DISTANT EFFECTS OF SPINAL MANIPULATION IN LOW BACK PAIN.THREE PATIENTS CASE REPORT
Keywords:
low back pain, spinal manipulation, thermography, autonomic nervous system.Abstract
Introduction: spinal manipulation can produce distant effects because it acts on central sensitization process by restoring nerve function, and on the autonomic nervous system. Objective: to determine the immediate effects of a distant spinal manipulation on low-back sensitized segment. Patients and method: this is a cases study, longitudinal, quantitative. Three patients with low-back pain were studied. Cases 1 and 3 underwent thoracic spinal manipulation T4- T5 and case 2 to a low-back spinal manipulation. Variables studied were paraspinal skin temperature (thermo-graph TyTron©) pain, heart rate and blood oxygen saturation. Results: a decrease in temperature was observed in all three cases, at an interval of 0.51ºC and 0.31ºC in case 1, 0.30ºC and 0.10ºC in case 2 and 0.17ºC and 0.28ºC in case 3. Pain decreased by 78 % in case 1, 35 % in case 2 and 100 % in case 3. There were also variations in heart rate and oxygen saturation. Discussion: decreased in temperature and pain indicates an effect on nervous system, although the study presents the design constraints.
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