1.0Insight Chiropractic | Chiropractor Darwin, Chiropractic Care NThttps://insightchiropractic.com.auMarc Covahttps://insightchiropractic.com.au/author/insight/rich600338<blockquote class="wp-embedded-content"><a href="https://insightchiropractic.com.au/manipulation-and-mobilisation-of-the-mid-back-help-chronic-neck-pain-and-movement/">Manipulation and Mobilisation of the mid back help chronic neck pain and movement</a></blockquote> <script type='text/javascript'> <!--//--><![CDATA[//><!-- /*! This file is auto-generated */ !function(d,l){"use strict";var e=!1,o=!1;if(l.querySelector)if(d.addEventListener)e=!0;if(d.wp=d.wp||{},!d.wp.receiveEmbedMessage)if(d.wp.receiveEmbedMessage=function(e){var t=e.data;if(t)if(t.secret||t.message||t.value)if(!/[^a-zA-Z0-9]/.test(t.secret)){var r,a,i,s,n,o=l.querySelectorAll('iframe[data-secret="'+t.secret+'"]'),c=l.querySelectorAll('blockquote[data-secret="'+t.secret+'"]');for(r=0;r<c.length;r++)c[r].style.display="none";for(r=0;r<o.length;r++)if(a=o[r],e.source===a.contentWindow){if(a.removeAttribute("style"),"height"===t.message){if(1e3<(i=parseInt(t.value,10)))i=1e3;else if(~~i<200)i=200;a.height=i}if("link"===t.message)if(s=l.createElement("a"),n=l.createElement("a"),s.href=a.getAttribute("src"),n.href=t.value,n.host===s.host)if(l.activeElement===a)d.top.location.href=t.value}}},e)d.addEventListener("message",d.wp.receiveEmbedMessage,!1),l.addEventListener("DOMContentLoaded",t,!1),d.addEventListener("load",t,!1);function t(){if(!o){o=!0;var e,t,r,a,i=-1!==navigator.appVersion.indexOf("MSIE 10"),s=!!navigator.userAgent.match(/Trident.*rv:11\./),n=l.querySelectorAll("iframe.wp-embedded-content");for(t=0;t<n.length;t++){if(!(r=n[t]).getAttribute("data-secret"))a=Math.random().toString(36).substr(2,10),r.src+="#?secret="+a,r.setAttribute("data-secret",a);if(i||s)(e=r.cloneNode(!0)).removeAttribute("security"),r.parentNode.replaceChild(e,r)}}}}(window,document); //--><!]]> </script><iframe sandbox="allow-scripts" security="restricted" src="https://insightchiropractic.com.au/manipulation-and-mobilisation-of-the-mid-back-help-chronic-neck-pain-and-movement/embed/" width="600" height="338" title="“Manipulation and Mobilisation of the mid back help chronic neck pain and movement” — Insight Chiropractic | Chiropractor Darwin, Chiropractic Care NT" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe>https://insightchiropractic.com.au/wp-content/uploads/2019/10/jesper-aggergaard-CEM52sAHR80-unsplash.jpg60004000I recently discovered a research paper from Thailand published in the Journal of Physical Therapy Science that researched the effect that spinal manipulation of the thoracic spine (mid back) has on chronic neck symptoms. After finding this article I delved a bit deeper, looking into other similar articles about this topic, mostly to give myself some background by which to write this article in a more informed context. I was surprised to see there has been a great deal of research performed over the last 20 years which has focused on the relationship between the mid back and the neck. I won’t individually reference all of these articles as the referencing will bog down the purpose of this article which is to provide the public with valid and interesting facts about their spine. Neck pain is one of the most common health problems in the general population, particularly among people of working age. The prevalence of neck pain has generally been reported to be approximately 50% for workers. There are 2 very similar studies I will be reviewing today, the first is a study conducted in Thailand and published in the journal of Physical Therapy Science in 20131. 39 patients with chronic mechanical neck pain where evaluated to see whether a manipulation in their mid-back (T6/7) decreased their neck pain and increased the range of movement of their neck. Subjects included in this study had a variety of neck pain, including pain on the left and right or both, pain in the back of the neck and shoulder region, and pain which was brought on by neck movement or fingertip pressure. These are the same types of symptoms that we see in practice every day. Each of the 39 subjects had their neck pain measured on a scale of 1-10 and their range of movement was measured. The subjects were then randomly assigned to receive a single manipulation (audible crack) at T6/7 or single mid thoracic mobilisation (no audible crack) at T6/7 or to rest in a face down position (the control group). Comparisons were then made between theses three groups. The results of the study found that the subject’s pain at rest improved and their neck range of motion in all directions after single thoracic manipulation improved significantly. Additionally, a single thoracic mobilization also significantly reduced pain levels at rest and increased neck range of motion in all directions […]