Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/223146 |
Resumo: | Background: According to the American Physical Therapy Association, there is strong evidence to show that vertebral mobilization and manipulation procedures can be used to improve spinal and hip mobility and reduce pain and incapacity in low back pain patients that fit the clinical prediction rule. Objectives: To evaluate the immediate effects of high-velocity low-amplitude (HVLA) manipulation on pain and postural control parameters in individuals with nonspecific low back pain. Methods: This study used a participant-blinded and assessor-blinded randomized controlled clinical trial involving a single session, in which 24 participants were randomly distributed into control (simulated manipulation) and intervention (HVLA lumbar manipulation) groups. The primary (pain: subjective pain intensity and pressure pain threshold) and secondary outcomes (postural control: ellipse area, center of pressure [COP] excursion, COP RMS velocity, and differences between the COP and center of projected gravity) were evaluated before and after the session using a numerical pain scale, algometer, and a force platform. For all outcomes, multiple mixed 2 (group) × 2 (time) ANOVAs were performed. Results: For the subjective pain intensity, only time was significant as a main effect, where pre-intervention presented a greater value then post-intervention (F [1.44] = 4.377; p = 0.042; r = 0.30). For the pressure pain threshold no significant effect was found. For the postural control parameters, as a main effect, only the ellipse area was significantly greater in the control group (F [1.44] = 6.760; p = 0.013; effect size = 0.36). Conclusions: There was a reduction in subjective pain intensity, evaluated using a numerical scale, in both the intervention and control groups immediately after the intervention, suggesting that the spinal manipulation had a similar effect to the placebo procedure. No effect of HVLA lumbar manipulation was identified for postural control variables in either the intervention or control groups. |
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Loss, Jefferson FagundesSilva, Luciano de Souza daCandotti, Cláudia TarragôMiranda, Iã FerreiraGroisman, Sandro da SilvaWagner Neto, Edgar SantiagoSouza, Catiane2021-07-06T04:44:49Z20202045-709Xhttp://hdl.handle.net/10183/223146001126413Background: According to the American Physical Therapy Association, there is strong evidence to show that vertebral mobilization and manipulation procedures can be used to improve spinal and hip mobility and reduce pain and incapacity in low back pain patients that fit the clinical prediction rule. Objectives: To evaluate the immediate effects of high-velocity low-amplitude (HVLA) manipulation on pain and postural control parameters in individuals with nonspecific low back pain. Methods: This study used a participant-blinded and assessor-blinded randomized controlled clinical trial involving a single session, in which 24 participants were randomly distributed into control (simulated manipulation) and intervention (HVLA lumbar manipulation) groups. The primary (pain: subjective pain intensity and pressure pain threshold) and secondary outcomes (postural control: ellipse area, center of pressure [COP] excursion, COP RMS velocity, and differences between the COP and center of projected gravity) were evaluated before and after the session using a numerical pain scale, algometer, and a force platform. For all outcomes, multiple mixed 2 (group) × 2 (time) ANOVAs were performed. Results: For the subjective pain intensity, only time was significant as a main effect, where pre-intervention presented a greater value then post-intervention (F [1.44] = 4.377; p = 0.042; r = 0.30). For the pressure pain threshold no significant effect was found. For the postural control parameters, as a main effect, only the ellipse area was significantly greater in the control group (F [1.44] = 6.760; p = 0.013; effect size = 0.36). Conclusions: There was a reduction in subjective pain intensity, evaluated using a numerical scale, in both the intervention and control groups immediately after the intervention, suggesting that the spinal manipulation had a similar effect to the placebo procedure. No effect of HVLA lumbar manipulation was identified for postural control variables in either the intervention or control groups.application/pdfengChiropractic & Manual Therapies. Londres. Vol. 28, no. 25 (2020), p. [1-10]LombalgiaManipulação da colunaDorSensibilidadeAlgometriaNon-specific low back painHVLA lumbar manipulationPain sensitivityNumerical pain rating scaleReproducibility of Results Meta-AnalysisAlgometryPostural parametersImmediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trialEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001126413.pdf.txt001126413.pdf.txtExtracted Texttext/plain42838http://www.lume.ufrgs.br/bitstream/10183/223146/2/001126413.pdf.txtee4547c095c7dc7fbe2a875da3c770bcMD52ORIGINAL001126413.pdfTexto completo (inglês)application/pdf1071411http://www.lume.ufrgs.br/bitstream/10183/223146/1/001126413.pdfa5b5a49016020881ba1af60df90a692cMD5110183/2231462021-08-04 04:32:07.83793oai:www.lume.ufrgs.br:10183/223146Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2021-08-04T07:32:07Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
