{"id":1363,"date":"2025-08-02T17:09:02","date_gmt":"2025-08-02T17:09:02","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1363"},"modified":"2025-08-02T17:09:02","modified_gmt":"2025-08-02T17:09:02","slug":"ijpr-2025-136","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-136\/","title":{"rendered":"IJPR.2025.136"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.13.2\/IJPR.2025.136.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol13_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 13; Issue 2 (August 2025)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 4877-4883<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2025.136<\/h3>\n<h3 style=\"text-align: justify;\">Effectiveness of Upper Thoracic Thrust Manipulation Along with Ergonomic Advice to Reduce Neck Pain and Improve Muscular Strength in School Teachers: A Quasi-Experimental Study<\/h3>\n<p><strong>Vidhi Soni <sup>1<\/sup>, Sakshi Thakrar <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1 <\/sup>MPT Student, Nootan College of Physiotherapy, Sankalchand Patel University, Visnagar, Gujarat-384315<\/p>\n<p style=\"text-align: justify;\"><sup>*2 <\/sup>Associate Professor, Nootan College of Physiotherapy, Sankalchand Patel University, Visnagar, Gujarat-384315<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr. Sakshi Thakrar, Associate Professor, Nootan College of Physiotherapy, Sankalchand Patel University, Visnagar, Gujarat-384315, India. E-Mail: sakshi.kushi@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background<\/strong>: School teachers demonstrate a relatively high prevalence of musculoskeletal disorders, ranging from 40% to 95%. They are particularly at risk of experiencing neck pain due to the nature of their daily tasks. Ergonomics varies by individual based on their needs and physical traits. It includes techniques, body positioning, and tool adjustability to reduce strain. Work ergonomics focuses on the interaction between humans, tasks, tools, and the work environment, ensuring these elements adapt to human physical and mental characteristics. Cervical-thoracic and upper thoracic mobility restrictions have been associated with neck pain. Thrust joint manipulation techniques involve the application of high-velocity low-amplitude forces directed to spinal joints.<\/p>\n<p style=\"text-align: justify;\"><strong>Objectives: <\/strong>The aim of this study is to analyze the Effectiveness of Upper Thoracic Thrust Manipulation and Ergonomic advice in reducing pain and improving muscular strength in teachers with neck pain. <strong>Study design: <\/strong>A quasi-experimental study.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods: <\/strong>In a 4-week study, 30 teachers were studied, divided into two groups using convenient sampling. Group A (UTTM, Ergonomics, Conventional Exercise program) and\u00a0 Group B (Conventional Exercise Program). Pre and post-data were collected and analyzed by SPSS 29. Paired and unpaired t-tests were used to determine the significance of the treatment.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>Significant difference was found in the NDI score, MMT score, and RULA score in both groups, but Group A showed greater improvement in the outcomes.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> The study concluded that a UTTM and Ergonomic advice, along with a conventional program, are effective in reducing neck pain and improving muscular strength in school teachers.<\/p>\n<p><strong>Keywords<\/strong>: School teachers, Neck pain, Thrust, Ergonomics, Muscular strength.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. C\u00f4t\u00e9 P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. Spine.1998 Aug;23(15):1689-98.