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This study evaluates the hypoalgesic effect of global and specific cervical joint manipulation in healthy individuals. At first the participants received one of the interventions and after 48 hours, the other.
Cervical Joint Manipulation (CJM) are often used for pain treatment.
Joint manipulation generates a series of stimuli within the central nervous system through the activation of proprioceptors located in the joint capsule or muscles, stimulates the PAG, causing pain inhibition by activation of non-opioid descending inhibitory pathways.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Global manipulation | Active Comparator | Manual therapy performed in the cervical region in a non-specific way. |
|
| Especific manipulation | Experimental | manual therapy performed specifically on the C6-7 segment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Global manipulation | Device | The therapist positioned himself at the head of the stretcher and with one hand supported the side of the participant's face. With the other hand supported the opposite face of the same and then performed contralateral rotation of the cervical and a slight traction to the tissue barrier to perform the manipulation impulse of high speed and short amplitude in rotation. The procedure was carried out bilaterally. |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold at the posterior region of the forearm | The subjects were placed supine on a stretcher with their elbows fully extended and the anterior portion of the forearm resting on the stretcher. Subjects were instructed to keep their eyes closed during attempts. The examiner used a Somedic Type II digital pressure algometer (Somedic Inc, Hörby, Sweden) on the posterior region of the forearm 10cm below the lateral epicondyle of the elbow towards the third finger, keeping the forearm in pronation. The pressure was then applied perpendicular to the skin at a rate of 40kPa / s using a 1cm2 flat circular probe covered with 1mm of rubber to prevent any skin pain caused by sharp metal edges. | 1 minute after the end of the intervention. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Richard E Liebano, Dr. | Universidade Federal de São Carlos - UFScar | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ufscar - Universidade Federal de São Carlos | São Carlos | São Paulo | 13565-905 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25609853 | Background | Achalandabaso A, Plaza-Manzano G, Lomas-Vega R, Martinez-Amat A, Camacho MV, Gasso M, Hita-Contreras F, Molina F. Tissue damage markers after a spinal manipulation in healthy subjects: a preliminary report of a randomized controlled trial. Dis Markers. 2014;2014:815379. doi: 10.1155/2014/815379. Epub 2014 Dec 25. | |
| 2411923 | Background |
| Label | URL |
|---|---|
| La Société Française de Médecine Manuelle | View source |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Participants received two interventions randomly at two times: global manipulation (GM) and specific manipulation (MS)
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Examiner 1 will receive the blinding outcome will be asked: "Which intervention does the patienth as received: global manipulation or especific manipulation" Their responses to these questions will be recorded and used to measure the adequacy of participants and examiners.
|
| Especific manipulation | Device | The therapist positioned himself at the head of the stretcher and with one hand kept the middle phalange of the second finger laterally on the articular processes of the C6-7 vertebrae. With the contralateral hand he supported the opposing face of the participant by performing a tilt up to the C6-7 segment and contralateral rotation up to the tissue barrier to carry out the impulse quickly and short. The procedure was carried out bilaterally. |
|
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