@entity1514 Spine Manipulation in Individuals With @entity5818 Does Not Immediately Alter XXXX Spine Kinematics, @entity1514 Excursion, or Scapular Kinematics: A Randomized Controlled Trial.

@entity1 @entity5818 @entity1514 @entity158
UNASSIGNED: Study Design Randomized controlled trial. Objectives To determine if thoracic spinal manipulative therapy (SMT) alters thoracic kinematics, thoracic excursion, and scapular kinematics compared to a sham-SMT in @entity1 with @entity158 , and also to compare changes in @entity1 -reported outcomes between treatment groups. Background Prior studies indicate that thoracic SMT can improve @entity158 in individuals with @entity158 . However, the mechanisms underlying these benefits are not well understood. Methods @entity1 with @entity5818 (n=52) were randomly assigned to receive a single session of thoracic SMT or sham-SMT. @entity1514 and scapular kinematics during active arm elevation and overall thoracic excursion were measured before and after the intervention. @entity1 -reported outcomes measured were: @entity158 ( @entity158 rating scale [NPRS]), function (Pennsylvania Shoulder Score [Penn]), and global rating of change (GROC). Results There were no significant differences between groups in changes post-intervention for thoracic kinematics or excursion, shoulder kinematics, or @entity1 -reported outcomes (P>.05). Both groups showed an increase in scapular internal rotation during arm raising (mean of 0.9  , 95% CI [0.3  , 1.6  ], P=.003) and lowering (0.8  , 95% CI [0.0  , 1.5  ], P=.041), as well as improved NPRS (1.2 points, 95% CI [0.3, 1.8], P<.001) and Penn (9.1 points, 95% CI [6.5, 11.7], P<.001) scores. Conclusion @entity1514 spine extension and excursion did not change significantly following thoracic SMT. There were small, but likely not clinically meaningful changes in scapular internal rotation in both groups. @entity1 -reported @entity158 and function improved in both groups, however there were no significant differences in the changes between the SMT and the sham-SMT groups. Overall, @entity1 -reported outcomes improved in both groups without meaningful changes to thoracic or scapular motion. Level of Evidence Therapy, level 1b-. J Orthop Sports Phys Ther, Epub 21 May 2015. doi:10.2519/jospt.2015.5647.
