Cited by 112Myofascial pain diagnosis and treatmentTemporomandibular Joint DisordersPain Mechanisms and Treatments

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Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?: A Randomized-controlled Trial

La Touche, Roy, París-Alemany, Alba, Mannheimer, Jeffrey S., Angulo-Díaz-Parreño, Santiago, Bishop, Mark D., Lopéz-Valverde-Centeno, Antonio, von Piekartz, Harry, Fernández-Carnero, Josue·2013·The Clinical Journal of Pain

DOI 10.1097/ajp.0b013e318250f3cd

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Abstract

Objectives The aims were to investigate the effects of anterior-posterior upper cervical mobilization (APUCM) on pain modulation in craniofacial and cervical regions and its influence on the sympathetic nervous system. Methods Thirty-two patients with cervico-craniofacial pain of myofascial origin were randomly allocated into experimental or placebo groups. Each patient received 3 treatments. Outcome measures included bilateral pressure pain thresholds assessed at craniofacial and cervical points preintervention, after the second intervention and after the final treatment. Pain intensity and sympathetic nervous system variables (skin conductance, breathing rate, heart rate, and skin temperature) were assessed before and immediately after each intervention. Results The pressure pain thresholds in the craniofacial and cervical regions significantly increased (P Discussion This study provided preliminary evidence of a short-term hypoalgesic effect of APUCM on craniofacial and cervical regions of patients with cervico-craniofacial pain of myofascial origin, suggesting that APUCM may cause an immediate nociceptive modulation in the trigeminocervical complex. We also observed a sympathoexcitatory response, which could be related to the hypoalgesic effect induced by the technique, but this aspect should be confirmed in future studies.

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Authors: La Touche, R., París-Alemany, A., Mannheimer, J. S., Angulo-Díaz-Parreño, S., Bishop, M. D., Lopéz-Valverde-Centeno, A., von Piekartz, H., & Fernández-Carnero, J.
Affiliations: Columbia University (US)
University of Florida Health (US)
Universidad Europea de Madrid (ES)
ORCID: Bishop, Mark D.
von Piekartz, Harry
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-03
Volume: 29
Issue: 3
Pages: 205-215
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0b013e318250f3cd
OpenAlex: W2156862303
Cited by: 112
References: 72
Citations by year: 2026: 3 · 2025: 4 · 2024: 7 · 2023: 12 · 2022: 7 · 2021: 6 · 2020: 16 · 2019: 12 · 2018: 13 · 2017: 7 · 2016: 9 · 2015: 11 · 2014: 3 · 2013: 2
FWCI: 2.42
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
ABACUS. Repositorio de Producción Científica (Universidad Europea) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Keywords: myofascial pain, pain modulation, pressure pain threshold, sympathetic nervous system, skin conductance, trigeminocervical complex, hypoalgesia, cervical manipulation
MeSH terms: Adult, Autonomic Nervous System, Cervical Vertebrae, Facial Pain, Female, Heart Rate, Humans, Male, Skin Temperature, Spain, Respiratory Mechanics, Treatment Outcome, Musculoskeletal Manipulations, Pain Perception

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Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?: A Randomized-controlled Trial

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