Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Review Article
Authors: Savva, Christosa; b; * | Giakas, Giannisb; c | Efstathiou, Michalisa; b
Affiliations: [a] Department of Health Science, European University, Nicosia, Cyprus | [b] Department of Physical Education and Sport Science, University of Thessaly, Karyes, Trikala, Greece | [c] Department of Kinesiology, CERETETH, Karyes, Trikala, Greece
Correspondence: [*] Corresponding author: Christos Savva, Argolidos 25 Panthea, Limassol, Cyprus. Tel.: +357 99666124; E-mail: [email protected]
Abstract: Background:Although the antinociceptive effect of high-velocity, low amplitude thrust manipulation (HVLAM) has been recognized by numerous systematic reviews, the underlying mechanism for manipulation-related pain relief remains poorly understood. An increasing number of studies have explored its analgesic mechanism suggesting that the excitation of the descending inhibitory pain mechanism (DIPM) might play the most important role for musculoskeletal pain relief. Objective:The objective of this review is to investigate the role of the DIPM in musculoskeletal pain following HVLAM as well as to identify the pain-relieving importance of this technique within clinical practice. Methodology:English literature databases were searched to find studies related to the objective of the present review. Results and Conclusions:Findings from current literature support that HVLAM has a profound influence on nociceptive stimulus via the possible activation of the DIPM. It seems that the application of this technique activates the periaqueductal gray region area of the midbrain, stimulates the noradrenergic descending system and at the level of the spinal cord, the nociceptive afferent barrage is reduced and mechanical hypoalgesia is induced. However, the literature on HVLAM induced-analgesia is still problematic regarding the methodological design of the existing research. Despite these limitations, the clinical importance of the activation of the DIPM should not be ignored since the resulted analgesic effect of this technique can provide a window of opportunity to restore impaired physical performance and disability.
Keywords: Joint manipulation, descending inhibitory pain mechanism, hypoalgesic, pain relieving, pressure pain thresholds
DOI: 10.3233/BMR-140472
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 27, no. 4, pp. 377-382, 2014
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]