Influence of Manipulation in the Peripheral Nervous System Tests: A Randomized Controlled Trial
Journal Title: Sports and Exercise Medicine – Open Journal - Year 2015, Vol 1, Issue 3
Abstract
Background: Chronic cervical pain is a serious public health issue that affects a large part of the world population and results in huge costs for the society. The chronic cervical pain is associated to problems in the peripheral nervous system. Clinical practice presents multiple techniques conventionally used to ameliorate chronic cervical pain. The spinal manipulation is a technique that can increase the range of motion of the peripheral nervous system. Objective: To determine the efficacy of the cervical and thoracic manipulation in the peripheral nervous system tests. Methods: The present study is a randomized controlled trial, with blinded assessor. The patient population consisted of 128 patients with chronic cervical pain and also tested positive (pain in motion) to the neural system. They were randomly divided into four groups: group A (manipulation of the sixth cervical vertebra), group B (manipulaton of the sixth thoracic vertebra), group C (manipulation of the sixth cervical and sixth thoracic vertebra) and group D (without intervention). These patients underwent an assessment before and after spinal manipulation by the blinded assessor. Results: After the manipulation, an improvement of the ragion of motion was observed on the group that the sixth cervical vertebra was handled: left median nerve range of motion (p=0.04) and right (p=0.04) and left ulnar nerve (p=0.03) and right (p=0.04). Also was observed a statistically significant result when associate manipulation of the sixth cervical vertebra and sixth thoracic vertebra: left median nerve (p=0.01) and the right side (p=0.03). Conclusion: Isolated manipulation of the sixth cervical vertebra or together with the manipulation of the sixth thoracic vertebra in individuals with chronic neck pain appears to be an effective resource in improving range of motion in patients that tested positive to the peripheral nervous system tests.
Authors and Affiliations
Marco Aurélio Nemitalla Added
Keywords
Related Articles
- EP ID EP548465
- DOI 10.17140/SEMOJ-1-112
- Views 138
- Downloads 0
Relationship Between Pre-Season Testing Performance and Playing Time among NCAA DII Basketball Players
Purpose: The purpose of this study was to investigate the relationships between pre-season testing performance and playing time within a men’s Division II basketball team. Methods: Archival data from pre-season athletic...
Mental Fatigue: A Public Health Concern?
In our current societal state of rapid technological advancement, we are constantly being exposed to various mediums of information. Obtaining information is just a matter of a few taps away on one’s phone. The ease in a...
Will the ‘Pokémon’ be Heroes in the Battle Against Physical Inactivity?
Physical inactivity increases the risks of dying prematurely, dying of heart disease, and developing diabetes, colon cancer and high blood pressure.1 However, there exists a large portion of the population who remain phy...
An Investigation into Physical Activity Levels in Primary School Playgrounds
Background: As children spend roughly 30 hours per week at school, the associated benefits of physical activity (PA) can be developed within physical education (PE) lessons, break times and after school activities. There...
Myositis Ossificans in the Lumbar Spine: A Case Report
Objective: Relatively rare case. Background: Myositis ossificans is a benign condition which appears as a heterotopic, welldefined bone formation in muscles and soft tissues. It is most common in children and young athle...