The initial effects of knee joint mobilization on osteoarthritic hyperalgesia

Moss, Penny; Sluka, Kathleen A.; Wright, Anthony

doi:10.1016/j.math.2006.02.009

Cited by 221 publications

(173 citation statements)

References 25 publications

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“…(20) Pain reduction promoted by joint mobilization may be involved with mechanisms plants, which activate the inhibitory pathways of the spinal cord or brain stem descending inhibitory. (21) In a study, from the 140 volunteers with non-specific LBP who received lumbar mobilization techniques (PA, Unilateral posteroanterior or Transverse pressure) was possible to observe significant improvement in reducing the immediate pain by VAS when applied in the low lumbar spine (L4-L5) when compared to the high lumbar spine (L1-L3) and no significant difference between techniques (1 minute each vertebra twice in one session). (22) The results obtained in this study showed no significant difference, it is believed this may be due to differences of the protocols.…”

Section: Discussionmentioning

confidence: 98%

Acute effects of Maitland’s central posteroanterior mobilization on youth with low back pain.

Abe

Tozim²,

Navega³

2015

mtprehabjournal

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Introduction:The low back pain is the most prevalent between the musculoskeletal disorders, and it is the most common reasons of absence from work. The flexibility, mobility, strength and endurance of the low back stability influence and the disharmony between these factors may result in low back pain. One of Maitland's technique, which alter these factors, is posteroanterior (PA) mobilization. Objective: To analyze the posterior chain's flexibility, low back's mobility, trunk extensor's endurance and low back extensors' muscle strength after performed one treatment session using the Maitland method on youth with low back pain. Method: For this research, sixteen women (22 ± 3.03 years) with chronic low back pain participated. All volunteers were evaluated according to their perception of pain, flexibility, mobility, muscular strength and muscular endurance. The treatment protocol was the application of PA mobilization on the five lumbar vertebrae, from caudal direction to cranial, of three series of one minute in each vertebra. The same procedures of the initial evaluation were performed after the immediate application of PA mobilization technique (revaluation 1) and 7 days after the protocol (revaluation 2). The data were analyzed by the Shapiro-Wilk's normality test; analysis of variance (ANOVA) repeated measures one-way with pos-hoc Bonferroni and Friedman's ANOVA with pos-hoc Wilcoxon, with the level of significance of 5% (p< 0,05). Results: After PA mobilization application, there were significant improvements in muscular strength (immediate post-treatment and past seven days) and muscular endurance (immediate post-treatment). There were no significant improvements in the other variables, such as, level of pain, and lumbar flexibility and mobility. Conclusion: The lumbar PA mobilization was effective for increasing muscular strength and endurance, with stabilization of the level of pain, flexibility and mobility.

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Section: Discussionmentioning

confidence: 98%

Acute effects of Maitland’s central posteroanterior mobilization on youth with low back pain.

Abe

Tozim²,

Navega³

2015

mtprehabjournal

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“…Following passive mobilisations muscle spindle activity may increase, stimulating golgitendon organ activity and in turn produce a muscle reflex inhibition [56][57][58] . A hypoalgesic response has also been found following mobilisation to the cervical spine [24,[59][60][61] , the knee [62] and shoulder [63].…”

Section: Discussionmentioning

confidence: 99%

Effects of spinal mobilisations on lumbar and hamstring ROM and sEMG: A randomised control trial

Chesterton¹,

Payton

2016

PPR

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“…Pain thresholds for pressure (PPT), cold (CPT) and heat (HPT) were tested at three test sites (index knee, ipsilateral heel and elbow) using standardised procedures and scripted instructions. Knee measurements were performed over the medial collateral ligament at the joint line [24], elbow measures were performed over the extensor carpi radialis brevis muscle [25] and heel measurements were performed over the lateral aspect of the calcaneum [26]. For each testing modality at each site, an initial practice was followed by three recorded trials, with the mean values used for analysis.…”

Section: Methodsmentioning

confidence: 99%

Subjects with Knee Osteoarthritis Exhibit Widespread Hyperalgesia to Pressure and Cold

Moss¹,

Knight²,

Wright³

2015

J Pain Relief

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Hyperalgesia to mechanical and thermal stimuli are characteristics of a range of disorders such as tennis elbow, whiplash and fibromyalgia. This study evaluated the presence of mechanical and thermal hyperalgesia in individuals with knee osteoarthritis (OA), compared to healthy control subjects.Twenty-three subjects with knee OA and 23 healthy controls, matched for age, gender and BMI, were recruited for the study. Volunteers with any additional chronic pain conditions were excluded. Pain thresholds to pressure (PPT), cold (CPT) and heat (HPT) were tested at the knee, ipsilateral heel and elbow, in randomized order, using standardised methodology. Significant between-groups differences for PPT and CPT were found: OA subjects demonstrated significantly increased sensitivity to both pressure (p=0.018) and cold (p=0.003), but not to heat (p=0.167) stimuli, compared with controls. A similar pattern of results extended to the pain-free ipsilateral ankle and elbow indicating widespread pressure and cold hyperalgesia. This study found widespread elevated pain thresholds in subjects with painful knee OA, suggesting that altered nociceptive system processing may play a role in ongoing arthritic pain for some patients.

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The initial effects of knee joint mobilization on osteoarthritic hyperalgesia

Cited by 221 publications

References 25 publications

Acute effects of Maitland’s central posteroanterior mobilization on youth with low back pain.

Acute effects of Maitland’s central posteroanterior mobilization on youth with low back pain.

Effects of spinal mobilisations on lumbar and hamstring ROM and sEMG: A randomised control trial

Subjects with Knee Osteoarthritis Exhibit Widespread Hyperalgesia to Pressure and Cold

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