The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial
Abstract Background Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research,...
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| Veröffentlicht in: | Journal of bodywork and movement therapies 2018-04, Vol.22 (2), p.252-260 |
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| creator | Whelana, Gary, M.Ost Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO Millward, Charles, ND DO Edwards, Darren J., B.Sc. M.Sc. Ph.D |
| description | Abstract Background Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing. Aims This study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervical mobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity. Methodology Thirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed. Results The results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Left p < 0.05 and Change-Right p < 0.05 compared against the control group, and Change-Left p |
| doi_str_mv | 10.1016/j.jbmt.2017.05.009 |
| format | Article |
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B.Sc. (Hons) Ost Med, DO ; Millward, Charles, ND DO ; Edwards, Darren J., B.Sc. M.Sc. Ph.D</creator><creatorcontrib>Whelana, Gary, M.Ost ; Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO ; Millward, Charles, ND DO ; Edwards, Darren J., B.Sc. M.Sc. Ph.D</creatorcontrib><description>Abstract Background Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing. Aims This study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervical mobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity. Methodology Thirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed. Results The results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Left p < 0.05 and Change-Right p < 0.05 compared against the control group, and Change-Left p <0.01 and Change-Right p < 0.05 compared against the sham group. Conclusions This study has highlighted that, as expected, cervical mobilization has an effect at reducing upper limb neural mechanical sensitivity. However, there may be other factors interacting with neural mechanosensitivity outside of somatic influences such as psychological expectation bias. Further research could utilize the methodology employed here, but with other treatment areas to help develop neural tissue research. In addition to this, further exploration of psychological factors should be made such as utilizing complex top-down cognitive processing theories such as the neuromatrix or categorization theories to help further understand cognitive biases such as the placebo effect, which is commonly ignored in osteopathic research, as well as other areas of science, and which would further complete a holistic perspective.</description><identifier>ISSN: 1360-8592</identifier><identifier>EISSN: 1532-9283</identifier><identifier>DOI: 10.1016/j.jbmt.2017.05.009</identifier><identifier>PMID: 29861216</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Cervical Vertebrae - physiology ; Female ; Humans ; Male ; Manipulation, Osteopathic - methods ; Median Nerve - physiology ; Physical Medicine and Rehabilitation ; Range of Motion, Articular ; Upper Extremity - physiology ; Young Adult</subject><ispartof>Journal of bodywork and movement therapies, 2018-04, Vol.22 (2), p.252-260</ispartof><rights>Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-af13244804e82b08e7ff923fd29a61f2efd3f12b3469f72c05aaa8a6618fca033</citedby><cites>FETCH-LOGICAL-c402t-af13244804e82b08e7ff923fd29a61f2efd3f12b3469f72c05aaa8a6618fca033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29861216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whelana, Gary, M.Ost</creatorcontrib><creatorcontrib>Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO</creatorcontrib><creatorcontrib>Millward, Charles, ND DO</creatorcontrib><creatorcontrib>Edwards, Darren J., B.Sc. M.Sc. Ph.D</creatorcontrib><title>The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial</title><title>Journal of bodywork and movement therapies</title><addtitle>J Bodyw Mov Ther</addtitle><description>Abstract Background Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing. Aims This study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervical mobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity. Methodology Thirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed. Results The results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Left p < 0.05 and Change-Right p < 0.05 compared against the control group, and Change-Left p <0.01 and Change-Right p < 0.05 compared against the sham group. Conclusions This study has highlighted that, as expected, cervical mobilization has an effect at reducing upper limb neural mechanical sensitivity. However, there may be other factors interacting with neural mechanosensitivity outside of somatic influences such as psychological expectation bias. Further research could utilize the methodology employed here, but with other treatment areas to help develop neural tissue research. In addition to this, further exploration of psychological factors should be made such as utilizing complex top-down cognitive processing theories such as the neuromatrix or categorization theories to help further understand cognitive biases such as the placebo effect, which is commonly ignored in osteopathic research, as well as other areas of science, and which would further complete a holistic perspective.