Spinal Manipulation Therapy (SMT) is a technique that treats back pain, neck pain and other musculoskeletal conditions via the application of force to the spinal joints, with the idea being that such treatment of dysfunctional areas in the spine can restore the spine’s structural integrity, reduce pain and initiate the body’s natural healing processes.
It is a intervention Physiotherapists have been employing since the beginning of physical therapy practice. However, physiotherapists providing spinal manipulations have come under the scrutiny of other professions even though manipulation is not exclusive to any one domain or profession. The APTA has created a page that delineates the difference between physical therapy manipulation and chiropractic manipulation. They have also published a manipulation education manual.
Thoracic SpineThoracic
The thoracic region encompasses the verterbrae T1-T12, and is located in the middle region or thorax of the body. Unlike other areas of the spine, each of the vertebrae present has a rib attached to it, resulting in the the thoracic cage being attached to the Thoracic region of the spine. There is minimal evidence surrounding the use of thoracic manipulations for the relief of thoracic pain, but there is evidence for use in relief of neck pain and increasing respiratory function.
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