Thoracic Spine Treatment

Thoracic Spine Mobility | Top 5 Thoracic Mobility Drills & Exercises

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Thoracic mobility

Thoracic Spine Mobility | Top 5 Thoracic Mobility Drills & Exercises

Heneghan et al. in the year 2018 have shown that subjects who sit more than 7 hours a day and who are physically active for less than 150 minutes a week exhibit reduced thoracic mobility. 

A review by Joshi et al. (2019) has found that increased thoracic kyphosis was positively correlated with the presence of forward head posture. Although thoracic mobility was reduced in the neck pain population, posture was not uniformly associated with neck pain and disability.

So while posture might not have a correlation with pain, literature shows that:– It may be associated with psychological issues such as depression and chronic fatigue (Wilkes et al. 2017) and mental health is generally a negative prognostic factor for recovery in many musculoskeletal disorders.– Furthermore, an increased kyphosis limits overhead mobility (Barrett et al. 2016) and may therefore limit your patient’s ability to carry out certain sports efficiently

In the following we will show you our 5 favorite exercises to mobilize the thoracic spine:

  1. Preacher position (possibly with a stick)
  2. Bending backward over foam roller (with or without weight)
  3. Rotations on the wall
  4. Rotations on elbows
  5. Rotation in side-lying position

Optional: windmill for CTO

If you really want to change posture, it’s equally important to strengthen the thoracic spine. Check out our top 5 thoracic strengthening exercises.

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References:

Heneghan NR, Baker G, Thomas K, Falla D, Rushton A. What is the effect of prolonged sitting and physical activity on thoracic spine mobility? An observational study of young adults in a UK university setting. BMJ open. 2018 May 1;8(5):e019371.

Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC musculoskeletal disorders. 2017 Dec;18(1):1-0.

Joshi S, Balthillaya G, Neelapala YR. Thoracic posture and mobility in mechanical neck pain population: A review of the literature. Asian spine journal. 2019 Oct;13(5):849.

Wilkes C, Kydd R, Sagar M, Broadbent E. Upright posture improves affect and fatigue in people with depressive symptoms. Journal of behavior therapy and experimental psychiatry. 2017 Mar 1;54:143-9.

Barrett E, O’Keeffe M, O’Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016 Dec 1;26:38-46.

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What others say about the Online Course "Orthopedic Physiotherapy of the Spine"

  • John Avatar
    John
    09/10/21

    Orthopedic Physiotherapy of the Spine EXCELLENT COURSE HIGHLY RECOMMEND
    As a newly graduated physiotherapist i highly recommend this course just to know you are on the right track with your patients. the information presented is very clear and easy to follow as well as the great physiotherapy style videos. It makes learning actually fun , thanks guys for all your hard work. Well deserved.

    Alexander Bender Avatar
    Alexander Bender
    06/09/21

    Orthopedic Physiotherapy of the Spine During the corona crisis, I booked many online courses and webinars, but none were as entertaining and well thought out as PhysioTutors’ courses.

    All units are well summarized, meaningfully broken down and easy to understand.

    I am looking forward to the other courses.

    Many greetings from Germany.

    GHADEER Avatar
    GHADEER
    05/01/21

    Orthopedic Physiotherapy of the Spine VERY INFORMATIVE AND UPDATED
    for anyone who is lost in handling spine cases, this course is very helpful.

  • MICHAEL PROESMANS Avatar
    MICHAEL PROESMANS
    20/12/20

    Orthopedic Physiotherapy of the Spine HIGHLY METHODICAL, WITH PLENTY OF SCIENTIFIC REFERENCE
    Clear, structured and well researched course concerning most common pathologies of the spinal complex.
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    If you’re looking for a course to study in your own time, with enough depth and scientific background, then you’ve found a very good one here.
    Bang for buck, a great course.

    BENOIT Avatar
    BENOIT
    08/05/20

    Orthopedic Physiotherapy of the Spine After finishing the Orthopedic course for Lower & Upper limbs, I was looking forward to begin this Spine specific course.
    Really good overview about all spine pathologies from epidemiology to diagnosis & treatment which made me more confident to care for my future patients.
    ANOTHER GREAT COURSE !
    The courses are well detailed with lot of informations and videos.
    For me these 2 courses are must to see to learn and update knowledge for most common pathologies in Physiotherapy.

    Nicolas Cardon Avatar
    Nicolas Cardon
    27/04/20

    Orthopedic Physiotherapy of the Spine This is a very interesting course !
    We can find many informations about the main pathologies and their differential diagnosis and about objective and subjective exam. Videos are clear and well designed.

    It’s a very well course for these who wish complete their Orthopedic Manual Therapy curriculum.

    A French Physio’

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