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cervical Vertebrae - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Manipulation, Osteopathic - methods</subject><subject>Median Nerve - physiology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Range of Motion, Articular</subject><subject>Upper Extremity - physiology</subject><subject>Young Adult</subject><issn>1360-8592</issn><issn>1532-9283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kd-K1TAQh4so7rr6Al5ILr3Y1knS9jReCMviP1jwwvU6pOmEk5omNck5cPZJfFxTzyoEMjDfDMzvq6rXFBoKtH83N_O45IYB3TXQNQDiSXVJO85qwQb-tNS8h3roBLuoXqQ0QyFaJp5XF0wMPWW0v6x-3--R2GXByaqMBI1BnUkwJKSMYVV5bzXRGI9WK0fSaj2SJYzW2QeVbfCkvL_DnvhClSbqvfIhoU8226PNp_fkhuRoV4f16KyfrklUfgqLfcBSr05pHEOtg88xOIfTBiv3snpmlEv46vG_qn58-nh_-6W--_b56-3NXa1bYLlWhnLWtgO0OLARBtwZIxg3ExOqp4ahmbihbORtL8yOaeiUUoPqezoYrYDzq-rtee8aw68DpiwXmzQ6pzyGQ5IMWiF4C70oKDujOoaUIhq5RruoeJIU5GZEznIzIjcjEjpZ8i5Dbx73H8YS1P-RfwoK8OEMYLnyaDFKXVLa4v6JJ0xzOERfApBUJiZBft-kbk7pjgOFcusfuaKg6g</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Whelana, Gary, M.Ost</creator><creator>Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO</creator><creator>Millward, Charles, ND DO</creator><creator>Edwards, Darren J., B.Sc. M.Sc. Ph.D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180401</creationdate><title>The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial</title><author>Whelana, Gary, M.Ost ; Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO ; Millward, Charles, ND DO ; Edwards, Darren J., B.Sc. M.Sc. Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-af13244804e82b08e7ff923fd29a61f2efd3f12b3469f72c05aaa8a6618fca033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cervical Vertebrae - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Manipulation, Osteopathic - methods</topic><topic>Median Nerve - physiology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Range of Motion, Articular</topic><topic>Upper Extremity - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whelana, Gary, M.Ost</creatorcontrib><creatorcontrib>Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO</creatorcontrib><creatorcontrib>Millward, Charles, ND DO</creatorcontrib><creatorcontrib>Edwards, Darren J., B.Sc. M.Sc. Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bodywork and movement therapies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whelana, Gary, M.Ost</au><au>Johnston, Ross, M.Sc. B.Sc. (Hons) Ost Med, DO</au><au>Millward, Charles, ND DO</au><au>Edwards, Darren J., B.Sc. M.Sc. Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial</atitle><jtitle>Journal of bodywork and movement therapies</jtitle><addtitle>J Bodyw Mov Ther</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>22</volume><issue>2</issue><spage>252</spage><epage>260</epage><pages>252-260</pages><issn>1360-8592</issn><eissn>1532-9283</eissn><abstract>Abstract Background Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing. Aims This study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervical mobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity. Methodology Thirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed. Results The results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Left p < 0.05 and Change-Right p < 0.05 compared against the control group, and Change-Left p <0.01 and Change-Right p < 0.05 compared against the sham group. Conclusions This study has highlighted that, as expected, cervical mobilization has an effect at reducing upper limb neural mechanical sensitivity. However, there may be other factors interacting with neural mechanosensitivity outside of somatic influences such as psychological expectation bias. Further research could utilize the methodology employed here, but with other treatment areas to help develop neural tissue research. In addition to this, further exploration of psychological factors should be made such as utilizing complex top-down cognitive processing theories such as the neuromatrix or categorization theories to help further understand cognitive biases such as the placebo effect, which is commonly ignored in osteopathic research, as well as other areas of science, and which would further complete a holistic perspective.</abstract><cop>United States</cop><pmid>29861216</pmid><doi>10.1016/j.jbmt.2017.05.009</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Cervical Vertebrae - physiology Female Humans Male Manipulation, Osteopathic - methods Median Nerve - physiology Physical Medicine and Rehabilitation Range of Motion, Articular Upper Extremity - physiology Young Adult |
| title | The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial |
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