletal conditions and the quality of trials that included TSM techniques. A comprehensive search of online databases was performed, and first authors of studies identified were contacted. Thirteen randomized clinical trials were included in the final review. The methodological quality of all studies was assessed using the 10-point PEDro scale. Seven of the 13 studies were of high quality. Three studies looked at TSM for treatment of shoulder conditions; however, there is limited evidence to support the use of TSM for shoulder conditions. Nine studies used TSM for the management of neck conditions. The meta-analysis identified a subset of homogeneous studies evaluating neck pain. The value of the pooled estimator (1.33) was statistically significant for the treatment effect of TSM in the studies with researcher effect removed (95 % confidence interval: 1.15, 1.52). This analysis suggests there is sufficient evidence to support the use of TSM for specific subgroups of patients with neck conditions. This review also identifies the need for further studies to examine the effectiveness of TSM to treat shoulder conditions and the effectiveness of TSM on neck conditions with long-term follow-up studies.
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Only RCTs scoring at least 7 on the PEDro scale, indicating high methodological quality, were included.
“High-quality trials with a minimum score of 7 out of 10 were included.”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [21]
The Methodological Quality section (p. 241) reports PEDro scores from 4 to 9 and says that only seven studies were high quality; four were fair quality and two were poor quality. The Methodological Quality Assessment section defines 7 or higher as high quality, but not as an inclusion threshold. (LLM, conf=0.93)
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Cites
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,347 · see citing works
Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials
Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., & Elkins, M. (2003) · Physical Therapy · doi:10.1093/ptj/83.8.713 · Cited by 4,808 · see citing works
Statistical Methods for Meta-Analysis
(1985) · Elsevier eBooks · doi:10.1016/c2009-0-03396-0 · Cited by 2,549 · see citing works
Scales to Assess the Quality of Randomized Controlled Trials: A Systematic Review
Olivo, S. A., Macedo, L. G., Gadotti, I. C., Fuentes, J., Stanton, T., & Magee, D. J. (2008) · Physical Therapy · doi:10.2522/ptj.20070147 · Cited by 829 · see citing works
Neurophysiological effects of spinal manipulation
Pickar, J. G. (2002) · The Spine Journal · doi:10.1016/s1529-9430(02)00400-x · Cited by 573 · see citing works
Price, D. D., Milling, L. S., Kirsch, I., Duff, A., Montgomery, G. H., & Nicholls, S. S. (1999) · Pain · doi:10.1016/s0304-3959(99)00081-0 · Cited by 559 · see citing works
Guide to physical therapist practice 2nd, ed.
Rothstein, J. E. (2001) · Physical Therapy · Cited by 514 · see citing works
Cleland, J. A., Childs, J. D., Fritz, J. M., Whitman, J. M., & Eberhart, S. L. (2007) · Physical Therapy · doi:10.2522/ptj.20060155 · Cited by 316 · see citing works
Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial
Cleland, J. A., Childs, M. J. D., McRae, M., Palmer, J., & Stowell, T. (2004) · Manual Therapy · doi:10.1016/j.math.2004.08.005 · Cited by 303 · see citing works
Electromyographic Responses of Back and Limb Muscles Associated With Spinal Manipulative Therapy
Herzog, W., Scheele, D., & Conway, P. J. (1999) · Spine · doi:10.1097/00007632-199901150-00012 · Cited by 275 · see citing works
Regional Interdependence: A Musculoskeletal Examination Model Whose Time Has Come
Wainner, R. S., Whitman, J. M., Cleland, J. A., & Flynn, T. W. (2007) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2007.0110 · Cited by 264 · see citing works
