Immediate Effects of Atlanto-Occipital Joint Manipulation on Active Mouth Opening and Pressure Pain Sensitivity in Women With Mechanical Neck Pain

Mansilla-Ferragut, Pilar; Fernández‐de‐las‐Peñas, César; Alburquerque‐Sendín, Francisco; Cleland, Joshua A.; Boscá-Gandía, Juan José

doi:10.1016/j.jmpt.2008.12.003

Cited by 100 publications

(112 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, this increase was significantly greater for the cervical than arm intervention (site × trial interaction, F [4,24] = 4.07; P = .012) (Fig. 6).…”

Section: Resultsmentioning

confidence: 93%

See 1 more Smart Citation

Cervical Referral of Head Pain in Migraineurs: Effects on the Nociceptive Blink Reflex

Watson

Drummond

2014

Headache

View full text Add to dashboard Cite

Objective.-To investigate cervical, interictal reproduction of usual head pain and its effect on the nociceptive blink reflex in migraineurs.Background.-Anatomical and neurophysiological studies in animals and humans have confirmed functional convergence of trigeminal and cervical afferent pathways. Migraineurs often present with occipital and neck symptoms, and cervical pain is referred to the head in most cases, suggesting that cervical afferent information may contribute to headache. Furthermore, the effectiveness of greater occipital nerve blockade in migraine and demonstrable modulation of trigeminal transmission following greater occipital nerve blockade suggest an important role for cervical afferents in migraine. However, to what extent cervical afferents contribute actively to migraine is still unknown.Methods.-The passive accessory intervertebral movements of the atlanto-occipital and C2-3 spinal segments of 15 participants (14 females, 1 male; age 24-44 years, mean age 33.3 years) with migraine were examined interictally. During 1 session, either the atlanto-occipital or C2-3 segment was examined, resulting in referred usual head pain, while in another session, pressure was applied over the common extensor origin (lateral epicondyle of the humerus) of the ipsilateral arm. Each intervention was repeated 4 times. The nociceptive blink reflex to a supraorbital electrical stimulus was elicited ipsilaterally during both sessions before and during each intervention. The main outcome variables were the number of recorded blinks, area under the curve and latencies of the R2 components of the nociceptive blink reflex. Participants also rated the intensity of referred head pain and the supraorbital stimulus on a scale of 0-10, where 0 = "no pain" and 10 = "intolerable pain," and rated the intensity of applied pressure where 0 = "pressure but no pain" and 10 = "intolerable pain."Results.-Participants reported a significant reduction in local tenderness ratings across the 4 trials for the cervical intervention but not for the arm (P = .005). The cervical intervention evoked head pain in all participants. As the cervical intervention was sustained, head pain decreased significantly from the beginning to the end of each trial (P = .000) and from the beginning of the first trial to the end of the last (P = .000). Pain evoked by the supraorbital stimulus was consistent from baseline to across the 4 trials (P = .635) and was similar for the cervical and arm interventions (P = .072). The number of blinks decreased significantly across the experiment (P = .000) and was comparable in the cervical and arm interventions (P = .624). While the R2 area under the curve decreased irrespective of intervention (P = .000), this reduction was significantly greater for the cervical intervention than when pressure was applied to the arm (P = .037). Analysis of the R2 latencies revealed a notable increase across the experiment (P = .037). However, this increase was significantly greater following the cervical than arm intervention (P ...

show abstract

“…However, this increase was significantly greater for the cervical than arm intervention (site × trial interaction, F [4,24] = 4.07; P = .012) (Fig. 6).…”

Section: Resultsmentioning

confidence: 93%

“…Analysis of the R2 latencies revealed a notable increase across the 5 trials (main effect for trials, F [4,24] = 3.02; P = .037). However, this increase was significantly greater for the cervical than arm intervention (site × trial interaction, F [4,24] = 4.07; P = .012) (Fig.…”

Section: Resultsmentioning

confidence: 96%

Cervical Referral of Head Pain in Migraineurs: Effects on the Nociceptive Blink Reflex

Watson

Drummond

2014

Headache

View full text Add to dashboard Cite

show abstract

“…Previous studies showed that injuries to the cervical region might alter masticatory motor control and reduce mandibular functions [14,20]. Mansilla-Ferragut et al [27] reported significant improvement on pain-free MMO in patients with neck pain immediately after atlanto-occipital joint manipulation compared to sham manipulation. In this regard, cervical manipulation might positively influence cervical movements, which can affect temporomandibular movements if cervical dysfunction is present.…”

