| Titre : | Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease: A Randomized Controlled Trial (2014) |
| Auteurs : | Felipe Vieira-Pellenz ; Angel Oliva-Pascual-Vaca ; Cleofas Rodríguez-Blanco |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2014/9, 2014) |
| Article en page(s) : | p. 1613-1619 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Disque intervertébral ; Manipulation vertébrale ; Rééducation et réadaptation |
| Mots-clés: | Spinal |
| Résumé : |
Objective
To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with evaluations at baseline and after intervention. Setting University-based physical therapy research clinic. Participants Men (N=40; mean age + SD, 38+9.14y) with diagnosed degenerative lumbar disease at L5-S1 were randomly divided into 2 groups: a treatment group (TG) (n=20; mean age + SD, 39+9.12y) and a control group (CG) (n=20; mean age + SD, 37+9.31y). All participants completed the intervention and follow-up evaluations. Interventions A single L5-S1 SM technique (pull-move) was performed in the TG, whereas the CG received a single placebo intervention. Main Outcome Measures Measures included assessing the subject's height using a stadiometer. The secondary outcome measures included perceived low back pain, evaluated using a visual analog scale; neural mechanosensitivity, as assessed using the passive straight-leg raise (SLR) test; and amount of spinal mobility in flexion, as measured using the finger-to-floor distance (FFD) test. Results The intragroup comparison indicated a significant improvement in all variables in the TG (P<.001 there were no changes in the cg except for ffd test between-group comparison of mean differences from pre- to postintervention was statistical significance all cases> Conclusions An HVLA SM in the lumbosacral joint performed on men with degenerative disk disease immediately improves self-perceived pain, spinal mobility in flexion, hip flexion during the passive SLR test, and subjects' full height. Future studies should include women and should evaluate the long-term results. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314003670 |
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