An algometric investigation on the effect of high velocity thrust applied to the 4th thoracic vertebra on local pressure pain threshold.
Item
- Title
- An algometric investigation on the effect of high velocity thrust applied to the 4th thoracic vertebra on local pressure pain threshold.
- Author(s)
- Darimont, T
- Abstract
- Background: High-velocity thrust (HVT) is one of the most frequent manipulative techniques used by osteopaths with a high tendency of application in the thoracic spine. It is a technique that can be used to alleviate pain, which is often recognized in many papers. However, studies have shown that this method lacks statistical significant results. Furthermore it seems research has concentrated on the ability of HVT to modify pain perception in the lumbar and cervical regions, but the thoracic spine is often neglected, Objective: This study investigated whether administration of a high-velocity thrust applied at the fourth thoracic vertebra (T4'"HVT) (T4) results in significant changes in local pressure pain threshold (PPT) levels to determine how effective this technique is in inducing pain reduction. Study design: A controlled single blind study was done involving 50 subjects from a population of students at the ESQ Subjects were divided into two intervention groups. The experimental group received a T4'"HVT and the control group remained resting throughout the experiment. Data was collected using a manual algometry. Three repeated measurements, in Kg/cm2, were taken prior to the intervention and at two and four minute intervals following the intervention. Intra and inter group statistical analyses were compiled using SPSS, with significance levels set at p0.05). Inter group analysis revealed a significant difference between the experimental and control group after both two and four minutes (p= 0.000 and p= 0.00). However, no significant changes in PPT levels were found in the intra group analysis for the experimental group between two and four minutes after T4-HVT (p= 0.769). Conclusion: This study showed that there is a statistically significant change in local PPT levels in the thoracic region two and four minutes after application of a T4-HVT. These findings coincide with those of several papers using post- manipulation PPT measurements. Unfortunately, this study lacked clinical relevance and consequently did not introduce any new concepts to the world of osteopathy. However, it does provide a base from which future studies in the field of post-manipulative hypoalgesia can arise.
- presented at
- European School of Osteopathy
- Date Accepted
- 2013
- Date Submitted
- 20.1.2015 16:42:56
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15443
- Inst-Identifier
- 1229
- Keywords
- Algometer and HVT.
- Recommended
- 0
- Item sets
- Thesis
Darimont, T, “An algometric investigation on the effect of high velocity thrust applied to the 4th thoracic vertebra on local pressure pain threshold.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathic-research.com/s/orw/item/721