scholarly journals The immediate effect of end-range maitland mobilization on pain pressure threshold in patients with knee osteoarthritis

2020 ◽  
Vol 28 ◽  
pp. S159
Author(s):  
M. Pozsgai ◽  
A.I. Péter ◽  
N. Farkas ◽  
P. Than ◽  
P. Than ◽  
...  
Author(s):  
Martin Bjørn Stausholm ◽  
Jan Magnus Bjordal ◽  
Rolf Moe-Nilssen ◽  
Ingvill Fjell Naterstad

Cephalalgia ◽  
1996 ◽  
Vol 16 (1) ◽  
pp. 62-66 ◽  
Author(s):  
G Bono ◽  
F Antonaci ◽  
G Sandrini ◽  
E Pucci ◽  
G Nappi ◽  
...  

Pain perception threshold (PFT) in the head was assessed with a pressure algometer in 58 cluster headache (CH) patients (52M, 6F; 41 episodic and 17 chronic). Fourteen patients in cluster period were retested in remission. Thresholds were assessed at 10 symmetrical points on each side of the head and at the deltoid. Compared with controls ( n = 80), CH patients had lower PPT in the head and in the deltoid. PPT was lower on the symptomatic side than on the non-symptomatic side in patients with episodic CH during a cluster period ( p<0.001) and in patients with chronic CH ( p<0.05). This pattern was more evident during a cluster period than during remission ( p<0.05). A reduced PPT did not correlate with illness duration and pain side. The lowest PPT mean values were found at the anterior and intermediate levels of the temporal muscle on the symptomatic side. These results imply a central mechanism underlying the pathogenesis of CH.


Author(s):  
Leonard H. Joseph, PhD ◽  
Benjamaporn Hancharoenkul, MSc, PT ◽  
Patraporn Sitilertpisan, PhD ◽  
Ubon Pirunsan, PhD ◽  
Aatit Paungmali, PhD

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.Setting: The study was conducted at the campus for National Olympic weight lifting training camp.Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.


Author(s):  
Soon-Hyun Kwon ◽  
Eun-Jung Chung ◽  
Jin Lee ◽  
Sang-Woo Kim ◽  
Byoung-Hee Lee

The purpose of this study was to determine if the severity of headache is reduced by decreasing hamstring tension in patients with tension headache. Thirty patients participated in this study. The participants were randomly allocated to two groups: hamstring relaxation program (HR) group (n = 15) and control group (n = 15). The participants in the HR group participated in a HR program for 25 min per day, three times per week, for a period of 4 weeks, and the control group participated in an electrotherapy for 25 min per day, three times per week, for a period of 4 weeks. Both groups participated in a self-myofacial release for 5 min per day, three times per week, for a period of 4 weeks. Headache was evaluated using the headache impact test (HIT-6) and visual analog scale (VAS). The pain pressure threshold (PPT) was evaluated using a digital pressure algometer. The range of motion (ROM) was evaluated using a goniometer and two special tests: straight leg raise test (SLRT) and popliteal angle test (PAT). The two groups showed no significant differences in terms of age, sex, height, and weight. The VAS and HIT-6 scores (p < 0.05) and neck and hamstring PPT showed significant improvements (p < 0.05). Neck flexion ROM and SLRT and PAT scores showed significant improvements (p < 0.05) in both groups, and the HR group showed significantly more improvements than the control group. This study confirmed that the HR program has positive effects on tension headache and is a good intervention for alleviating headaches in patients with tension headache.


2020 ◽  
Vol 9 (8) ◽  
pp. 2411 ◽  
Author(s):  
Gemma Victoria Espí-López ◽  
Anna Arnal-Gómez ◽  
Alba Cuerda del Pino ◽  
José Benavent-Corai ◽  
Pilar Serra-Añó ◽  
...  

Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R2 explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm2), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone.


2021 ◽  
pp. 096452842110395
Author(s):  
Sergio Montero Navarro ◽  
Sonia del Rio Medina ◽  
José Martín Botella Rico ◽  
María Isabel Rocha Ortiz ◽  
María Teresa Pérez Gracia

Objectives: To evaluate the changes in pain pressure threshold (PPT) and active cervical range of motion (ACROM) after the application of superficial dry needling (DN) or deep DN in myofascial trigger point (MTrP) 1 of the upper trapezius versus a simulated DN technique in the gastrocnemius muscle (control group). Design: Double-blind, randomized controlled trial with 7-day follow-up. Participants: Asymptomatic volunteers (n = 180; 76 men, 104 women) with a latent MTrP 1 in the upper trapezius were randomly divided into three groups: G1, receiving superficial DN in the upper trapezius; G2, receiving deep DN in the upper trapezius; and G3, control group, receiving simulated DN technique in the gastrocnemius muscle. Main outcome measures: While sitting in a chair, each subject underwent measurements of PPT and ACROM (ipsilateral and contralateral side flexion and rotation, flexion and extension) preintervention, (immediately) postintervention, and at 24 h, 72 h and 7 days. Results: Superficial and deep DN produced an increase in PPT at 7 days with respect to preintervention levels. Furthermore, superficial and deep DN produced a decrease in cervical flexion at 24 h and an increase in ipsilateral rotation until 72 h, increasing to 7 days in the case of deep DN. On the contrary, superficial DN produced an increase in ipsilateral and contralateral side flexion after intervention, unlike deep DN that produced a decrease at 24 h. Furthermore, superficial DN produced an increase in contralateral rotation at 24 h and deep DN decreased extension at 72 h. Conclusion: A single intervention of superficial or deep DN did not produce statistically significant changes in PPT or goniometry measurements. Trial registration number: NCT03719352 ( ClinicalTrials.gov )