Cleland, J. A., Glynn, P. E., Whitman, J. M., Eberhart, S. L., MacDonald, C. W., & Childs, J. D. (2007) · Physical Therapy · doi:10.2522/ptj.20060217 · Cited by 247 · see citing works
Adverse effects of spinal manipulation: a systematic review
Ernst, E. (2007) · Journal of the Royal Society of Medicine · doi:10.1177/014107680710000716 · Cited by 243 · see citing works
Winters, J. C., Sobel, J. S., Groenier, K. H., Arendzen, H., & Jong, B. M. (1997) · BMJ · doi:10.1136/bmj.314.7090.1320 · Cited by 241 · see citing works
Skyba, A. D., Radhakrishnan, R., Rohlwing, J. J., Wright, A., & Sluka, K. A. (2003) · Pain · doi:10.1016/s0304-3959(03)00320-8 · Cited by 227 · see citing works
The Effects of Hamstring Stretching on Range of Motion: A Systematic Literature Review
Decoster, L. C., Cleland, J., & Altieri, C. (2005) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2005.35.6.377 · Cited by 209 · see citing works
Bergman, G., Winters, J. C., Groenier, K. H., Pool, J. J. M., Jong, B. M., Klaas Postema, A., & van der Heijden, G. J. M. G. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-141-6-200409210-00008 · Cited by 168 · see citing works
Determining Cavitation Location During Lumbar and Thoracic Spinal Manipulation
Ross, J. K., Bereznick, D. E., & McGill, S. M. (2004) · Spine · doi:10.1097/01.brs.0000129024.95630.57 · Cited by 152 · see citing works
González-Iglesias, J., Fernández‐de‐las‐Peñas, C., Cleland, J. A., & Gutiérrez-Vega, M. D. R. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2009.2914 · Cited by 149 · see citing works
A randomized clinical trial of manual therapy for cervico-brachial pain syndrome – a pilot study
Allison, G. T., Nagy, B. M., & Hall, T. M. (2002) · Manual Therapy · doi:10.1054/math.2002.0453 · Cited by 144 · see citing works
Boyles, R. E., Ritland, B. M., Miracle, B. M., Barclay, D. M., Faul, M. S., Moore, J. H., Koppenhaver, S. L., & Wainner, R. S. (2008) · Manual Therapy · doi:10.1016/j.math.2008.05.005 · Cited by 141 · see citing works
The Effects of Hamstring Stretching on Range of Motion: A Systematic Literature Review
Altieri, C. (2005) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2005.2012 · Cited by 140 · see citing works
González-Iglesias, J., Fernández‐de‐las‐Peñas, C., Cleland, J. A., Alburquerque‐Sendín, F., Palomeque-del-Cerro, L., & Sánchez, R. M. (2008) · Manual Therapy · doi:10.1016/j.math.2008.04.006 · Cited by 127 · see citing works
Cleland, J. A., Whitman, J. M., Fritz, J. M., & Palmer, J. (2005) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2005.35.12.802 · Cited by 123 · see citing works
Guide to Physical Therapist Practice. Second Edition. American Physical Therapy Association.
(2001) · PubMed · Cited by 121 · see citing works
The Effective Forces Transmitted by High-Speed, Low-Amplitude Thoracic Manipulation
Herzog, W., Kats, M., & Symons, B. (2001) · Spine · doi:10.1097/00007632-200110010-00012 · Cited by 113 · see citing works
Adverse effects of spinal manipulation: a systematic review
Ernst, E. (2007) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.100.7.330 · Cited by 110 · see citing works
The Effects of Thoracic Manipulation on Heart Rate Variability: A Controlled Crossover Trial
Budgell, B., & Polus, B. (2006) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2006.08.011 · Cited by 108 · see citing works
Krauss, J. R., Creighton, D., Ely, J. D., & Podlewska-Ely, J. (2008) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698108790818530 · Cited by 104 · see citing works
Norlander, S., Gustafsson, B. Å., Lindell, J., & Nordgren, B. (1997) · Journal of Rehabilitation Medicine · doi:10.2340/165019771997167174 · Cited by 102 · see citing works
Fernández‐de‐las‐Peñas, C., Alonso‐Blanco, C., Cleland, J. A., Rodríguez‐Blanco, C., & Alburquerque‐Sendín, F. (2008) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2008.04.006 · Cited by 90 · see citing works
Reflex responses associated with manipulative treatments on the thoracic spine: a pilot study.
