Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion After Cervical or Thoracic Thrust Manipulation in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Clinical Trial

Martínez-Segura, Raquel; de-la-Llave-Rincón, Ana I; Ortega‐Santiago, Ricardo; Cleland, Joshua A.; Fernández‐de‐las‐Peñas, César

doi:10.2519/jospt.2012.4151

Cited by 76 publications

(136 citation statements)

References 47 publications

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“…Numerous studies have shown that interventions directed to the cervical spine exert a mechanical hypoalgesic effect by increasing PPT. 20,21,31 The increase in PPT over the hamate on the affected side immediately postintervention is consistent with the results of Moss et al, 33 who showed that joint mobilization of the tibia or the femur for 9 minutes in patients with knee OA had an immediate, local hypoalgesic effect. These techniques are frequently performed and are often included as an integral part of the rehabilitation program.…”

Section: Discussionsupporting

confidence: 79%

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

Villafañe¹,

Cleland²,

Fernández‐de‐las‐Peñas³

2013

J Orthop Sports Phys Ther

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128

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Section: Discussionsupporting

confidence: 79%

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

Villafañe¹,

Cleland²,

Fernández‐de‐las‐Peñas³

2013

J Orthop Sports Phys Ther

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128

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“…In the current study, a single treatment session of TrPDN also led to statistically significant and likely clinically important increases in cervical range of motion (TA-BLE 4), with the mean differences in chang- es between groups being generally larger than those previously observed after cervical spine manipulation (ranging from 1.6° to 5.7°) 2,32 ; however, those previous studies included individuals with chronic neck pain. Changes in range of motion could be related to mechanical effects induced by TrPDN, for example, disruption of contraction knots (TrP), localized stretch of contracted cytoskeletal structures, and reduction of overlap between actin and myosin filaments.…”

Section: Discussioncontrasting

confidence: 45%

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Mejuto-Vázquez¹,

Salom‐Moreno²,

Ortega‐Santiago³

et al. 2014

J Orthop Sports Phys Ther

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136

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Mechanical neck pain has a lifetime and point pre valence almost as high as low back pain 31 and results in substantial disability and economic burden for society. 29 The authors of a recent study 16 found that the prevalence of mechanical neck pain has decreased in the last few years in Spain, potentially attributed to a better understanding and management of the condition. Physical therapy is usually the first management option for individuals with insidious-onset mechanical neck pain. T T METHODS: Seventeen patients (53% female)were randomly assigned to 1 of 2 groups: a single session of TrPDN or no intervention (waiting list). Pressure pain thresholds over the C5-6 zygapophyseal joint, second metacarpal, and tibialis anterior muscle; neck pain intensity; and cervical spine range-of-motion data were collected at baseline (pretreatment) and 10 minutes and 1 week after the intervention by an assessor blinded to the treatment allocation of the patient. Mixed-model analyses of variance were used to examine the effects of treatment on each outcome variable. T T RESULTS: Patients treated with 1 session ofTrPDN experienced greater decreases in neck pain, greater increases in pressure pain threshold, and higher increases in cervical range of motion than those who did not receive an intervention at both 10 minutes and 1 week after the intervention (P<.01 for all comparisons). Between-group effect sizes were medium to large immediately after the TrPDN session (standardized mean score differences greater than 0.56) and large at the 1-week follow-up (standardized mean score differences greater than 1.34). T T CONCLUSION:The results of the current randomized clinical trial suggest that a single session of TrPDN may decrease neck pain intensity and widespread pressure pain sensitivity, and also increase active cervical range of motion, in patients with acute mechanical neck pain. Changes in pain, pressure pain threshold, and cervical range of motion surpassed their respective minimal detectable change values, supporting clinically relevant treatment effects. Therapy, level 1b-. J Orthop Sports Phys Ther 2014;44(4):252-260. Epub T T LEVEL OF EVIDENCE:

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“…11,12,16,20,22,47 Previous trials examining the benefits of using thoracic spine thrust manipulation 11,12,16,22,30,31,57 have compared thoracic spine thrust manipulation to placebo manipulation, cervical thrust manipulation, and combinations of electrothermal modalities. To our knowledge, no previous studies have compared thoracic spine thrust manipulation to other forms of nonthrust manual therapy techniques directed at the cervical spine.…”

Section: T T Conclusion: Individuals With Neck Painmentioning

confidence: 99%

Short-Term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Nonthrust Manipulation in Individuals With Mechanical Neck Pain: A Randomized Clinical Trial

Masaracchio

Cleland²,

Hellman³

et al. 2013

J Orthop Sports Phys Ther

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Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion After Cervical or Thoracic Thrust Manipulation in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Clinical Trial

Cited by 76 publications

References 47 publications

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Short-Term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Nonthrust Manipulation in Individuals With Mechanical Neck Pain: A Randomized Clinical Trial

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