<br \/>https:\/\/doi.org\/10.1097\/00007632-199808010-00015<br \/>PMid:9704377<br \/>[2]. Gasparini SM, Barreto SM, Assun\u00e7\u00e3o A\u00c1. O professor, as Condi\u00e7\u00f5es de trabalho e os efeitos sobre sua sa\u00fade. Educa\u00e7\u00e3o e Pesquisa. 2005 Aug;31(2):189-99.<br \/>https:\/\/doi.org\/10.1590\/S1517-97022005000200003<br \/>[3]. Reis EJ, Ara\u00fajo TM, Carvalho FM, Barbalho L, Silva MO. Doc\u00eancia e Exaust\u00e3o Emocional. Educa\u00e7\u00e3o &amp;amp; Sociedade. 2006 Apr;27(94):229-53.<br \/>https:\/\/doi.org\/10.1590\/S0101-73302006000100011<br \/>[4]. Cardoso JP, Ribeiro I de, Ara\u00fajo TM, Carvalho FM, Reis EJ. Preval\u00eancia de Dor Musculoesquel\u00e9tica em professores. Revista Brasileira de Epidemiologia. 2009 Dec;12(4):604-14.<br \/>https:\/\/doi.org\/10.1590\/S1415-790X2009000400010<br \/>[5]. Murugan S, Saravanan P, Avaiya D, Bawa I, Shah C, Vaghasiya E. Prevalence and risk factors for musculoskeletal pain and coping strategies in school teachers. Journal of Ecophysiology and Occupational Health. 2021 Jun 17;21(2):77.<br \/>https:\/\/doi.org\/10.18311\/jeoh\/0\/27604<br \/>[6]. Erick P, Smith D. Musculoskeletal disorder risk factors in the teaching profession: a critical review. OA Musculoskelet Med. 2013;1:29.<br \/>https:\/\/doi.org\/10.13172\/2052-9287-1-3-939<br \/>[7]. Erick PN, Smith DR. A systematic review of Musculoskeletal Disorders Among School Teachers. BMC Musculoskeletal Disorders. 2011 Nov 17;12(1).<br \/>https:\/\/doi.org\/10.1186\/1471-2474-12-260<br \/>PMid:22087739 PMCid:PMC3250950<br \/>[8]. Chong EY, Chan AH: Subjective health complaints of teachers from primary and secondary schools in Hong Kong. Int J Occup Saf Ergon 2010;16(1):23-39.<br \/>https:\/\/doi.org\/10.1080\/10803548.2010.11076825<br \/>PMid:20331916<br \/>[9]. Iqbal ZA, Rajan R, Khan SA, Alghadir AH. Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with Neck Pain. Journal of Physical Therapy Science. 2013;25(6):657-61.<br \/>https:\/\/doi.org\/10.1589\/jpts.25.657<br \/>PMid:24259822 PMCid:PMC3805007<br \/>[10]. Darwish MA, Al-Zuhair SZ. Musculoskeletal pain disorders among secondary school Saudi female teachers. Pain Research and Treatment. 2013 Jul 22;2013:1-7.<br \/>https:\/\/doi.org\/10.1155\/2013\/878570<br \/>PMid:23970968 PMCid:PMC3736412<br \/>[11]. Ariens GA. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? results of a prospective cohort study. Occupational and Environmental Medicine. 2001 Mar 1;58(3):200-7.<br \/>https:\/\/doi.org\/10.1136\/oem.58.3.200<br \/>PMid:11171934 PMCid:PMC1740110<br \/>[12]. Sarfaraz M, Kashmala K, Imran Farooqui S, Anees S. Awareness of Ergonomics among the physiotherapy and medical students. Pakistan Journal of Rehabilitation. 2013 Jan 5;2(1):21-5.<br \/>https:\/\/doi.org\/10.36283\/pjr.zu.2.1\/005<br \/>[13]. Legg S. Ergonomics in schools. Ergonomics. 2007 Oct;50(10):1523-9.<br \/>https:\/\/doi.org\/10.1080\/00140130701584878<br \/>PMid:17917894<br \/>[14]. Kisner C, Borstad J, Colby LA. Therapeutic exercise: Foundations and techniques. Philadelphia, PA: F.A. Davis; 2023.<br \/>[15]. American Physical Therapy Association. Guide to Physical Therapist Practice, ed 2, Phys Ther 2001;81:9-746.<br \/>[16]. Nordgren SN. Clinical symptoms related to musculoskeletal neck-shoulder pain and mobility in the Cervico-thoracic spine. Scandinavian Journal of Rehabilitation Medicine. 1998 Oct 29;30(4):243-1.<br \/>https:\/\/doi.org\/10.1080\/003655098443995<br \/>PMid:9825389<br \/>[17]. Norlander S, Aste-Norlander U, Nordgren B, Sahlstedt B. A clinical method for measuring segmental flexion mobility in the cervico-thoracic spine and a model for classification. Journal of Rehabilitation Medicine. 2020 May 7;27(2):89-98.