PMID- 20576462
OWN - NLM
STAT- MEDLINE
DCOM- 20110505
LR  - 20101022
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 15
IP  - 6
DP  - 2010 Dec
TI  - A randomised controlled study examining the short-term effects of 
      Strain-Counterstrain treatment on quantitative sensory measures at digitally 
      tender points in the low back.
PG  - 536-41
LID - 10.1016/j.math.2010.05.011 [doi]
AB  - Strain-Counterstrain (SCS) intervention has been claimed to elicit immediate and 
      sustained reductions in tenderness at digitally tender points (DTPs), however, 
      there is little experimental evidence to support this. Twenty-eight volunteer 
      participants with low back pain--LBP (17 females and 11 males with mean [SD] age 
      of 39.2 [11.1] and Oswestry disability index of 15.7 [8.6]) participated in this 
      controlled, within-participants study of the immediate and short-term effects of 
      SCS intervention, on pressure pain threshold (PPT) electrical detection threshold 
      (EDT) and electrical pain threshold (EPT) at DTPs in the low back region. 
      Immediate increases in PPT at DTPs were found following all interventions; 
      control intervention: 30.7 kPa [CI 95% - 3.3-64.8] (p = 0.041), sham-SCS 
      intervention: 48.2kPa [CI 95% 14.8-81.7] (p = 0.008) and SCS intervention: 
      93.4kPa [CI 95% 60.0-126.9] (p<0.0001). Results suggest that SCS intervention 
      does elicit an immediate quantifiable reduction in tenderness at DTPs but that 
      some of this reduction is attributable to the manual-contact component of the 
      treatment. Increases in PPT at DTPs following SCS intervention did not appear to 
      be maintained between 24 and 96 h after treatment. A further finding was that the 
      control intervention elicited significant increases in both EDT (p = 0.044) and 
      EPT (p = 0.026). The explanation for these findings is unclear.
CI  - Crown Copyright (c) 2010. Published by Elsevier Ltd. All rights reserved.
FAU - Lewis, Cynan
AU  - Lewis C
AD  - Division of Physiotherapy and National Health and Medical Research Council, 
      Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, School 
      of Health and Rehabilitation Sciences, The University of Queensland, QLD 4072, 
      Australia. Cynan_Lewis@health.qld.gov.au
FAU - Khan, Asad
AU  - Khan A
FAU - Souvlis, Tina
AU  - Souvlis T
FAU - Sterling, Michele
AU  - Sterling M
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20100623
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Adult
MH  - Analysis of Variance
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Low Back Pain/*physiopathology/*therapy
MH  - Male
MH  - Manipulation, Orthopedic/*methods
MH  - Middle Aged
MH  - Pain Measurement/methods
MH  - *Pain Threshold
MH  - Pressure
MH  - Queensland
MH  - Range of Motion, Articular
MH  - Research Design
MH  - *Severity of Illness Index
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2010/06/26 06:00
MHDA- 2011/05/06 06:00
CRDT- 2010/06/26 06:00
PHST- 2009/12/15 00:00 [received]
PHST- 2010/04/09 00:00 [revised]
PHST- 2010/05/25 00:00 [accepted]
PHST- 2010/06/26 06:00 [entrez]
PHST- 2010/06/26 06:00 [pubmed]
PHST- 2011/05/06 06:00 [medline]
AID - S1356-689X(10)00086-X [pii]
AID - 10.1016/j.math.2010.05.011 [doi]
PST - ppublish
SO  - Man Ther. 2010 Dec;15(6):536-41. doi: 10.1016/j.math.2010.05.011. Epub 2010 Jun 
      23.