4. Discussion
thoracic spinal pain, pain, Pain, thoracic back pain
This is the first trial evaluating the effect of adding spinal manipulation to thoracic exercise for the treatment of thoracic back pain. The purpose of this study was to gather evidence for the effects of thoracic spinal manipulation on pain and health-related quality of life in subjects with thoracic spinal pain. By analyzing the results, it was shown that there was a significant change within the difference between groups with a reduction in pain and an improvement in quality of life.The results of the present study show that there is a significant difference between groups in the reduction of pain. A group that was given thoracic spine manipulation showed improvement at the end of the 8th session on the VAS scale (Pain is regarded as psychophysiological phenomenon, as it has psychological and physical components. In the present study, this was measured by SF 36 in terms of quality of life of subjects. Results showed significant improvement in spinal manipulation group as compared to exercise group. The improvement in this spinal manipulation group may be due to an effective decrease in pain after only 1 session. The results also persisted for longer duration as measured after 12 weeks, when treatment was discontinued.This is also evident in other spinal areas that manipulation reduces pain and improves function [In treating a patient, holistic- and patient-centered approach is required and acknowledging the fact that psychological, environmental, nutritional, and emotional factors may have an impact on physical and social aspects of individuals [