<br \/>https:\/\/doi.org\/10.2340\/1650197795278998<br \/>[18]. Dunning JR, Cleland JA, Waldrop MA, Arnot CF, Young IA, Turner M, Sigurdsson G.Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Ortho Sports Phys Ther. 2012 Jan;42(1):5-18.<br \/>https:\/\/doi.org\/10.2519\/jospt.2012.3894<br \/>PMid:21979312<br \/>[19]. WHO guidelines &#8211; contraindications to smt [Internet]. [cited 2024 Mar 29]. Available from: https:\/\/wikichiro.org\/en\/index.php\/WHO_Guidelines_ Contraindications_to_SMT#cite_note-22_Haldeman-4<br \/>[20]. Sellschop IV, Myezwa H, Mudzi W, Musenge E. Ergonomic behaviour of learners in a digitally driven school environment: Modification using an ergonomic intervention programme. S Afr J Physiother. 2018 Apr 11;74(1):348.<br \/>https:\/\/doi.org\/10.4102\/sajp.v74i1.348<br \/>PMid:30135912 PMCid:PMC6093115<br \/>[21]. Lau HM, Wing Chiu TT, Lam TH. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain &#8211; a randomized controlled trial. Man Ther.2011;16:141-147.<br \/>https:\/\/doi.org\/10.1016\/j.math.2010.08.003<br \/>PMid:20813577<br \/>[22]. Binder, A. I. Cervical spondylosis and neck pain. BMJ, 2007;334(7592):527-531.<br \/>https:\/\/doi.org\/10.1136\/bmj.39127.608299.80<br \/>PMid:17347239 PMCid:PMC1819511<br \/>[23]. H. M. C. Lau, T. T. Wing Chiu, and T. H. Lam. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain-a randomized controlled trial,&#8221; Manual Therapy, 2011;16(2):141-147.<br \/>https:\/\/doi.org\/10.1016\/j.math.2010.08.003<br \/>PMid:20813577<br \/>[24]. Cheng HK, Wong M, Yu Y, Ju Y. work-related musculoskeletal disorders and ergonomic risk factors in special education teachers and teacher &#8216; s aides. BMC Public health. 2016;16(137):1-9. Available from:https:\/\/doi.org\/10. 1186\/s12889-016-2777-7.<br \/>https:\/\/doi.org\/10.1186\/s12889-016-2777-7<br \/>PMid:26864071 PMCid:PMC4750223<br \/>[25]. Korkmaz NC, Cavlak U, Telci EA. Musculoskeletal pain , associated risk factors and coping strategies in school teachers. Sci Res Essays. 2011;6(3):649-57.<br \/>[26]. Kraemer K, Moreira MF, Guimar\u00e3es B. Musculoskeletal pain and ergonomic risks in teachers of a federal institution. Rev Bras Med Trab. 2021 Feb 11;18(3):343-351. https:\/\/doi.org\/10.47626\/1679-4435-2020-608<br \/>PMid:33597985 PMCid:PMC7879465<br \/>[27]. Williams, I. M., Cook, T., &amp; Zigler, T. Computer Ergonomics for Teachers and Students. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 2000;44(9):2-91-2-93.<br \/>https:\/\/doi.org\/10.1177\/154193120004400906<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Vidhi Soni, Sakshi Thakrar. Effectiveness of Upper Thoracic Thrust Manipulation Along with Ergonomic Advice to Reduce Neck Pain and Improve Muscular Strength in School Teachers: A Quasi-Experimental Study. Int J Physiother Res 2025;13(2):4877-4883. DOI: 10.16965\/ijpr.2025.136 \n             <\/div>\t\n\t\t\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 13; Issue 2 (August 2025) Page No.: 4877-4883 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2025.136 Effectiveness of Upper Thoracic Thrust Manipulation Along with Ergonomic Advice to Reduce Neck Pain and Improve Muscular Strength in School Teachers: A Quasi-Experimental Study Vidhi Soni 1, Sakshi Thakrar 2. 1 MPT Student, Nootan College of Physiotherapy, Sankalchand Patel University,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-136\/\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1363","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=1363"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1363\/revisions"}],"predecessor-version":[{"id":1366,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1363\/revisions\/1366"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=1363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}