Herzog, W., Conway, P. J., Zhang, Y., Gál, J. M., & Guimarães, A. C. S. (1995) · PubMed · Cited by 89 · see citing works
Fernández‐de‐las‐Peñas, C., Palomeque-del-Cerro, L., Rodríguez‐Blanco, C., Gómez‐Conesa, A., & Miangolarra‐Page, J. C. (2007) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2007.03.007 · Cited by 85 · see citing works
Norlander, S. (1998) · Scandinavian Journal of Rehabilitation Medicine · doi:10.1080/003655098443995 · Cited by 85 · see citing works
Norlander, S., Aste-Norlander, U., Nordgren, B., & Sahlstedt, B. (1996) · Journal of Rehabilitation Medicine · doi:10.2340/165019771996183192 · Cited by 78 · see citing works
Short-Term Effects of Thoracic Manipulation on Lower Trapezius Muscle Strength
Cleland, J., Selleck, B., Stowell, T., Browne, L., Alberini, S., Cyr, H. S., & Caron, T. (2004) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698104790825284 · Cited by 78 · see citing works
Nonvascular complications following spinal manipulation
Oppenheim, J. S., Spitzer, D. E., & Segal, D. H. (2005) · The Spine Journal · doi:10.1016/j.spinee.2005.08.006 · Cited by 77 · see citing works
Schiller, L. (2001) · Journal of Manipulative and Physiological Therapeutics · doi:10.1067/mmt.2001.116420 · Cited by 75 · see citing works
Adams, G. L., & Sim, J. (1998) · Physiotherapy Research International · doi:10.1002/pri.141 · Cited by 73 · see citing works
Winters, J. C., Jorritsma, W., Groenier, K. H., Sobel, J. S., de Jong, B. M., & Arendzen, H. (1999) · BMJ · doi:10.1136/bmj.318.7195.1395 · Cited by 72 · see citing works
Cleland, J. A., Flynn, T. W., Childs, J. D., & Eberhart, S. L. (2007) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698107790819828 · Cited by 71 · see citing works
Dorsal Manipulation in Whiplash Injury Treatment
Fernández‐de‐las‐Peñas, C., Fernández‐Carnero, J., Fernández, A. P., Lomas‐Vega, R., & Miangolarra‐Page, J. C. (2004) · Journal of Whiplash & Related Disorders · doi:10.3109/j180v03n02_05 · Cited by 64 · see citing works
Keating, L., Lubke, C., Powell, V., Young, T. W., Souvlis, T., & Jull, G. A. (2001) · Manual Therapy · doi:10.1054/math.2000.0377 · Cited by 59 · see citing works
Conservative Treatment of a Female Collegiate Volleyball Player with Costochondritis
Aspegren, D. D., Hyde, T., & Miller, M. (2007) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2007.03.003 · Cited by 55 · see citing works
Savolainen, A. (2004) · Occupational Medicine · doi:10.1093/occmed/kqh070 · Cited by 51 · see citing works
The Effect of Thoracic Spine Mobilization On Lower Trapezius Strength Testing
Liebler, E. J., Tufano-Coors, L., Douris, P. C., Makofsky, H. W., McKenna, R. F., Michels, C., & Rattray, S. (2001) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698101790819761 · Cited by 51 · see citing works
Coppola, S. M., & Collins, S. (2008) · The Knee · doi:10.1016/j.knee.2008.09.001 · Cited by 51 · see citing works
Waldrop, M. A. (2006) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2006.36.3.152 · Cited by 49 · see citing works
Changes in postural activity of the trunk muscles following spinal manipulative therapy
