The knowledge of 3-dimensional spine coupling characteristics is important for treating patients with spinal pain. The purpose of this study was to examine the coupling directional pattern of the thoracic spine by systematic review. This review could help determine the use of coupling knowledge for manual therapy treatment.
Clinical Musculoskeletal Research Lab, Center for Rehabilitation Research, Texas Tech University Health Sciences Center, Lubbock, Tex 79430, USA. phil.sizer@ttuhsc.edu