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: Article (PostPrint)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
Exportado de SIDERAL (2019-07-09-12:20:47)
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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: Article (PostPrint)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2019-07-09-12:20:47)
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Record created 2018-05-23, last modified 2019-07-09