Hypoalgesic effects of specific vs non-specific cervical manipulation in healthy subjects: a randomized crossover trial

Autor: Richard Eloin Liebano, Érika Patrícia Rampazo, Marco Aurélio Gabanela Schiavon, Jonathan Daniel Telles
Rok vydání: 2021
Předmět:
Zdroj: Journal of Bodywork and Movement Therapies. 28:311-316
ISSN: 1360-8592
DOI: 10.1016/j.jbmt.2021.07.044
Popis: Joint manipulation is generally used to reduce musculoskeletal pain; however, evidence has emerged challenging the effects associated with the specificity of the manipulated vertebral segment. The aim of this study was to verify immediate hypoalgesic effects between specific and non-specific cervical manipulations in healthy subjects.Twenty-one healthy subjects (18-30 years old; 11 males, 10 females) were selected to receive specific cervical manipulation at the C6-7 segment (SCM) and non-specific cervical manipulation (NSCM) in aleatory order. A 48h interval between manipulations was considered. Pressure pain threshold (PPT) was measured pre- and post-manipulation with a digital algometer on the dominant forearm.The SCM produced a significant increase in the PPT (P 0.001) however no difference was observed in the PPT after the NCSM (P = 0.476). The difference between the two manipulation techniques was 37.26 kPa (95% CI: 14.69 to 59.83, p = 0.002) in favor of the SCM group CONCLUSION: Specific cervical manipulation at the C6-7 segment appears to increase PPT on the forearm compared to non-specific cervical manipulation in healthy subjects.
Databáze: OpenAIRE