Abstract：
BACKGROUND:Recent research has shown that Mulligan's Mobilization With Movement treatment technique for the elbow (MWM), a peripheral joint mobilization technique, produces a substantial and immediate pain relief in chronic lateral epicondylalgia (48% increase in pain-free grip strength).([1]) This hypoalgesic effect is far greater than that previously reported with spinal manual therapy treatments, prompting speculation that peripheral manual therapy treatments may differ in mechanism of action to spinal manual therapy techniques. Naloxone antagonism and tolerance studies, which employ widely accepted tests for the identification of endogenous opioid-mediated pain control mechanisms, have shown that spinal manual therapy-induced hypoalgesia does not involve an opioid mechanism. OBJECTIVE:The aim of this study was to evaluate the effect of naloxone administration on the hypoalgesic effect of MWM. METHODS:A randomized, controlled trial evaluated the effect of administering naloxone, saline, or no-substance control injection on the MWM-induced hypoalgesia in 18 participants with lateral epicondylalgia. Pain-free grip strength, pressure pain threshold, thermal pain threshold, and upper limb neural tissue provocation test 2b were the outcome measures. RESULTS:The results demonstrated that the initial hypoalgesic effect of the MWM was not antagonized by naloxone, suggesting a nonopioid mechanism of action. CONCLUSIONS:The studied peripheral mobilization treatment technique appears to have a similar effect profile to previously studied spinal manual therapy techniques, suggesting a nonopioid-mediated hypoalgesia following manual therapy.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Paungmali A,O'Leary S,Souvlis T,Vicenzino Bdoi
10.1016/j.jmpt.2003.12.022subject
Has Abstractpub_date
2004-03-01 00:00:00pages
180-5issue
3eissn
0161-4754issn
1532-6586pii
S0161475403002446journal_volume
27pub_type
临床试验,杂志文章,随机对照试验abstract：:This article presents a critique of the concept of marginal role as applied to chiropractors by examining the area of structural role theory from which the concept has been drawn. It suggests that the concept role was itself a reified concept and that its "metaphorical extension" to cover chiropractors constitutes a d...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to test validity of photogrammetry compared with radiography as a method of measuring the Cobb angle and the size of anterior-posterior spine curvatures in adults. METHODS:The study included 50 volunteers, 23 men and 27 women whose mean age was 52.6 years. The average weight of ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2015.01.001
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:This study was undertaken to determine the prevalence and types of work-related injuries among a nationwide sample of chiropractors and to identify factors associated with these injuries. METHODS:Using a survey, 1000 randomly selected doctors of chiropractic in the United States were asked to record their 3 mo...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2006.06.023
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:Transfer capability represents the changes in performance in one task that result from practice or experience in other related tasks. Increased transfer capability has been associated with expertise in several motor tasks. The purpose of this study was to investigate if expertise in spinal manipulation therap...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2015.02.001
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To investigate patient response to multiple impulse therapy provided by the PulStarFRAS (Sense Technology, Inc, Murrysville, Pa) for a variety of musculoskeletal symptoms encountered in clinical practice. METHODS:A retrospective analysis of patient files was used to determine symptomatic improvement over the...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2005.11.007
更新日期：2006-01-01 00:00:00
abstract：:There is evidence in the literature that tension-type and migraine headaches do not exist as discrete pathophysiologic entities but form a continuum. The mechanisms for tension and migraine headaches are discussed and the evidence for this continuum, both basic scientific and clinical, is reviewed. A model for chronic...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1994-03-01 00:00:00
abstract：BACKGROUND:Most of the studies of physical examinations of the cervical spine have shown poor reliability. PURPOSE:To assess the interexaminer reliability in physical examinations of the cervical spine. SUBJECTS:Forty-eight subjects, age range 18 to 63 years. METHODS:Two physiotherapists independently evaluated a nu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70002-3
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abstract：OBJECTIVES:The purpose of this study is to review the recent literature on the association between obesity and low back pain, in an effort to determine whether weight control can be considered an appropriate treatment for low back pain, and whether obesity can be considered a primary etiology of low back pain. DATA SO...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction. METHODS:Sixty ambulatory women between the ages of 18 and 40 years with cervical facet jo...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
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更新日期：2011-03-01 00:00:00
abstract：:This time-series case study was designed to determine whether manipulating the spine can be an effective method of relief from dysmenorrhea. A patient suffering from dysmenorrhea monitored her monthly menstrual cramps by using pain diaries. She rated her pain levels during 4 months of a baseline phase and 3 months of ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:A reliability study was conducted to determine whether palpatory findings on the cervical spine, obtained under normal chiropractic clinical conditions were reproducible. Forty normal freshman chiropractic students underwent static and motion palpation of their cervical spines by three different chiropractors. Intra- ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1985-03-01 00:00:00
abstract：OBJECTIVE:This study compared the effects of high-force versus low-force lumbar traction in the treatment of acute lumbar sciatica secondary to disc herniation. METHODS:A randomized double blind trial was performed, and 17 subjects with acute lumbar sciatica secondary to disc herniation were assigned to high-force tra...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmpt.2016.09.006
更新日期：2016-01-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmpt.2015.06.013
更新日期：2015-07-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1987-10-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2006.04.003
更新日期：2006-06-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.120415
更新日期：2002-01-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2010.12.009
更新日期：2011-02-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1985-06-01 00:00:00
abstract：OBJECTIVE:To establish the interobserver reliability for measuring neck mobility in human subjects by means of an electromagnetic tracking device, the Flock-of-Birds system. METHODS:Two observers independently and in random order assessed the cervical range-of-motion in 30 subjects with a dysfunction in the neck and s...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
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更新日期：2005-07-01 00:00:00
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pub_type： 杂志文章
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
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journal_title：Journal of manipulative and physiological therapeutics
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doi：10.1016/j.jmpt.2013.08.002
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
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更新日期：1998-11-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
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更新日期：1985-03-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2004.12.011
更新日期：2005-01-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/s0161-4754(99)70050-3
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journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2016.02.001
更新日期：2016-03-01 00:00:00
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journal_title：Journal of manipulative and physiological therapeutics
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更新日期：2013-03-01 00:00:00
