The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia.

Abstract:

:Manipulative therapy is frequently used in the management of musculoskeletal pain. A frequently reported clinical feature of this treatment is the immediacy with which it appears to initiate improvement in pain and function. A randomised, double blind, placebo controlled, repeated measures design was employed to study the initial effects of a cervical spine treatment technique in a group of 15 patients with lateral epicondylalgia. Pressure pain threshold, pain-free grip strength, upper limb neurodynamics, pain and function were assessed prior to and following application of either a treatment, placebo or control condition. All subjects received all three conditions. Differences between the pre-post measures were used as indicators of change in subject's symptom profiles. The treatment condition produced significant improvement in pressure pain threshold, pain-free grip strength, neurodynamics and pain scores relative to placebo and control conditions (P < 0.05). In summary, this study demonstrates that manipulative therapy is capable of eliciting a rapid hypoalgesic effect.

journal_name

Pain

journal_title

Pain

authors

Vicenzino B,Collins D,Wright A

doi

10.1016/S0304-3959(96)03221-6

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

69-74

issue

1

eissn

0304-3959

issn

1872-6623

pii

00006396-199611000-00009

journal_volume

68

pub_type

临床试验,杂志文章,随机对照试验

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