Thoracic Vertebrae

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this study was to critically appraise and synthesize evidence on the effectiveness of noninvasive interventions, excluding pharmacological treatments, for musculoskeletal thoracic pain. METHODS: Randomized controlled trials (RCTs), cohort studies, and case-control studies evaluating the effectiveness of noninvasive interventions were eligible. We searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Central Register of Controlled Trials accessed through Ovid Technologies, Inc, and CINAHL Plus with Full Text accessed through EBSCOhost from 1990 to 2015.

Author(s): 
Southerst, Danielle
Marchand, Andrée-Anne
Côté, Pierre
Shearer, Heather M.
Wong, Jessica J.
Varatharajan, Sharanya
Randhawa, Kristi
Sutton, Deborah
Yu, Hainan
Gross, Douglas P.
Jacobs, Craig
Goldgrub, Rachel
Stupar, Maja
Mior, Silvano
Carroll, Linda J.
Taylor-Vaisey, Anne
Publication Title: 
BMC musculoskeletal disorders

BACKGROUND: The role played by the thoracolumbar fascia in chronic low back pain (LBP) is poorly understood. The thoracolumbar fascia is composed of dense connective tissue layers separated by layers of loose connective tissue that normally allow the dense layers to glide past one another during trunk motion. The goal of this study was to quantify shear plane motion within the thoracolumbar fascia using ultrasound elasticity imaging in human subjects with and without chronic low back pain (LBP).

Author(s): 
Langevin, Helene M.
Fox, James R.
Koptiuch, Cathryn
Badger, Gary J.
Greenan-Naumann, Ann C.
Bouffard, Nicole A.
Konofagou, Elisa E.
Lee, Wei-Ning
Triano, John J.
Henry, Sharon M.
Publication Title: 
Vestnik Khirurgii Imeni I. I. Grekova

The authors make an analysis of treatment of 188 patients with noncomplicated compressive fractures of the vertebral column in the thoracolumbar part performed at the stationary rehabilitation center. The course of restorative treatment was as long as 31-40 days and included individual and group trainings of exercise therapy, massage, hydrokinesotherapy, thermo-, electro-, photo- and magnetotherapy. Results of the treatment were followed in 81 patients. Excellent and good results were obtained in 43 patients (53%), unsatisfactory--in 7 patients (8.6%).

Author(s): 
Bagaturiia, G. O.
Chanov, V. L.
Kutushev, F. Kh
Publication Title: 
Studies in Health Technology and Informatics

This report describes improved signs and symptoms of previously untreated symptomatic spinal deformity in an adult female diagnosed with moderately severe thoracic scoliosis at the age of .7 years. Current treatment initiated at the age of forty included massage therapy, manual traction, ischemic pressure, and comprehensive manipulative medicine (CMM). A left-right chest circumference inequity was reduced by >10 cm, in correlation with improved appearance of the ribcage deformity and a 40% reduction in magnitude of Cobb angle, which had been stable for 30 years.

Author(s): 
Hawes, Martha C.
Brooks, William J.
Publication Title: 
Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia

We report a 44-year-old man suffering complete paraplegia due to paraspinal and epidural abscess, following chiropractic therapy for severe back pain and whose diagnosis was delayed. He received an immediate laminectomy from T3 through T6 to decompress the full extent of the abscess and appropriate antibiotic therapy for 4 weeks postoperatively for the identified microorganism (Staphylococcus aureus). After 3 months of rehabilitation, he had recovered bladder function with moderate left lower extremity paresis.

Author(s): 
Wang, Che-Chuan
Kuo, Jinn-Rung
Chio, Chung-Ching
Tsai, Tsung-Chia
Publication Title: 
Equine Veterinary Journal

REASON FOR PERFORMING STUDY: Common methods used to treat back problems in horses need to be assessed objectively. OBJECTIVES: To measure spinal mechanical nociceptive thresholds (MNTs) and evaluate the effects of chiropractic, massage and phenylbutazone, compared with active and inactive control groups. METHODS: Baseline MNTs at 7 sites within the thoracolumbar and sacral regions were measured in 38 healthy mature horses exhibiting no clinical signs of lumbar pain.

Author(s): 
Sullivan, K. A.
Hill, A. E.
Haussler, K. K.
Publication Title: 
Manual Therapy

Our aim was to examine the effects of a seated thoracic spine distraction thrust manipulation included in an electrotherapy/thermal program on pain, disability, and cervical range of motion in patients with acute neck pain. This randomized controlled trial included 45 patients (20 males, 25 females) between 23 and 44 years of age presenting with acute neck pain. Patients were randomly divided into 2 groups: an experimental group which received a thoracic manipulation, and a control group which did not receive the manipulative procedure.

Author(s): 
González-Iglesias, Javier
Fernández-de-Las-Peñas, César
Cleland, Joshua A.
Alburquerque-Sendín, Francisco
Palomeque-del-Cerro, Luis
Méndez-Sánchez, Roberto
Publication Title: 
Journal of Neurotrauma

Spinal cord injury (SCI) often results in a loss of motor and sensory function. Currently there are no validated effective clinical treatments. Previously we found in rats that dietary restriction, in the form of every-other-day fasting (EODF), started prior to (pre-EODF), or after (post-EODF) an incomplete cervical SCI was neuroprotective, increased plasticity, and promoted motor recovery. Here we examined if EODF initiated prior to, or after, a T10 thoracic contusion injury would similarly lead to enhanced functional recovery compared to ad libitum feeding.

Author(s): 
Jeong, Mi-ae
Plunet, Ward
Streijger, Femke
Lee, Jae H. T.
Plemel, Jason R.
Park, Sophia
Lam, Clarrie K.
Liu, Jie
Tetzlaff, Wolfram
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A review of the literature reveals strong evidence for both the mechanical model of disease production (structural) and the neurobiological model (functional). Outdated models which attempt to describe a scientific basis for chiropractic theory are inadequate and indeed harmful to the progress and acceptance of chiropractic. Pragmatic or empirical arguments that "Chiropractic works and that's what counts" have served a useful purpose, but now must be augmented by extant research findings. The "paradigm shift" is on.

Author(s): 
Dishman, R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

An inter- and intra-examiner reliability study was conducted to determine the reliability of a standardized method of motion palpation. Eight senior students in the Palmer College Public Clinic palpated the thoracolumbar spine of 32 student volunteers. Each volunteer was palpated twice by each examiner to allow inter- and intra-examiner analysis. Each examiner had at least 1 yr of experience using the procedure. Only the most hypomobile motor unit of the spine was recorded. Analysis of the data revealed statistically significant agreement for intra-examiner reliability.

Author(s): 
Love, R. M.
Brodeur, R. R.

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