Ferreira, M. L., Ferreira, P. H., & Hodges, P. W. (2007) · Manual Therapy · doi:10.1016/j.math.2006.06.015 · Cited by 49 · see citing works
Browder, D. A., Erhard, R. E., & Piva, S. R. (2004) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2004.34.11.701 · Cited by 46 · see citing works
Physical Therapy for Adhesive Capsulitis
Cleland, J. A., & Durall, C. J. (2002) · Physiotherapy · doi:10.1016/s0031-9406(05)60847-4 · Cited by 44 · see citing works
The frictional properties at the thoracic skin–fascia interface: implications in spine manipulation
Bereznick, D. E., Ross, J. K., & McGill, S. M. (2002) · Clinical Biomechanics · doi:10.1016/s0021-9290(02)00014-3 · Cited by 44 · see citing works
Frequency of complications of manipulation of the spine
Dvořák, J., Loustalot, D., Baumgartner, H., & Antinnes, J. A. (1993) · European Spine Journal · doi:10.1007/bf00301410 · Cited by 31 · see citing works
Cleland, J. A., Flynn, T. W., & Palmer, J. (2005) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698105790824932 · Cited by 28 · see citing works
Strunk, R. G., & Hondras, M. (2008) · Journal of Chiropractic Medicine · doi:10.1016/j.jcme.2007.10.004 · Cited by 25 · see citing works
Acute locked thoracic spine: treatment with a modified SNAG
Horton, S. J. (2002) · Manual Therapy · doi:10.1054/math.2002.0456 · Cited by 21 · see citing works
Manual treatment of post-whiplash injury
Fernández‐de‐las‐Peñas, C., Cerro, L., & Fernández‐Carnero, J. (2004) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2004.05.002 · Cited by 20 · see citing works
Pho, C., & Godges, J. (2004) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2004.34.9.511 · Cited by 17 · see citing works
March 2008 Letters to the Editor-in-Chief
Bialosky, J. E., Bishop, M. D., & George, S. Z. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.38.3.159 · Cited by 16 · see citing works
Rotational instability of the mid-thoracic spine: assessment and management
Lee, D. G. (1996) · Manual Therapy · doi:10.1054/math.1996.0273 · Cited by 13 · see citing works
Flagged first, then by citations
1 of the 61 references couldn’t be matched to a known paper.
Research works printed but not linked: 5
- [18]18. González-Iglesias J, Fernández-de-las-Pe- ñas C, Cleland JA, Gutiérrez-Vega MR. Tho- racic spine manipulation for the manage- ment of patients with neck pain: A random- ized clinical trial. J Orthop Sports Phys Ther 2009;39:20-27.
- [29]29. Wainner RS, Whitman JM, Cleland JA, Flynn TW. Authors' response [letters to the editor-in-chief]. J Orthop Sports Phys Ther 2008;38:160.
- [47]47. Parkin-Smith GF, Penter CS. A clinical trial investigating the effect of two manipulative approaches in the treatment of mechanical neck pain: A pilot study. JNMS 1998;6:6-16.
- [51]51. Suter E, Herzog W, Conway PJ, Zhang YT. Reflex response associated with manipula- tive treatment of the thoracic spine. JNMS 1994;2:124-130.
- [57]57. Oppenheim JS, Spitzer DE, Segal DH. Non-Non- vascular complications following spinal ma- nipulation. Spine J 2005;5:660-667.
