The initial effects of different rates of lumbar mobilisations on pressure pain thresholds in asymptomatic subjects

Dose Optimization for Spinal Treatment Effectiveness: A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain

“…46 To the contrary, varying the duration, amplitude, or frequency of oscillation of a lumbar mobilization does not influence the change in PPTs. 35,46,71 We are unaware of any studies of the effects of specific properties of a spinal mobilization, such as magnitude of force or oscillation frequency, on outcomes in patients with spinal pain. Systematic reviews of manual therapy for neck pain indicate that research is needed to determine the optimal treatment characteristics and dosages of manual therapy for effectiveness.…”

“…59 The therapist was also able to monitor their oscillation frequency via the real-time feedback mechanism, which provided visual feedback (in the form of flashing colors if outside the target force or oscillation frequency). Force amplitude was expected to be relatively consistent with the magnitude of force applied, 59,71 though it could also be viewed on the monitor.…”

“…PPT has demonstrated reliability, 47 correlates well with clinical status, 16 and is commonly used to assess immediate treatment effects. 8,15,64,71 Intrarater reliability of PPT measurements is reported to be good between sessions separated by 1 week (intraclass correlation coefficient [ICC]>0.87), 47 and ICCs of 0.93 to 0.96 have been reported for repeated PPT tests performed on the same day using the JTECH algometer. 71 Pressure was applied at 4 N/s using a 1-cm 2 indenter tip, corresponding to 40 kPa/s.…”

Terapia Manual No Tratamento Da Dismenorreia Primária: Revisão Sistemática

“…A manipulação sacro ilíaca tem sido correlacionada com uma alteração positiva na avaliação do limiar da dor a pressão de pontos gatilhos em diferentes patologias e em pacientes assintomáticos 21,22 . Com base nessas descobertas, a avaliação do limiar da dor a pressão em articulações sacro ilíacas foi incluída como uma nova medida de resultado que anteriormente não havia sido avaliada na dismenorreia primária.…”

Immediate effects from manual therapy: much ado about nothing?

“…Within the last few years, immediate effects of thrust and non-thrust manipulation have been shown to: improve proprioception, 1 standing balance, 2 reduce pain, 3,4 increase nociceptive flexion reflex threshold, 5 thermal pain sensitivity (temporal summation), 6 provide a widespread hypoalgesic effect, 7 improve range of motion, 4,8 alter EMG signals, 9 and modify sensorimotor integration. 10 In fairness, the studies represented here were both mechanistic-and clinically-oriented.…”