The efficacy of a preparatory phase of a touch-based approach in treating chronic low back pain: a randomized controlled trial

Zangrando, Federico; Piccinini, Giulia; Tagliolini, Clara; Marsilli, Gabriella; Iosa, Marco; Vulpiani, Maria Chiara; Paolucci, Teresa

doi:10.2147/jpr.s129313

Cited by 15 publications

(11 citation statements)

References 44 publications

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“…Assim terapêuticas que visem aumentar a o desvio padrão da frequência cardíaca poderão ter efeitos benéficos na função sexual a par de um bem-estar geral. Tais terapias poderão incluir biofeedback da VFC (Francis, Fisher, Rushby, & McDonald, 2016;van der Zwan, de Vente, Huizink, Bogels, & de Bruin, 2015), treino autogénico (Mitani, Fujita, Sakamoto, & Shirakawa, 2006;Stanton & Meston, 2017), mindfulness (Azam et al, 2015;van der Zwan et al, 2015), exercício físico (Beuchaine, 2001;Thayer & Lane, 2007;van der Zwan et al, 2015), massagem terapêutica (Zangrando et al, 2017) e exercícios de respiração lenta (Mejía-Mejía, Torres, & Restrepo, 2017;Van Diest et al, 2014). Pelo menos o treino autogénico já demonstrou ser eficaz a aumentar a excitação sexual feminina, aumento este mediado por aumento da VFC em repouso (Stanton & Meston, 2017).…”

Section: Discussionunclassified

Frequência sexual e variabilidade da frequência cardíaca numa amostra não-clínica: Resultados preliminares

Gomes¹,

Costa²,

Mangia³

et al. 2019

Análise Psicológica

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Maior frequência coital tem-se associado a maior desvio padrão da frequência cardíaca, um parâmetro da variabilidade da frequência cardíaca (VFC) que pode expressar maior actividade simpática e parassimpática. No presente estudo examinaram-se associações de diversos parâmetros da VFC com a satisfação sexual e a frequência de vários comportamentos sexuais. Sessenta homens e 85 mulheres relataram a sua satisfação sexual com a respectiva subescala da LiSat (Life Satisfaction) scale e qual a frequência em dias no mês precedente de coito vaginal, sexo não coital e masturbação. Os parâmetros da VFC foram calculados a partir de cinco minutos de ECG em repouso (desvio padrão da frequência cardíaca, desvio padrão dos intervalos entre batidas cardíacas, potência de alta frequência, potência de baixa frequência e razão entre baixa e alta frequência). A frequência coital associou-se a maior desvio padrão da frequência cardíaca na amostra feminina, mas não na masculina. A frequência coital não se correlacionou com nenhum outro parâmetro da VFC. A satisfação sexual não se correlacionou com nenhum parâmetro da VFC. A frequência coital poderá ser facilitada por maior actividade parassimpática a par duma moderadamente elevada actividade simpática cardíaca.

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Section: Discussionunclassified

Frequência sexual e variabilidade da frequência cardíaca numa amostra não-clínica: Resultados preliminares

Gomes¹,

Costa²,

Mangia³

et al. 2019

Análise Psicológica

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“…The STAI-YB or Trait questionnaire evaluates general states of calmness, confidence, and security. A total score of the YA and YB questionnaires gives a rate of anxiety that can be classified as very low (0-35), low (36)(37)(38)(39)(40)(41)(42)(43)(44)(45) moderate (46)(47)(48)(49)(50)(51)(52)(53)(54)(55), high (56-65), and severe (>65) for each questionnaire (30,31). Finally, the level of comfort during SMT was assessed following the intervention, using a 100-mm scale, a higher score indicating a very comfortable procedure and a lower score a very uncomfortable one.…”

Section: Candidate Prognostic Factorsmentioning

confidence: 99%

“…Therapeutic touch has been identified as a modulator of MSD clinical outcomes or even as a placebo, with a positive influence on pain, and is classified as a powerful non-verbal communication tool for therapists (45). Comfort touch has been described in nursing and physiotherapy as a useful strategy to relieve musculoskeletal pain (46)(47)(48).…”