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Gross, A., Langevin, P., Burnie, S. J., Bédard-Brochu, M.-S., Empey, B., Dugas, E., Faber-Dobrescu, M., Andres, C., Graham, N., Goldsmith, C. H., et al. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004249.pub4 · Cited by 250 · see citing works
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Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache
Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L. E., Watkin, R., & White, E. (2011) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2011.04.008 · Cited by 197 · see citing works
Shah, T. M., Weinborn, M., Verdile, G., Sohrabi, H. R., & Martins, R. N. (2017) · Neuropsychology Review · doi:10.1007/s11065-016-9338-9 · Cited by 151 · see citing works
Cleland, J. A., Mintken, P. E., Carpenter, K., Fritz, J. M., Glynn, P. E., Whitman, J. M., & Childs, J. D. (2010) · Physical Therapy · doi:10.2522/ptj.20100123 · Cited by 129 · see citing works
Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Neck Pain
Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L. E., Watkin, R., & White, E. (2013) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2013.08.010 · Cited by 128 · see citing works
The Influence of Exercise Dosing on Outcomes in Patients With Knee Disorders: A Systematic Review
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Haik, M. N., Alburquerque‐Sendín, F., Silva, C. Z., Siqueira, A. L., Ribeiro, I. L., & Camargo, P. R. (2014) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.4760 · Cited by 75 · see citing works
Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review
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Huisman, P. A., Speksnijder, C. M., & de Wijer, A. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2012.750689 · Cited by 59 · see citing works
DRY NEEDLING IN SUBJECTS WITH MUSCULAR TRIGGER POINTS IN THE LOWER QUARTER: A SYSTEMATIC REVIEW.
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Sparks, C. L., Cleland, J. A., Elliott, J. M., Zagardo, M. T., & Liu, W.-C. (2013) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2013.4631 · Cited by 55 · see citing works
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Heneghan, N. R., Baker, G., Thomas, K., Falla, D., & Rushton, A. B. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-019371 · Cited by 50 · see citing works
Regional interdependence and manual therapy directed at the thoracic spine
McDevitt, A., Young, J., Mintken, P., & Cleland, J. (2015) · Journal of Manual & Manipulative Therapy · doi:10.1179/2042618615y.0000000005 · Cited by 57 · see citing works
Mintken, P. E., McDevitt, A. W., Cleland, J. A., Boyles, R. E., Beardslee, A. R., Burns, S. A., Haberl, M. D., Hinrichs‐Kinney, L., & Michener, L. A. (2016) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2016.6319 · Cited by 50 · see citing works
Hernando-Garijo, I., Jiménez-del-Barrio, S., Mingo-Gómez, T., Medrano-de-la-Fuente, R., & Ceballos-Laita, L. (2022) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-200282 · Cited by 48 · see citing works
Karel, Y., Scholten-Peeters, G. G. M., Graaf, M. T.-D., Duijn, E., van Broekhoven, J. B., Koes, B. W., & Verhagen, A. P. (2016) · Physiotherapy · doi:10.1016/j.physio.2016.11.003 · Cited by 48 · see citing works
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Cook, C. E., Learman, K., Houghton, S., Showalter, C. R., & O'Halloran, B. J. (2013) · Manual Therapy · doi:10.1016/j.math.2013.05.007 · Cited by 42 · see citing works
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Southerst, D., Yu, H., Randhawa, K. A., Côté, P., D’Angelo, K., Shearer, H. M., Wong, J. J., Sutton, D. A., Varatharajan, S., Goldgrub, R., et al. (2015) · Chiropractic & Manual Therapies · doi:10.1186/s12998-015-0075-6 · Cited by 22 · see citing works
