PMID- 29037630 OWN - NLM STAT- MEDLINE DCOM- 20180625 LR - 20220408 IS - 1532-9283 (Electronic) IS - 1360-8592 (Linking) VI - 21 IP - 4 DP - 2017 Oct TI - Hypoalgesic effects of three different manual therapy techniques on cervical spine and psychological interaction: A randomized clinical trial. PG - 798-803 LID - S1360-8592(16)30278-9 [pii] LID - 10.1016/j.jbmt.2016.12.005 [doi] AB - OBJECTIVE: The purpose of this study was to evaluate the extent to which psychological factors interact with a particular manual therapy (MT) technique to induce hypoalgesia in healthy subjects. METHODS: Seventy-five healthy volunteers (36 female, 39 males), were recruited in this double-blind, controlled and parallel study. Subjects were randomly assigned to receive: High velocity low amplitude technique (HVLA), joint mobilization, or Cervical Lateral glide mobilization (CLGM). Pressure pain threshold (PPT) over C7 unilaterally, trapezius muscle and lateral epicondyle bilaterally, were measured prior to single technique MT was applied and immediately after to applied MT. Pain catastrophizing, depression, anxiety and kinesiophobia were evaluated before treatment. RESULTS: The results indicate that hypoalgesia was observed in all groups after treatment in the neck and elbow region (P < 0.05), but mobilization induces more hypoalgesic effects. Catastrophizing interacted with change over time in PPT, for changes in C7 and in manipulation group. CONCLUSIONS: All the MT techniques studied produced local and segmental hypoalgesic effects, supporting the results of previous studies studying the individual interventions. Interaction between catastrophizing and HVLA technique suggest that whether catastrophizing level is low or medium, the chance of success is high, but high levels of catastrophizing may result in poor outcome after HVLA intervention. TRIAL REGISTRATION: ClinicalTrials.gov Registration Number: NCT02782585. CI - Copyright (c) 2016 Elsevier Ltd. All rights reserved. FAU - Alonso-Perez, Jose Luis AU - Alonso-Perez JL AD - Department of Physiotherapy, Universidad Europea de Madrid, Spain. Electronic address: jolualpe79@hotmail.com. FAU - Lopez-Lopez, Almudena AU - Lopez-Lopez A AD - Department of Psychology, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain. Electronic address: almudena.lopez@urjc.es. FAU - La Touche, Roy AU - La Touche R AD - Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autonoma de Madrid, Spain. Electronic address: roylatouche@yahoo.es. FAU - Lerma-Lara, Sergio AU - Lerma-Lara S AD - Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autonoma de Madrid, Spain. Electronic address: slermalara@yahoo.es. FAU - Suarez, Emilio AU - Suarez E AD - Department of Psychology, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain. Electronic address: emiponfe@hotmail.com. FAU - Rojas, Javier AU - Rojas J AD - Department of Psychology, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain. Electronic address: jorgeriotercero@yahoo.com.ar. FAU - Bishop, Mark D AU - Bishop MD AD - Department of Physical Therapy, University of Florida, USA. Electronic address: bish@phhp.ufl.edu. FAU - Villafane, Jorge Hugo AU - Villafane JH AD - IRCCS Don Gnocchi Foundation, Milan, Italy. Electronic address: mail@villafane.it. FAU - Fernandez-Carnero, Josue AU - Fernandez-Carnero J AD - Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain; Grupo de Excelencia Investigadora, URJC-Banco de Santander:Grupo Multidisciplinar en investigacion y tratamiento del dolor (I-dol), Avenida de Atenas s/n, Alcorcon, 28922 Madrid, Spain; Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain. Electronic address: josuefernandezcarnero@gmail.com. LA - eng SI - ClinicalTrials.gov/NCT02782585 PT - Journal Article PT - Randomized Controlled Trial DEP - 20161222 PL - United States TA - J Bodyw Mov Ther JT - Journal of bodywork and movement therapies JID - 9700068 SB - IM MH - Adult MH - *Cervical Vertebrae MH - Double-Blind Method MH - Elbow Joint/physiopathology MH - Female MH - Humans MH - Male MH - Muscle, Skeletal/*physiopathology MH - Musculoskeletal Manipulations/*methods MH - Neck Pain/*therapy MH - Pain Measurement MH - Pain Threshold MH - *Physical Therapy Modalities MH - Range of Motion, Articular MH - Superficial Back Muscles/physiopathology MH - Young Adult OTO - NOTNLM OT - Manual therapy OT - Pressure pain threshold OT - Psychological interaction EDAT- 2017/10/19 06:00 MHDA- 2018/06/26 06:00 CRDT- 2017/10/18 06:00 PHST- 2016/07/10 00:00 [received] PHST- 2016/11/16 00:00 [revised] PHST- 2016/12/12 00:00 [accepted] PHST- 2017/10/18 06:00 [entrez] PHST- 2017/10/19 06:00 [pubmed] PHST- 2018/06/26 06:00 [medline] AID - S1360-8592(16)30278-9 [pii] AID - 10.1016/j.jbmt.2016.12.005 [doi] PST - ppublish SO - J Bodyw Mov Ther. 2017 Oct;21(4):798-803. doi: 10.1016/j.jbmt.2016.12.005. Epub 2016 Dec 22.