Manual Therapy
Volume 15, Issue 1 , Pages 7-12 , February 2010

An investigation into the potential hypoalgesic effects of different amplitudes of PA mobilisations on the lumbar spine as measured by pressure pain thresholds (PPT)

Received 9 November 2008 ,Revised 4 May 2009 ,Accepted 17 May 2009.

References 

  1. Chiradejnant A, Maher C, Latimer J, Stepkovitch N. Efficacy of “therapist-selected” verses “randomly selected” mobilisation techniques for the treatment of low back pain: a randomised controlled trial. Australian Journal of Physiotherapy. 2003;49:233–241
  2. Dhondt W, Willaeys T, Verbruggen LA, Oostendorp RAB, Duquet W. Pain threshold in patients with rheumatoid arthritis and effect of manual oscillations. Scandinavian Journal of Rheumatology. 1999;2(28):88–93
  3. Fryer G, Carub J, McIver . The effect of manipulation and mobilisation on pressure pain thresholds in the thoracic spine. Journal of Osteopathic Medicine. 2004;7(1):8–14
  4. Griensven HV. Pain in practice: theory and treatment strategies for manual therapist. London: Elsevier Ltd; 2005;
  5. Harms M, Bader D. Variability of forces applied by experienced therapists during spinal mobilisation. Clinical Biomechanics. 1997;12(6):393–399
  6. Jones D, Kilgour R, Comtois A. Test-retest reliability of pressure pain threshold measurements of the upper limb and torso in young healthy women. The Journal of Pain. 2007;8(8):650–656
  7. Lovick TA. Interactions between descending pathways from the dorsal and ventrolateral periaqueductal grey matter in the rat. In:  Depaulis A,  Bandler R editor. The midbrain periaqueductal grey matter. New York: Plenum Press; 1991;p. 101–120
  8. Maitland GD, Hengeveld E, Banks K, English K. Maitland's vertebral manipulation. 6th ed.. Oxford: Butterworth-Heinemann; 2001;
  9. Melzack R, Wall P. Pain mechanisms: a new theory. Science. 1965;150:971–979
  10. Moss P, Sluka K, Wright A. The initial effects of knee joint mobilisations on osteoarthritic hyperalgesia. Manual Therapy. 2007;12:109–118
  11. Ohrbach R, Gale E. Pressure pain thresholds in normal muscles: reliability, measurement effects, and topographic differences. Pain. 1989;37:257–263
  12. Paungmali A, O'Leary S, Souvlis T, Vicenzino B. Naloxone fails to antagonize initial hypoalgesic effect of a manual therapy treatment for lateral epicondylalgia. Journal of Manipulative and Physiological Therapeutics. 2003;27(3):180–185
  13. Petty NJ. Principles of neuromusculoskeletal treatment and management: a guide for therapists. Edinburgh: Churchill Livingstone; 2004;
  14. Perry J, Green A. An investigation into the effects of a unilateral applied lumbar mobilisation technique on peripheral sympathetic nervous system activity in the lower limbs. Manual Therapy. 2008;13(6):492–499
  15. Potter L, McCarthy C, Oldham J. Algometer reliability in measuring pain thresholds over normal spinal muscles to allow quantification of anti-nociceptive treatment effects. International Journal of Osteopathic Medicine. 2006;9:113–119
  16. Skyba DA, Radhakrishnan R, Rohlwing A, Wright A, Sluka KA. Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opoid or GABA receptors in the spinal cord. Pain. 2003;106:159–168
  17. Sterling M, Jull G, Wright A. Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. Manual Therapy. 2001;6(2):72–81
  18. Sluka KA, Skyba DA, Radhakrishnan R, Leeper BJ, Wright A. Joint mobilization reduces hyperalgesia associated with chronic muscle and joint inflammation in rats. The Journal of Pain. 2006;7(8):602–607
  19. Teys P, Bisset L, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Manual Therapy. 2008;13(1):37–42
  20. Urbaniak G, Plous S. Research randomizer. [online] Social psychology network. Available from: http://www.randomizer.org/form.htm2008;[accessed November 2007]
  21. Vicenzino B, Collins D, Wright A. The initial effects of cervical spine manipulative physiotherapy on the pain and dysfunction of lateral epicondylalgia. Pain. 1996;68:69–74
  22. Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. Journal of Manipulative Physiological Therapeutics. 1998;21(7):448–452
  23. Vicenzino B, Paungmali A, Buratowski S, Wright A. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Manual Therapy. 2001;6(4):205–212
  24. Wright A. Hypoalgesia post-manipulative therapy: a review of a potential neurophysiological mechanism. Manual Therapy. 1995;1:11–16
  25. Ylinen J, Nykanen M, Kautianen , Hakkinen A. Evaluation of repeatability of pressure algometry on the neck muscles for clinical use. Manual Therapy. 2007;12:192–197

PII: S1356-689X(09)00089-7

doi: 10.1016/j.math.2009.05.013

Manual Therapy
Volume 15, Issue 1 , Pages 7-12 , February 2010

Article Tools

* Image Usage & Resolution