Treffel, L., Massabuau, N., Zuj, K. A., Custaud, M., Gauquelin‐Koch, G., Blanc, S., Gharib, C., & Millet, C. (2017) · Pain Research and Management · doi:10.1155/2017/9602131 · Cited by 21 · see citing works
Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK
Heneghan, N. R., Gormley, S., Hallam, C., & Rushton, A. B. (2018) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2018.11.006 · Cited by 20 · see citing works
Wassinger, C. A., Rich, D., Cameron, N., Clark, S., Davenport, S., Lingelbach, M., Smith, A. R., Baxter, D. G., & Davidson, J. (2015) · Manual Therapy · doi:10.1016/j.math.2015.08.009 · Cited by 20 · see citing works
Moreira-Marconi, E., de Sá-Caputo, D. D. C., Dionello, C. D. F., Guedes-Aguiar, E. O., Sousa-Gonçalves, C. R., Morel, D. S., Paineiras-Domingos, L. L., Lopes-Souza, P., Kütter, C. R., Costa-Cavalcanti, R. G., et al. (2017) · African Journal of Traditional Complementary and Alternative Medicines · doi:10.21010/ajtcam.v14i4s.1 · Cited by 19 · see citing works
Langenfeld, A., Humphreys, B. K., de Bie, R. A., & Swanenburg, J. (2015) · Trials · doi:10.1186/s13063-015-0763-5 · Cited by 18 · see citing works
Buzzatti, L., Provyn, S., Roy, P. V., & Cattrysse, E. (2015) · Manual Therapy · doi:10.1016/j.math.2015.03.006 · Cited by 17 · see citing works
de Sá-Caputo, D. D. C., Dionello, C. D. F., Frederico, É. H. F. F., Paineiras-Domingos, L. L., Sousa-Gonçalves, C. R., Morel, D. S., Moreira-Marconi, E., Unger, M., & Bernardo-Filho, M. (2017) · African Journal of Traditional Complementary and Alternative Medicines · doi:10.21010/ajtcam.v14i3.22 · Cited by 16 · see citing works
Lo, C. N., Ng, J. K. F., Au, C. K., & Lim, E. C. W. (2019) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2018.10.003 · Cited by 16 · see citing works
Jordon, M. K., Beattie, P., D’Urso, S., & Scriven, S. (2016) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2016.1230352 · Cited by 15 · see citing works
Alotaibi, M. M., Ayoub, A., King, T. I., & Uddin, S. (2018) · European Scientific Journal ESJ · doi:10.19044/esj.2018.v14n6p336 · Cited by 15 · see citing works
Moreira-Marconi, E., Teixeira-Silva, Y., de Meirelles, A. G., Melo-Oliveira, M. E. D. S., Santos, A. C. G., Reis-Silva, A., Paineiras-Domingos, L. L., Seixas, A., Dionello, C. D. F., de Sá-Caputo, D. D. C., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214853 · Cited by 14 · see citing works
Fisher, L., Alvar, B. A., Maher, S., & Cleland, J. A. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2020.8928 · Cited by 14 · see citing works
Rosa, D. P., Alburquerque‐Sendín, F., Salvini, T. F., & Camargo, P. R. (2013) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2013.07.006 · Cited by 14 · see citing works
Aoyagi, M., Mani, R., Jayamoorthy, J., & Tumilty, S. (2014) · Manual Therapy · doi:10.1016/j.math.2014.11.004 · Cited by 12 · see citing works
Karas, S., Hunt, M. J. O., Temes, B., Thiel, M., Swoverland, T., & Windsor, B. A. (2016) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2016.1260674 · Cited by 12 · see citing works
Lopes-Souza, P., Dionello, C. D. F., de Sá-Caputo, D. D. C., Moreira-Marconi, E., Frederico, É. H. F. F., Marchon, R. M., Bergmann, A. K., Furness, T., & Bernardo-Filho, M. (2018) · Drug Discoveries & Therapeutics · doi:10.5582/ddt.2018.01039 · Cited by 12 · see citing works
Brown, K., Luszeck, T., Nerdin, S., Yaden, J., & Young, J. L. (2014) · Physical Therapy Reviews · doi:10.1179/1743288x14y.0000000155 · Cited by 11 · see citing works
