PMID- 22200384
OWN - NLM
STAT- MEDLINE
DCOM- 20120217
LR  - 20111227
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 93
IP  - 1
DP  - 2012 Jan
TI  - Sacroiliac joint manipulation attenuates alpha-motoneuron activity in healthy 
      women: a quasi-experimental study.
PG  - 56-61
LID - 10.1016/j.apmr.2011.05.027 [doi]
AB  - OBJECTIVE: To determine whether sacroiliac joint (SIJ) manipulation decreases 
      alpha-motoneuron activity and increases the pressure pain threshold (PPT) over the 
      posterior superior iliac spine (PSIS) in healthy women. DESIGN: 
      Quasi-experimental study. SETTING: A university medical center. PARTICIPANTS: 
      Healthy young women (N=20) aged 18 to 30 years were recruited from among the 
      students of a university medical center after a request for volunteers. 
      INTERVENTIONS: Joint manipulation consisted of the supine rotational glide 
      manipulation for the sacroiliac region. PPT measurements from the PSIS and 
      Hoffman-reflex (H-reflex) amplitudes from the tibial nerve on the same side were 
      recorded before and after joint manipulation. PPT was monitored for 15 minutes 
      and H-reflex for 20 minutes after the procedure. MAIN OUTCOME MEASURES: Changes 
      in tibial nerve H-reflex amplitude and PPT values after SIJ manipulation. 
      RESULTS: SIJ manipulation attenuated alpha-motoneuronal activity significantly 
      (P<.05) but transiently, since the decrease was seen only for 20 seconds after 
      the intervention. There was no positive significant difference in the PPT after 
      SIJ manipulation at any time during postintervention follow-up. CONCLUSIONS: SIJ 
      manipulation produced a transient attenuation of alpha-motoneuron excitability in 
      healthy women. These findings demonstrate that our manipulation technique can 
      lead to a short-term reduction in muscle tone as a result of changes in sensory 
      discharge, predominantly in la afferents. SIJ manipulation did not significantly 
      affect the PPT in healthy women.
CI  - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Orakifar, Neda
AU  - Orakifar N
AD  - Physiotherapy Section, School of Rehabilitation Sciences, Shiraz University of 
      Medical Sciences, Shiraz, Iran.
FAU - Kamali, Fahimeh
AU  - Kamali F
FAU - Pirouzi, Soraya
AU  - Pirouzi S
FAU - Jamshidi, Farshad
AU  - Jamshidi F
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Analysis of Variance
MH  - Electromyography/methods
MH  - Female
MH  - H-Reflex/*physiology
MH  - Humans
MH  - Manipulation, Spinal/*methods
MH  - Motor Activity/physiology
MH  - Motor Neurons/*physiology
MH  - Pain Threshold
MH  - Reference Values
MH  - Research Design
MH  - Sacroiliac Joint/*physiology
MH  - Sampling Studies
MH  - Young Adult
EDAT- 2011/12/28 06:00
MHDA- 2012/02/18 06:00
CRDT- 2011/12/28 06:00
PHST- 2011/03/16 00:00 [received]
PHST- 2011/05/22 00:00 [revised]
PHST- 2011/05/23 00:00 [accepted]
PHST- 2011/12/28 06:00 [entrez]
PHST- 2011/12/28 06:00 [pubmed]
PHST- 2012/02/18 06:00 [medline]
AID - S0003-9993(11)00375-3 [pii]
AID - 10.1016/j.apmr.2011.05.027 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2012 Jan;93(1):56-61. doi: 10.1016/j.apmr.2011.05.027.