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

Background: 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. Objectives: 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. Study design: A quasi-experimental study. Methods: In a 4-week study, 30 teachers were studied, divided into two groups using convenient sampling. Group A (UTTM, Ergonomics, Conventional Exercise program) and Group B (Conventional Exercise Program). Pre and post-data were collected and analyzed by SPSS 29. Paired and unpaired t-tests were used to find out the significance of the treatment. Results: 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. Conclusion: 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.