Section: Discussionmentioning

confidence: 99%

Spinal high-velocity low-amplitude manipulation with exercise in women with chronic temporomandibular disorders

Corum

Başoğlu

Topaloğlu³

et al. 2018

Manuelle Medizin

View full text Add to dashboard Cite

“…Esta alteração ocorre por espasmos dos músculos intertransversários, multífidos e rotadores que mantêm firme a articulação interfacetária 4 , podendo repercutir através de tensões miofasciais nas articulações temporomandibulares (ATM) e ossos do crânio. 5 A hipomobilidade pode ser mensurada pela Avaliação da Amplitude de Movimento (ADM) e consiste em um importante instrumento para diagnosticar disfunções musculoesqueléticas, analisar a progressão das doenças, avaliar o efeito de diferentes tratamentos e acompanhar a evolução do paciente durante a reabilitação. 5 A mensuração da ADM é de fácil aplicabilidade e possibilita achados clinicamente precisos, contudo é necessária a avaliação por métodos e ferramentas confiáveis, não invasivos e que possam ser utilizadas por diferentes avaliadores.…”

Section: Introductionunclassified

“…5 A hipomobilidade pode ser mensurada pela Avaliação da Amplitude de Movimento (ADM) e consiste em um importante instrumento para diagnosticar disfunções musculoesqueléticas, analisar a progressão das doenças, avaliar o efeito de diferentes tratamentos e acompanhar a evolução do paciente durante a reabilitação. 5 A mensuração da ADM é de fácil aplicabilidade e possibilita achados clinicamente precisos, contudo é necessária a avaliação por métodos e ferramentas confiáveis, não invasivos e que possam ser utilizadas por diferentes avaliadores. 6 Há uma grande variedade de métodos não invasivos disponíveis para verificar a ADM, como: a estimativa visual; o goniômetro; o inclinômetro; o potenciômetro; tecnologias de bússolas; de vídeo e eletromagnéticas.…”

Section: Introductionunclassified

Diferenças na amplitude lateral do movimento da coluna cervical entre jovens e idosos

Patrício¹,

Alves²,

Santos³

et al. 2014

Rev Enferm UFSM

View full text Add to dashboard Cite

RESUMO: Objetivo: analisar as diferenças na amplitude lateral do movimento da coluna cervical, entre jovens e idosos. Método: estudo quantitativo e comparativo, em João Pessoa/Paraíba, com 55 idosos e 55 jovens. Realizou-se teste de flexibilidade da coluna cervical com aparelho goniômetro Sanny®. Considerou-se p<0,05. Resultados: idosos tinham 68±6 anos e jovens 23±3 anos, apresentaram 20,4±6,4 graus de amplitude lateral direita e 31±7 graus, respectivamente. No lado esquerdo, os idosos atingiram 29±7 graus e os jovens 32±6 graus. Ambos os lados com p<0,05. Conclusões: observou-se que os sujeitos dos grupos apresentaram amplitude inferior ao estabelecido na literatura. É necessário implantar métodos que avaliem indivíduos a fim de detectar precocemente a amplitude da coluna cervical diminuída. Descritores: Amplitude de movimento articular; Atlas cervical; Idoso; Adulto jovem; Enfermagem.ABSTRACT: Aims: to analyze the differences in the lateral range of motion of the cervical spine, among young and elderly people. Method: a quantitative and comparative study carried out in João Pessoa/Paraiba, with 55 elderly people and 55 young people. A flexibility test of the cervical spine was held, and the goniometer Sanny® was employed. It was considered p<0.05. Results: the elderly were 68 ± 6 years old and the young 23 ± 3 years old, and they showed 20.4 ± 6.4 degrees and 31 ± 7 degrees of right range of motion, respectively. Regarding the left side, the elderly reached 29 ± 7 degrees and the young 32 ± 6 degrees; both sides with p<0.05. Conclusions: it was observed that the

show abstract

Immediate Effects of Atlanto-Occipital Joint Manipulation on Active Mouth Opening and Pressure Pain Sensitivity in Women With Mechanical Neck Pain

Cited by 100 publications

References 35 publications

Cervical Referral of Head Pain in Migraineurs: Effects on the Nociceptive Blink Reflex

Cervical Referral of Head Pain in Migraineurs: Effects on the Nociceptive Blink Reflex

Spinal high-velocity low-amplitude manipulation with exercise in women with chronic temporomandibular disorders

Diferenças na amplitude lateral do movimento da coluna cervical entre jovens e idosos

Contact Info

Product

Resources

About