Effects of spinal manipulation on trunk proprioception in subjects with chronic low back pain during symptom remission.
OBJECTIVE: The purpose of this study was to examine the immediate effects of spinal manipulative therapy (SMT) on trunk proprioception in subjects with asymptomatic chronic low back pain (CLBP) and determine if those effects lasted 1 week. METHODS: This unbalanced randomized controlled crossover des...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 32; no. 2S; pp. 118 - 127 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Feb2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105482605&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105482605 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Feb2009 vid: 32 iid: 2S pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 105482605 37032641 2010228593 10.1016/j.jmpt.2008.12.004 NLM19243723 105482605 ppf: 118 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of spinal manipulation on trunk proprioception in subjects with chronic low back pain during symptom remission. aug: au: Learman KE Myers JB Lephart SM Sell TC Kerns GJ Cook CE affil: Department of Physical Therapy, Youngstown State University, Youngstown, Ohio sug: subj: Low Back Pain Therapy Manipulation, Chiropractic Evaluation Adult Chi Square Test Clinical Trials Crossover Design Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Intraclass Correlation Coefficient Male Middle Age P-Value Pain Measurement Paired T-Tests Questionnaires Repeated Measures Scales Self Report Visual Analog Scaling Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: OBJECTIVE: The purpose of this study was to examine the immediate effects of spinal manipulative therapy (SMT) on trunk proprioception in subjects with asymptomatic chronic low back pain (CLBP) and determine if those effects lasted 1 week. METHODS: This unbalanced randomized controlled crossover design examined 33 subjects with CLBP. Proprioception was tested via joint position sense, threshold to detect passive motion (TTDPM), direction of motion (DM), and force reproduction. Each subject received lumbar manipulation or a sham procedure followed by proprioception retest. This procedure was repeated 1 week later using the opposing treatment. Subjects receiving SMT in the second session returned a third time receiving the sham procedure again. RESULTS: Spinal manipulative therapy produced an effect for TTDPM in the manipulation first group (P = .008), the sham procedure produced an effect for joint position sense in the sham first group (P = .005). Spinal manipulative therapy had a 1-week effect for the manipulation first group (P = .006). No effect was noted for either DM or force reproduction. CONCLUSIONS: Results suggest SMT had minimal immediate effect on trunk proprioception. The effects noted occurred in session 1, implicating learning as a potential source. Learning, from repetitive proprioception training, may enhance neuromuscular control in subjects with CLBP before the use of therapeutic exercise. Subjects showed smaller deficits than previously reported for TTDPM or DM, suggesting proprioception deficits may correlate with pain level. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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