title |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
spellingShingle |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial Loss, Jefferson Fagundes Lombalgia Manipulação da coluna Dor Sensibilidade Algometria Non-specific low back pain HVLA lumbar manipulation Pain sensitivity Numerical pain rating scale Reproducibility of Results Meta-Analysis Algometry Postural parameters |
title_short |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
title_full |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
title_fullStr |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
title_full_unstemmed |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
title_sort |
Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial |
author |
Loss, Jefferson Fagundes |
author_facet |
Loss, Jefferson Fagundes Silva, Luciano de Souza da Candotti, Cláudia Tarragô Miranda, Iã Ferreira Groisman, Sandro da Silva Wagner Neto, Edgar Santiago Souza, Catiane |
author_role |
author |
author2 |
Silva, Luciano de Souza da Candotti, Cláudia Tarragô Miranda, Iã Ferreira Groisman, Sandro da Silva Wagner Neto, Edgar Santiago Souza, Catiane |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Loss, Jefferson Fagundes Silva, Luciano de Souza da Candotti, Cláudia Tarragô Miranda, Iã Ferreira Groisman, Sandro da Silva Wagner Neto, Edgar Santiago Souza, Catiane |
dc.subject.por.fl_str_mv |
Lombalgia Manipulação da coluna Dor Sensibilidade Algometria |
topic |
Lombalgia Manipulação da coluna Dor Sensibilidade Algometria Non-specific low back pain HVLA lumbar manipulation Pain sensitivity Numerical pain rating scale Reproducibility of Results Meta-Analysis Algometry Postural parameters |
dc.subject.eng.fl_str_mv |
Non-specific low back pain HVLA lumbar manipulation Pain sensitivity Numerical pain rating scale Reproducibility of Results Meta-Analysis Algometry Postural parameters |
description |
Background: According to the American Physical Therapy Association, there is strong evidence to show that vertebral mobilization and manipulation procedures can be used to improve spinal and hip mobility and reduce pain and incapacity in low back pain patients that fit the clinical prediction rule. Objectives: To evaluate the immediate effects of high-velocity low-amplitude (HVLA) manipulation on pain and postural control parameters in individuals with nonspecific low back pain. Methods: This study used a participant-blinded and assessor-blinded randomized controlled clinical trial involving a single session, in which 24 participants were randomly distributed into control (simulated manipulation) and intervention (HVLA lumbar manipulation) groups. The primary (pain: subjective pain intensity and pressure pain threshold) and secondary outcomes (postural control: ellipse area, center of pressure [COP] excursion, COP RMS velocity, and differences between the COP and center of projected gravity) were evaluated before and after the session using a numerical pain scale, algometer, and a force platform. For all outcomes, multiple mixed 2 (group) × 2 (time) ANOVAs were performed. Results: For the subjective pain intensity, only time was significant as a main effect, where pre-intervention presented a greater value then post-intervention (F [1.44] = 4.377; p = 0.042; r = 0.30). For the pressure pain threshold no significant effect was found. For the postural control parameters, as a main effect, only the ellipse area was significantly greater in the control group (F [1.44] = 6.760; p = 0.013; effect size = 0.36). Conclusions: There was a reduction in subjective pain intensity, evaluated using a numerical scale, in both the intervention and control groups immediately after the intervention, suggesting that the spinal manipulation had a similar effect to the placebo procedure. No effect of HVLA lumbar manipulation was identified for postural control variables in either the intervention or control groups. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2021-07-06T04:44:49Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/223146 |
dc.identifier.issn.pt_BR.fl_str_mv |
2045-709X |
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001126413 |
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2045-709X 001126413 |
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http://hdl.handle.net/10183/223146 |
dc.language.iso.fl_str_mv |
eng |
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dc.relation.ispartof.pt_BR.fl_str_mv |
Chiropractic & Manual Therapies. Londres. Vol. 28, no. 25 (2020), p. [1-10] |
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