PMID- 34776157
OWN - NLM
STAT- MEDLINE
DCOM- 20220120
LR  - 20220120
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 28
DP  - 2021 Oct
TI  - Hypoalgesic effects of specific vs non-specific cervical manipulation in healthy 
      subjects: a randomized crossover trial.
PG  - 311-316
LID - S1360-8592(21)00201-1 [pii]
LID - 10.1016/j.jbmt.2021.07.044 [doi]
AB  - BACKGROUND: Joint manipulation is generally used to reduce musculoskeletal pain; 
      however, evidence has emerged challenging the effects associated with the 
      specificity of the manipulated vertebral segment. The aim of this study was to 
      verify immediate hypoalgesic effects between specific and non-specific cervical 
      manipulations in healthy subjects. METHOD: Twenty-one healthy subjects (18-30 
      years old; 11 males, 10 females) were selected to receive specific cervical 
      manipulation at the C6-7 segment (SCM) and non-specific cervical manipulation 
      (NSCM) in aleatory order. A 48h interval between manipulations was considered. 
      Pressure pain threshold (PPT) was measured pre- and post-manipulation with a 
      digital algometer on the dominant forearm. RESULTS: The SCM produced a 
      significant increase in the PPT (P < 0.001) however no difference was observed in 
      the PPT after the NCSM (P = 0.476). The difference between the two manipulation 
      techniques was 37.26 kPa (95% CI: 14.69 to 59.83, p = 0.002) in favor of the SCM 
      group CONCLUSION: Specific cervical manipulation at the C6-7 segment appears to 
      increase PPT on the forearm compared to non-specific cervical manipulation in 
      healthy subjects.
CI  - Copyright (c) 2021 Elsevier Ltd. All rights reserved.
FAU - Rampazo, Erika Patricia
AU  - Rampazo EP
AD  - Physical Therapy Department, Federal University of Sao Carlos, Sao Carlos, SP, 
      Brazil.
FAU - Telles, Jonathan Daniel
AU  - Telles JD
AD  - Physical Therapy Department, Catholic University Center Salesian Auxilium, Lins, 
      SP, Brazil.
FAU - Schiavon, Marco Aurelio Gabanela
AU  - Schiavon MAG
AD  - Physical Therapy Department, Catholic University Center Salesian Auxilium, Lins, 
      SP, Brazil.
FAU - Liebano, Richard Eloin
AU  - Liebano RE
AD  - Physical Therapy Department, Federal University of Sao Carlos, Sao Carlos, SP, 
      Brazil. Electronic address: liebano@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210808
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cross-Over Studies
MH  - Female
MH  - Healthy Volunteers
MH  - Humans
MH  - Male
MH  - *Manipulation, Spinal
MH  - Neck Pain
MH  - Pain Measurement
MH  - Pain Threshold
MH  - Young Adult
OTO - NOTNLM
OT  - Healthy subjects
OT  - Neck
OT  - Osteopathic manipulation
COIS- Declaration of competing interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2021/11/16 06:00
MHDA- 2022/01/21 06:00
CRDT- 2021/11/15 05:47
PHST- 2020/12/29 00:00 [received]
PHST- 2021/07/31 00:00 [accepted]
PHST- 2021/11/15 05:47 [entrez]
PHST- 2021/11/16 06:00 [pubmed]
PHST- 2022/01/21 06:00 [medline]
AID - S1360-8592(21)00201-1 [pii]
AID - 10.1016/j.jbmt.2021.07.044 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2021 Oct;28:311-316. doi: 10.1016/j.jbmt.2021.07.044. Epub 2021 
      Aug 8.