Lillios, S., & Young, J. L. (2012) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0b013e318276fb16 · Cited by 10 · see citing works
Heneghan, N. R., Davies, S. E., Puentedura, E. J., & Rushton, A. B. (2018) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2018.1507269 · Cited by 8 · see citing works
Heneghan, N. R., Puentedura, E. J., Arranz, I., & Rushton, A. B. (2020) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2020.102251 · Cited by 8 · see citing works
Sparks, C. L., Cleland, J. A., Elliott, J. M., & Strubhar, A. J. (2013) · Physical Therapy Reviews · doi:10.1179/1743288x12y.0000000058 · Cited by 7 · see citing works
Strategies to overcome size and mechanical disadvantages in manual therapy
Hazle, C. R., & Lee, M. (2016) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2015.1119371 · Cited by 7 · see citing works
Karas, S., Westerheide, A., & Daniel, L. (2015) · Musculoskeletal Care · doi:10.1002/msc.1118 · Cited by 6 · see citing works
Safe physiotherapy interventions in large cervical disc herniations: Figure 1
Keramat, K. U., & Gaughran, A. (2012) · BMJ Case Reports · doi:10.1136/bcr-2012-006864 · Cited by 5 · see citing works
Deschenes, B. K., & Zafereo, J. A. (2016) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2016.1247307 · Cited by 5 · see citing works
Lee, H.-J., & Kim, S.-Y. (2019) · Physical Therapy Korea · doi:10.12674/ptk.2019.26.3.042 · Cited by 5 · see citing works
Thorp, J. N., & Willson, J. D. (2019) · Physiotherapy Research International · doi:10.1002/pri.1824 · Cited by 5 · see citing works
Belón-Pérez, P., & Cuesta‐Vargas, A. (2018) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2018.02.005 · Cited by 4 · see citing works
Huijbregts, P. A. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-3779-8.10048-x · Cited by 3 · see citing works
Brindisino, F., Garzonio, F., Giovannico, G., Isaia, F., Fiorentino, F., Cavaggion, C., Mourad, F., & Innocenti, T. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2322025 · Cited by 3 · see citing works
van der KOLK, H. K., & Scafoglieri, A. (2021) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.20.11470-1 · Cited by 2 · see citing works
Yang, J., Zhao, S., Zhang, R., Huang, C., Ke-Yao, H., Cheng, Y., He, C., & Li, L. (2024) · Technology and Health Care · doi:10.3233/thc-248034 · Cited by 2 · see citing works
Kim, S., Kim, S.-Y., & Lee, M. (2020) · Physical Therapy Korea · doi:10.12674/ptk.2020.27.1.1 · Cited by 2 · see citing works
The short term efficacy of thoracic spinal manipulation on shoulder impingement syndrome
Booyens, R. P. (2015) · doi:10.51415/10321/1347 · Cited by 2 · see citing works
Prall, J. M., Dunning, J. R., Young, I. A., Ross, M. D., Escaloni, J., & Bliton, P. (2025) · Healthcare · doi:10.3390/healthcare13121355 · Cited by 1 · see citing works
Inderpreet, K., Arunmozhi, R., & Arfath, U. (2013) · Cited by 1 · see citing works
Evaluation of the effect of spinal manipulation in upper limb spasticity post a stroke.
Valente, F. M., Lupino, R. A., Ramirez, C., & Bonvicine, C. (2014) · Manual Therapy Posturology & Rehabilitation Journal · doi:10.17784/mtprehabjournal.2014.12.165 · Cited by 1 · see citing works
Abbaszadeh-Amirdehi, M., Mirasi, S., Salehi, H., & Olyaei, G. (2017) · Journal of Modern Rehabilitation · doi:10.18869/nirp.jmr.10.4.145 · Cited by 1 · see citing works
Santiago, S., Syeda, M., Bartholomew, J., & Baker, R. T. (2022) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2021-0074 · Cited by 1 · see citing works
Rotator Cuff Repair and Rehabilitation
Maxey, L., & Ghilarducci, M. (2013) · Elsevier eBooks · doi:10.1016/b978-0-323-07747-7.00005-8 · Cited by 1 · see citing works
