e-space
Manchester Metropolitan University's Research Repository

Comparing Targeted Thrust Manipulation With General Thrust Manipulation In Patients With Low Back Pain. A General Approach Is As Effective As A Specific One. A Randomised Controlled Trial

McCarthy, Christopher and Potter, Louise and Oldham, Jacqueline (2019) Comparing Targeted Thrust Manipulation With General Thrust Manipulation In Patients With Low Back Pain. A General Approach Is As Effective As A Specific One. A Randomised Controlled Trial. BMJ Open Sport and Exercise Medicine, 5 (1). ISSN 2055-7647

[img]
Preview

Available under License Creative Commons Attribution Non-commercial.

Download (602kB) | Preview

Abstract

ABSTRACT Background: Spinal manipulation is commonly used to treat back pain. The application of spinal manipulation has traditionally involved an element of targeting the technique to a level of the spine where the proposed movement dysfunction is sited. We evaluated the effects of a targeted manipulative thrust versus a thrust applied generally to the lumbar region. Methods: A randomised controlled clinical trial in patients with low back pain following CONSORT guidelines. Sixty subjects were randomly allocated to two groups—one group received a targeted manipulative thrust (TT) (n=29) and the other a general manipulation thrust (GT) (n=31) to the lumbar spine. Thrust was either localised to a clinician-defined symptomatic spinal level or an equal force was applied through the whole lumbo-sacral region. We measured pressure-pain thresholds (PPT) using algometry and muscle activity (magnitude of stretch reflex) via surface electromyography (EMG). Numeric ratings of pain and Oswestry disability index scores were collected. Results: Repeated measures of analysis of covariance (ANCOVA), revealed no between group differences in self-reported pain or pressure-pain threshold for any of the muscles studied. Summary: A general thrust procedure--applied without any specific targeting--was as effective in reducing participants’ pain scores as targeted approaches.

Impact and Reach

Statistics

Downloads
Activity Overview
134Downloads
240Hits

Additional statistics for this dataset are available via IRStats2.

Altmetric

Actions (login required)

View Item View Item