[논문]Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease: A Randomized Controlled Trial

Vieira-Pellenz, F.; Oliva-Pascual-Vaca, A.; Rodriguez-Blanco, C.; Heredia-Rizo, A.M.; Ricard, F.; Almazan-Campos, G.

doi:10.1016/j.apmr.2014.05.002

Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease: A Randomized Controlled Trial

Archives of physical medicine and rehabilitation, v.95 no.9, 2014년, pp.1613 - 1619

Vieira-Pellenz, F. , Oliva-Pascual-Vaca, A. , Rodriguez-Blanco, C. , Heredia-Rizo, A.M. , Ricard, F. , Almazan-Campos, G.

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Objective: To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design: Randomized, double-blind, controlled clinical trial with evaluations at baseline and after intervention. Setting: University-based physical therapy research clinic. Participants: Men (N=40; mean age +/- SD, 38+/-9.14y) with diagnosed degenerative lumbar disease at L5-S1 were randomly divided into 2 groups: a treatment group (TG) (n=20; mean age +/- SD, 39+/-9.12y) and a control group (CG) (n=20; mean age +/- SD, 37+/-9.31y). All participants completed the intervention and follow-up evaluations. Interventions: A single L5-S1 SM technique (pull-move) was performed in the TG, whereas the CG received a single placebo intervention. Main Outcome Measures: Measures included assessing the subject's height using a stadiometer. The secondary outcome measures included perceived low back pain, evaluated using a visual analog scale; neural mechanosensitivity, as assessed using the passive straight-leg raise (SLR) test; and amount of spinal mobility in flexion, as measured using the finger-to-floor distance (FFD) test. Results: The intragroup comparison indicated a significant improvement in all variables in the TG (P<.001). There were no changes in the CG, except for the FFD test (P=.008). In the between-group comparison of the mean differences from pre- to postintervention, there was statistical significance for all cases (P<.001). Conclusions: An HVLA SM in the lumbosacral joint performed on men with degenerative disk disease immediately improves self-perceived pain, spinal mobility in flexion, hip flexion during the passive SLR test, and subjects' full height. Future studies should include women and should evaluate the long-term results.

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Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease: A Randomized Controlled Trial

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