The effect on clinical outcomes when targeting spinal manipulation at stiffness or pain sensitivity: a randomized trial.

ABSTRACT: The mechanisms underlying pain relief following spinal manipulative therapy (SMT) are not understood fully although biomechanical and neurophysiological processes have been proposed. As such, we designed this randomized trial to elucidate the contributions of biomechanical and neurophysiological processes. A total of 132 participants with low back pain were randomly assigned to receive SMT at either the lumbar segment measured as the stiffest or the segment measured as having the lowest pain threshold. The primary outcome was patient reported low back pain intensity following treatment. Secondary outcomes were biomechanical stiffness and neurophysiological pressure pain threshold. All outcomes were measured at baseline, after the fourth and final session and at 2-weeks follow-up. Data were

SUBMITTER: Nim CG 

PROVIDER: S-EPMC7471938 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature