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dc.contributor.authorLoss, Jefferson Fagundespt_BR
dc.contributor.authorSilva, Luciano de Souza dapt_BR
dc.contributor.authorCandotti, Cláudia Tarragôpt_BR
dc.contributor.authorMiranda, Iã Ferreirapt_BR
dc.contributor.authorGroisman, Sandro da Silvapt_BR
dc.contributor.authorWagner Neto, Edgar Santiagopt_BR
dc.contributor.authorSouza, Catianept_BR
dc.date.accessioned2021-07-06T04:44:49Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn2045-709Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/223146pt_BR
dc.description.abstractBackground: According to the American Physical Therapy Association, there is strong evidence to show that vertebral mobilization and manipulation procedures can be used to improve spinal and hip mobility and reduce pain and incapacity in low back pain patients that fit the clinical prediction rule. Objectives: To evaluate the immediate effects of high-velocity low-amplitude (HVLA) manipulation on pain and postural control parameters in individuals with nonspecific low back pain. Methods: This study used a participant-blinded and assessor-blinded randomized controlled clinical trial involving a single session, in which 24 participants were randomly distributed into control (simulated manipulation) and intervention (HVLA lumbar manipulation) groups. The primary (pain: subjective pain intensity and pressure pain threshold) and secondary outcomes (postural control: ellipse area, center of pressure [COP] excursion, COP RMS velocity, and differences between the COP and center of projected gravity) were evaluated before and after the session using a numerical pain scale, algometer, and a force platform. For all outcomes, multiple mixed 2 (group) × 2 (time) ANOVAs were performed. Results: For the subjective pain intensity, only time was significant as a main effect, where pre-intervention presented a greater value then post-intervention (F [1.44] = 4.377; p = 0.042; r = 0.30). For the pressure pain threshold no significant effect was found. For the postural control parameters, as a main effect, only the ellipse area was significantly greater in the control group (F [1.44] = 6.760; p = 0.013; effect size = 0.36). Conclusions: There was a reduction in subjective pain intensity, evaluated using a numerical scale, in both the intervention and control groups immediately after the intervention, suggesting that the spinal manipulation had a similar effect to the placebo procedure. No effect of HVLA lumbar manipulation was identified for postural control variables in either the intervention or control groups.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofChiropractic & Manual Therapies. Londres. Vol. 28, no. 25 (2020), p. [1-10]pt_BR
dc.rightsOpen Accessen
dc.subjectLombalgiapt_BR
dc.subjectNon-specific low back painen
dc.subjectManipulação da colunapt_BR
dc.subjectHVLA lumbar manipulationen
dc.subjectDorpt_BR
dc.subjectPain sensitivityen
dc.subjectNumerical pain rating scaleen
dc.subjectSensibilidadept_BR
dc.subjectReproducibility of Results Meta-Analysisen
dc.subjectAlgometriapt_BR
dc.subjectAlgometryen
dc.subjectPostural parametersen
dc.titleImmediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trialpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001126413pt_BR
dc.type.originEstrangeiropt_BR


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