A Randomized, Placebo-Controlled, Cardiovascular Response Comparison of Unilateral Posterior-to-Anteriorly Directed Mobilization of the Neck in Pain-Free Adults
Document Type
Peer-Reviewed Abstract
Publication Date
9-2016
Program
Physical Therapy
Abstract
Neck pain is a prevalent global malady. Physiotherapists apply joint mobilization (JM) as a routine, pragmatic procedure for neck pain. Perhaps because JM is widely acknowledged as an effective intervention as concluded by multiple systematic reviews and meta-analyses. Unilateral anterior glide (UPA) is an entry-level variant of JM. And the purported rationale of how pain modulation is attained when employing JM is expounded as a neurophysiologic mechanism. Notwithstanding, the neurophysiologic system that alters pain overlaps with blood pressure (BP) as observed in BP-related hypoalgesia. Therefore, BP is a pertinent and easily quantified variable to examine. Nonetheless, there is scant evidence on the cardiovascular response to UPA. Moreover, it is unsettled whether JM produces sympatho -excitatory or -inhibitory reaction as determined by two published reports that employed central anterior glide (CPA) and unilateral posterior pressures (AP), respectively.
DOI
10.1016/j.math.2016.05.255
Recommended Citation
Yung, E., Wong, M., Ali, M.I., Smith, T., Barton, E., Peterson, K., ... Sullivan, A. (2016). A randomized, placebo-controlled, cardiovascular response comparison of unilateral posterior-to-anteriorly directed mobilization of the neck in pain-free adults. Manual Therapy, 25, e135. doi:10.1016/j.math.2016.05.255
Publication
Manual Therapy
Volume
25
Pages
e135