2021 ◽  
Vol SP (1) ◽  
Author(s):  
Prasanna Mohan ◽  
Rama Chandra L.A ◽  
Anjali Suresh

Background/aim: In many countries low back pain is a long-term disability, where 90% of people suffer from it at some point of time. Low back pain has high prevalence rate and incidence of low back problems leads to disability, sickness further leads to sickness absenteeism, early retirement and lost working days. Computer work has generated a new genre of occupational health problems, i.e., of computer-related musculoskeletal disorder. Work related Musculoskeletal Disorders (WMSD) are damages caused to joint, muscle, tendon and ligament due to repeated strain given to the structure lead to musculoskeletal pain and discomfort and most common joint affected are neck, lower back, shoulder, elbow and wrist. Musculoskeletal discomfort can occur anywhere in the body and typically are not caused by a single traumatic event, but is due to micro trauma to tissues that does not heal during rest. Postural back pain is a major public and occupational health problem, especially in the information technology (IT) and BPO sectors. Various intervention strategy used to treat chronic back pain such as physical agents, exercise and back school program. The aim of this study was to determine the effect of Kinesio taping compared with rigid taping along with TENS and back exercise program on pain pressure threshold for subjects with work related low back pain in computer professionals. Methods and Materials: 112 subjects satisfied the inclusion criteria had been selected from among the eligible participants of 196 subjects works in medium and large-scale IT industry reported with lower back pain for more than three months. Subjects were divided randomly in to two group and intervened by kinesio taping or rigid taping with common protocol of TENS and back exercise program. Pain pressure threshold was measured before and after treatment, compared the mean difference by ANOVA to find out the effect of intervention Results: The data were analyzed by SPSS version 20.0 using descriptive statistics such as normality test, mean standard deviation and graphs and charts. Inferential statistics such as ANOVA. Both the groups improved in pain pressure threshold and kinesio taping group was better in improving pain pressure threshold with high statistical significance of P ≤ 0.05. Conclusion: kinesio taping compared with rigid taping along with TENS and core stability exercise found Kinesio tape is better than rigid tape in all parameters with the significance of p ≤ 0.05 except quadratus lumborum left and L2-L3 level were the significance was P=0.078 and P=0.152 respectively.


2007 ◽  
Vol 13 (3) ◽  
pp. 189-192 ◽  
Author(s):  
Lydia Vela ◽  
Kelly E Lyons ◽  
Carlos Singer ◽  
Abraham N Lieberman

2021 ◽  
pp. 003151252110350
Author(s):  
Karina Noboa ◽  
Joshua Keller ◽  
Kipp Hergenrader ◽  
Terry Housh ◽  
John Paul Anders ◽  
...  

The purpose of the current study was to determine if, and to what extent, sex differences in performance fatigability after a sustained, bilateral leg extension, anchored to a moderate rating of perceived exertion (RPE), could be attributed to muscle size, muscular strength, or pain pressure threshold (PPT) in young, healthy adults. Thirty adults (men: n = 15, women: n = 15) volunteered to complete a sustained leg extension task anchored to RPE = 5 (10-point OMNI scale) as well as pretest and posttest maximal voluntary isometric contraction (MVIC) trials. The fatigue-induced decline in MVIC force was defined as performance fatigability. We used muscle cross-sectional area (mCSA) to quantify muscle size and a dolorimeter to assess PPT. The sustained task induced fatigue such that both men and women exhibited significant ( p < 0.05) decreases in MVIC force from pretest to posttest ( M = 113.3, SD =24.2 kg vs. M = 98.3, SD = 23.1 kg and M = 73.1, SD =14.5 kg vs. M = 64.1, SD = 16.2 kg, respectively), with no significant sex differences in performance fatigability (grand M = 12.6, SD =10.6%). Men, however, exhibited significantly ( p < 0.05) longer time to task failure (TTF) than women ( M = 166.1, SD =83.0 seconds vs. M = 94.6, SD =41.7) as well as greater PPT ( M = 5.9, SD = 2.2 kg vs. M = 3.4, SD =1.1 kg). The only significant predictor of performance fatigability was PPT. In conclusion, differences in PPT, at least in part, mediate variations in TTF during self-paced exercise anchored to a specific RPE and resulting in performance fatigability.


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