A single thoracic spine manipulation can alter neck pain in subjects presenting with mechanical neck pain.

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  1. One study of case series demonstrated a clinically significant reduction in pain at rest in subjects with mechanical neck pain immediately and 48 hours following a thoracic manipulation.
  2. The same study demonstrated increases in all tested ranges of motion but none of them reached statistical significance post-treatment point and end range pain for all tested ranges, with the exception of pain at the end of forward flexion at 48 hours.
  3. More than one mechanism likely explains the effects of thoracic spinal manipulation. Future studies will tell whether thoracic manipulation is an important addition to protocols of all mechanical neck pain disorders.

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