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Immediate effects of spinal manipulation on thermal pain sensitivity: an experimental study |
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| Authors: | Steven Z George Mark D Bishop Joel E Bialosky Giorgio Zeppieri and Michael E Robinson |
| Institution: | (1) Department of Physical Therapy, Brooks Center for Rehabilitation Studies, University of Florida, PO Box 100154, Gainesville, FL 32610-0154, USA;(2) Department of Physical Therapy, University of Florida Gainesville, PO Box 100154, FL 32610-0154, USA;(3) Department of Physical Therapy, University of Florida Gainesville, PO Box 100154, FL 32610-0154, USA;(4) SHANDs and the University of Florida, PO Box 100154, Gainesville, FL 32610-0154, USA;(5) Department of Clinical and Health Psychology, Center for Pain Research and Behavioral Health, University of Florida, Gainesville, FL 32610-0165, USA |
| Abstract: | BackgroundThe underlying causes of spinal manipulation hypoalgesia are largely unknown. The beneficial clinical effects were originally theorized to be due to biomechanical changes, but recent research has suggested spinal manipulation may have a direct neurophysiological effect on pain perception through dorsal horn inhibition. This study added to this literature by investigating whether spinal manipulation hypoalgesia was: a) local to anatomical areas innervated by the lumbar spine; b) correlated with psychological variables; c) greater than hypoalgesia from physical activity; and d) different for A-delta and C-fiber mediated pain perception. |
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