Influence of Thoracic Manipulation on Type I Complex Regional Pain Syndrome Post–Upper Limb Trauma
Manal, M. H., Amir, M. S., Hesham, H. R., & Yasser, R. L. (2021) · International Journal of Current Research and Review · doi:10.31782/ijcrr.2021.132025 · Cited by 1 · see citing works
Mintken, P. E., Cleland, J. A., Carpenter, K. J., Bieniek, M. L., Keirns, M., & Whitman, J. M. (2010) · Physical Therapy · doi:10.2522/ptj.2010.90.4.644 · Cited by 1 · see citing works
Dysfonctions vertébrales et posturales après simulations de la microgravité
Treffel, L. (2017) · doi:10.70675/c34175a6zdad6z4406zbbfcz0c24208faf28 · Cited by 1 · see citing works
Thoracic Spine and Rib Cage Dysfunction
Steere, J., & Flynn, T. W. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-28683-1.00059-x
Best Evidence for Examination and Treatment of the Thoracic Spine
Austin, G. P. (2011) · Orthopaedic Section, APTA, Inc. eBooks · doi:10.17832/isc.2011.21.1.4
The Thoracic Spine and Rib Cage: Physical Therapy Patient Management Using Current Evidence
Burns, S., & Egan, W. E. (2016) · Orthopaedic Section, APTA, Inc. eBooks · doi:10.17832/isc.2016.26.2.7
Langenfeld, A., Humphreys, B. K., de Bie, R. A., & Swanenburg, J. (2018) · F1000Research · doi:10.12688/f1000research.13780.1
Krott, N. L., Bloyinski, G. M., & Cattrysse, E. (2018) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2017.11.002
Maze, L. (2018) · Iowa Research Online (The University of Iowa)
Remsburg, J. (2019) · Journal of Contemporary Chiropractic · doi:10.67681/atgy2333
Clinical management of an adult with erythema infectiosum: a retrospective case report.
Gryfe, D., & Wong, C. (2019) · Europe PMC (PubMed Central)
Dry Needling Versus Sham Needling for Myofascial Pain Syndrome: A Critically Appraised Topic
Jack, M. L., Tierney, R., Mansell, J. L., & Russ, A. C. (2020) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2019-0109
Cleland, J. A., Fritz, J. M., Mintken, P. E., Carpenter, K., Glynn, P. E., Whitman, J. M., & Childs, J. D. (2010) · Physical Therapy · doi:10.2522/ptj.20100123.ar
Kalita, A., Sarma, P. C., Saikia, J. M., Dutta, A., & Rajak, S. (2022) · International Journal of Life Science and Pharma Research · doi:10.22376/ijpbs/lpr.2022.12.6.l95-106
Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes
SARIALİOĞLU, N., & Türkeri, R. (2023) · CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi · doi:10.33459/cbubesbd.1326015
Vasyliovych, P. A., & Romanchuk, A. P. (2024) · Physical rehabilitation and recreational health technologies · doi:10.15391/prrht.2024-9(4).09
Frith, K. L. (2013) · Unitec Research Bank (Unitec Institute of Technology)
Masaracchio, M. F., Kirker, K., Dewan, B. M., & Caronia, S. (2026) · Healthcare · doi:10.3390/healthcare14020240
Pan, Y., Chen, J., Liu, Y., Chen, Z., & Liu, J. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1790614
- Authors
- Walser, R. F., Meserve, B. B., & Boucher, T. R.
- ORCID
- Boucher, Thomas R.
- Venue
- Journal of Manual & Manipulative Therapy
- Publisher
- Informa UK Limited
- Published
- 2009-12
- Volume
- 17
- Issue
- 4
- Pages
- 237-246
- ISSN
- 1066-9817 (ISSN-L)
- 2042-6186
- PMC
- PMC2813505
- OpenAlex
- W2020637775
- Cited by
- 98
- References
- 61
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 7 · 2018: 10 · 2017: 11 · 2016: 9 · 2015: 13 · 2014: 8 · 2013: 13 · 2012: 2
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Manual & Manipulative Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
- Keywords
- thoracic spine manipulation, musculoskeletal disorders, neck pain, shoulder disorders, manual therapy, treatment effectiveness, methodological quality of trials, PEDro scale
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