Section: Comfort Of Smtmentioning

confidence: 99%

Factors Associated With Clinical Responses to Spinal Manipulation in Patients With Non-specific Thoracic Back Pain: A Prospective Cohort Study

et al. 2022

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Introduction: The management of musculoskeletal disorders is complex and requires a multidisciplinary approach. Manual therapies, such as spinal manipulative therapy (SMT), are often recommended as an adjunct treatment and appear to have demonstrable effects on pain and short-term disability in several spinal conditions. However, no definitive mechanism that can explain these effects has been identified. Identifying relevant prognostic factors is therefore recommended for people with back pain.Objective: The main purpose of this study was to identify short-term candidate prognostic factors for clinically significant responses in pain, disability and global perceived change (GPC) following a spinal manipulation treatment in patients with non-specific thoracic back pain.Methods: Patients seeking care for thoracic spine pain were invited to participate in the study. Pain levels were recorded at baseline, post-intervention, and 1 week after a single session of SMT. Disability levels were collected at baseline and at 1-week follow-up. GPC was collected post-intervention and at 1-week follow-up. Biomechanical parameters of SMT, expectations for improvement in pain and disability, kinesiophobia, anxiety levels as well as perceived comfort of spinal manipulative therapy were assessed.Analysis: Differences in baseline characteristics were compared between patients categorized as responders or non-responders based on their pain level, disability level, and GPC at each measurement time point. Binary logistic regression was calculated if the statistical significance level of group comparisons (responder vs. non-responders) was equal to, or <0.2 for candidate prognostic factors.Results: 107 patients (62 females and 45 males) were recruited. Mean peak force averaged 450.8 N with a mean thrust duration of 134.9 ms. Post-intervention, comfort was associated with pain responder status (p < 0.05) and GPC responder status (p < 0.05), while expectation of disability improvement was associated with GPC responder status (p < 0.05). At follow-up, comfort and expectation of pain improvement were associated with responder GPC status (p < 0.05). No association was found between responder pain, disability or GPC status and biomechanical parameters of SMT at any time point.Discussion: No specific dosage of SMT was associated with short-term clinical responses to treatment. However, expectations of improvement and patient comfort during SMT were associated with a positive response to treatment.

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“…Non-verbal communication has powerful effects as well. For example, the use of therapeutic touch can positively influence patient’s pain [ 105 , 123 , 124 , 131 , 147 , 148 ].…”

Section: Clinical Relevance Of the Contextual Factorsmentioning

confidence: 99%

Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain

Rossettini

Carlino

Testa

2018

BMC Musculoskelet Disord

193

172

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Placebo and nocebo effects are embodied psycho-neurobiological responses capable of modulating pain and producing changes at different neurobiological, body at perceptual and cognitive levels. These modifications are triggered by different contextual factors (CFs) presented in the therapeutic encounter between patient and healthcare providers, such as healing rituals and signs. The CFs directly impact on the quality of the therapeutic outcome: a positive context, that is a context characterized by the presence of positive CFs, can reduce pain by producing placebo effects, while a negative context, characterized by the presence of negative CFs, can aggravate pain by creating nocebo effects. Despite the increasing interest about this topic; the detailed study of CFs as triggers of placebo and nocebo effects is still lacked in the management of musculoskeletal pain.Increasing evidence suggest a relevant role of CFs in musculoskeletal pain management. CFs are a complex sets of internal, external or relational elements encompassing: patient’s expectation, history, baseline characteristics; clinician’s behavior, belief, verbal suggestions and therapeutic touch; positive therapeutic encounter, patient-centered approach and social learning; overt therapy, posology of intervention, modality of treatment administration; marketing features of treatment and health care setting. Different explanatory models such as classical conditioning and expectancy can explain how CFs trigger placebo and nocebo effects. CFs act through specific neural networks and neurotransmitters that were described as mediators of placebo and nocebo effects.Available findings suggest a relevant clinical role and impact of CFs. They should be integrated in the clinical reasoning to increase the number of treatment solutions, boosts their efficacy and improve the quality of the decision-making. From a clinical perspective, the mindful manipulation of CFs represents a useful opportunity to enrich a well-established therapy in therapeutic setting within the ethical border. From a translational perspective, there is a strong need of research studies on CFs close to routine and real-world clinical practice in order to underline the uncertainty of therapy action and help clinicians to implement knowledge in daily practice.

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The efficacy of a preparatory phase of a touch-based approach in treating chronic low back pain: a randomized controlled trial

Cited by 15 publications

References 44 publications

Frequência sexual e variabilidade da frequência cardíaca numa amostra não-clínica: Resultados preliminares

Frequência sexual e variabilidade da frequência cardíaca numa amostra não-clínica: Resultados preliminares

Factors Associated With Clinical Responses to Spinal Manipulation in Patients With Non-specific Thoracic Back Pain: A Prospective Cohort Study

Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain

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