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The aim of this study is to investigate the effect of one session thoracic manipulation on pressure pain threshold and rhomboid muscle strength in healthy individuals with latent trigger point.
Within the scope of the study, all individuals studying at Sarayköy Vocational School and volunteering to participate in the study will be screened.Immediately after determining the latent trigger points in the rhomboid muscles, the participants will be randomized by computer method and divided into 2 groups. Participants who underwent thrust thoracic manipulation will form the study group, and participants who received sham thrust thoracic manipulation will form the control group.Pressure pain threshold will be evaluated with an algometer and rhomboid muscle strength will be evaluated with a hand dynamometer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thrust manipulation Group | Experimental | Participants undergoing thrust manipulation |
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| Sham thrust manipulation group | Sham Comparator | Participants undergoing sham thrust manipulation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thrust manipulation | Other | Participants will be positioned prone and the clinician will perform a high-speed, low-amplitude thrust into the most symptomatic segment of the thoracic spine. TM type, thrust direction, and number of thrusts will be at the clinician's discretion and will be based on the individualized assessment of the patient. |
| Measure | Description | Time Frame |
|---|---|---|
| pressure pain threshold | assessed with algometer | up to 3 months |
| rhomboid muscle strength | assessed with hand held dynamometer | up to 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Åžule ÅžimÅŸek, Phd | Phd faculty member | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Şule Şimşek | Denizli | Sarayköy | 09200 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28505955 | Background | Hanney WJ, Puentedura EJ, Kolber MJ, Liu X, Pabian PS, Cheatham SW. The immediate effects of manual stretching and cervicothoracic junction manipulation on cervical range of motion and upper trapezius pressure pain thresholds. J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1005-1013. doi: 10.3233/BMR-169573. | |
| Background | The effect of lower cervical and upper thoracic spinal manipulative therapy on pressure algometer readings of rhomboid and infraspinatus muscles by influencing the fascial tension of the spiral line: Doctoral dissertation, Johannesburg: University of Johannesburg, 2015. |
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randomised sham controlled study involving 2 parallel groups
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All these evaluations will be carried out by a blind evaluator who does not know which group the participants belong to.
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| Sham thrust manipulation | Other | The same protocol will be applied as the push thoracic manipulation application, but no push will be applied. |
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