Short-Term Changes in Algometry, Inclinometry, Stabilometry, and Urinary pH Analysis After a Thoracolumbar Junction Manipulation in Patients with Kidney Stones
Oliva Pascual-Vaca, Á. ; Punzano-Rodríguez, R. ; Escribá-Astaburuaga, P. ; Fernández-Domínguez, JC. ; Ricard, F. ; Franco-Sierra, MA. (Universidad de Zaragoza) ; Rodríguez-Blanco C.
Resumen: Objectives: To determine the efficacy of a high-velocity low-amplitude manipulation of the thoracolumbar junction in different urologic and musculoskeletal parameters in subjects suffering from renal lithiasis.
Design: Randomized, controlled blinded clinical study.
Settings/Location: The Nephrology departments of two hospitals and one private consultancy of physiotherapy in Valencia (Spain).
Subjects: Forty-six patients suffering from renal lithiasis.
Interventions: The experimental group (EG, n¿=¿23) received a spinal manipulation of the thoracolumbar junction, and the control group (CG, n¿=¿23) received a sham procedure.
Outcome measures: Pressure pain thresholds (PPTs) of both quadratus lumborum and spinous processes from T10 to L1, lumbar flexion range of motion, stabilometry, and urinary pH were measured before and immediately after the intervention. A comparison between pre- and postintervention phases was performed and an analysis of variance for repeated measures using time (pre- and postintervention) as intrasubject variable and group (CG or EG) as intersubject variable.
Results: Intragroup comparison showed a significant improvement for the EG in the lumbar flexion range of motion (p¿<¿0.001) and in all the PPT (p¿<¿0.001 in all cases). Between-group comparison showed significant changes in PPT in quadratus lumborum (p¿<¿0.001), as well as in the spinous processes of all of the evaluated levels (p¿<¿0.05). No changes in urinary pH were observed (p¿=¿0.419).
Conclusion: Spinal manipulation of the thoracolumbar junction seems to be effective in short term to improve pain sensitivity, as well as to increase the lumbar spine flexion.
Idioma: Inglés
DOI: 10.1089/acm.2017.0041
Año: 2017
Publicado en: JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE 23, 8 (2017), 639-647
ISSN: 1075-5535
Factor impacto JCR: 1.498 (2017)
Categ. JCR: INTEGRATIVE & COMPLEMENTARY MEDICINE rank: 16 / 27 = 0.593 (2017) - Q3 - T2
Factor impacto SCIMAGO: 0.571 - Complementary and Alternative Medicine (Q1)
Tipo y forma: Artículo (PostPrint)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
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Design: Randomized, controlled blinded clinical study.
Settings/Location: The Nephrology departments of two hospitals and one private consultancy of physiotherapy in Valencia (Spain).
Subjects: Forty-six patients suffering from renal lithiasis.
Interventions: The experimental group (EG, n¿=¿23) received a spinal manipulation of the thoracolumbar junction, and the control group (CG, n¿=¿23) received a sham procedure.
Outcome measures: Pressure pain thresholds (PPTs) of both quadratus lumborum and spinous processes from T10 to L1, lumbar flexion range of motion, stabilometry, and urinary pH were measured before and immediately after the intervention. A comparison between pre- and postintervention phases was performed and an analysis of variance for repeated measures using time (pre- and postintervention) as intrasubject variable and group (CG or EG) as intersubject variable.
Results: Intragroup comparison showed a significant improvement for the EG in the lumbar flexion range of motion (p¿<¿0.001) and in all the PPT (p¿<¿0.001 in all cases). Between-group comparison showed significant changes in PPT in quadratus lumborum (p¿<¿0.001), as well as in the spinous processes of all of the evaluated levels (p¿<¿0.05). No changes in urinary pH were observed (p¿=¿0.419).
Conclusion: Spinal manipulation of the thoracolumbar junction seems to be effective in short term to improve pain sensitivity, as well as to increase the lumbar spine flexion.
Idioma: Inglés
DOI: 10.1089/acm.2017.0041
Año: 2017
Publicado en: JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE 23, 8 (2017), 639-647
ISSN: 1075-5535
Factor impacto JCR: 1.498 (2017)
Categ. JCR: INTEGRATIVE & COMPLEMENTARY MEDICINE rank: 16 / 27 = 0.593 (2017) - Q3 - T2
Factor impacto SCIMAGO: 0.571 - Complementary and Alternative Medicine (Q1)
Tipo y forma: Artículo (PostPrint)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. No puede utilizar el material para una finalidad comercial. Si remezcla, transforma o crea a partir del material, no puede difundir el material modificado.Exportado de SIDERAL (2019-07-09-12:20:47)
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Registro creado el 2018-05-23, última modificación el 2019-07-09