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Francisco X Araujo1,2, Mauricio Scholl Schell3, Giovanni E Ferreira1

  • 1Masters Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil.

Journal of Chiropractic Medicine
|June 14, 2019
PubMed
Summary

Thoracic spine mobilization at 0.5 Hz or 2 Hz did not significantly alter pressure pain threshold (PPT) in asymptomatic individuals. This study found no local or widespread effects of these passive accessory intervertebral mobilization techniques.

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Area of Science:

  • Physiotherapy
  • Manual Therapy
  • Pain Science

Context:

  • Thoracic spine passive accessory intervertebral mobilization (PAIVM) is a manual therapy technique.
  • Investigating the effects of different frequencies of PAIVM on pain perception is crucial for clinical practice.
  • Asymptomatic individuals were used to isolate the direct effects of the intervention.

Purpose:

  • To determine the effects of 0.5 Hz and 2 Hz thoracic spine PAIVM on pressure pain threshold (PPT) at T4.
  • To assess the widespread hypoalgesic effects of different thoracic PAIVM rates.
  • To compare these effects against a placebo condition.

Summary:

  • Twenty asymptomatic participants received thoracic PAIVM at 0.5 Hz, 2 Hz, or placebo in a randomized order.
  • Pressure pain threshold (PPT) was measured locally at T4 and at distant sites (C7, hands, tibial tuberosity).

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  • No statistically significant differences in PPT were observed at T4 or distant sites for either mobilization frequency compared to placebo.

    • Impact:

    • The findings suggest that thoracic spine PAIVM at 0.5 Hz and 2 Hz does not produce significant hypoalgesic effects in asymptomatic individuals.
    • This research contributes to understanding the efficacy of specific manual therapy parameters.
    • Further research may explore different frequencies, populations, or outcome measures to elucidate potential therapeutic effects.