The neurophysiological effects of a single session of spinal joint mobilization: does the effect last?
Open accessAbstract
Studies detailing the neurophysiological effects of spinal manual therapy have fueled a paradigm shift away from a strict biomechanical model. However, a recent systematic review of the temporal nature of a single session of spinal thrust manipulation found that the neurophysiological effects were only temporary. The objective of this review was to examine the temporal nature of neurophysiological effects after one session of spinal mobilization. Studies eligible for this review had to report on the temporal component of the neurophysiological effects of a single session of joint mobilization of the spine in human subjects. In order to be sure that the temporal nature of these effects was captured, the studies had to monitor neurophysiological effects for a time beyond the immediate post-treatment period. This systematic review followed the methodology for preferred reporting items for systematic reviews and meta-analyses. In order to assess the quality, strength, and importance of the included studies, the grading of recommendations assessment, development and evaluation system was used. Results of this review showed that the neurophysiological effects of a single session of spinal mobilization are mostly 5 minutes or less. An exception to these findings is hypoalgesia which may last up to 24 hours, based on one study. Continued research on small samples of healthy subjects with irrelevant immediate outcomes like salivary rate, skin conductance, and skin temperature should g…
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Manual therapy stimulates a neurophysiological effect that improves pain.
“Manual therapy (MT) stimulates a neurophysiological effect that improves pain, increases pressure pain threshold (PPT), increases pain-free grip, improves neurodynamic tension, and changes skin conductance and temperature.18”
Manual therapy increases pressure pain threshold.
“Manual therapy (MT) stimulates a neurophysiological effect that improves pain, increases pressure pain threshold (PPT), increases pain-free grip, improves neurodynamic tension, and changes skin conductance and temperature.18”
Effects of manual therapy can be found both locally and remotely from the treatment site.
“Effects can be found both locally and remotely from the treatment site.”
Cites
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008) · BMJ · doi:10.1136/bmj.39489.470347.ad · Cited by 23,305 · see citing works
What is ‘quality of evidence’ and why is it important to clinicians?
Guyatt, G. H., Oxman, A. D., Kunz, R., Vist, G. E., Falck-Ytter, Y., & Schünemann, H. J. (2008) · BMJ · doi:10.1136/bmj.39490.551019.be · Cited by 3,250 · see citing works
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What effect can manual therapy have on a patient’s pain experience
Bishop, M. D., Torres-Cueco, R., Gay, C. W., Lluch-Girbés, E., Beneciuk, J. M., & Bialosky, J. E. (2015) · Pain Management · doi:10.2217/pmt.15.39 · Cited by 197 · see citing works
Lam, A. C., Liddle, L. J., & MacLellan, C. L. (2023) · Archives of Rehabilitation Research and Clinical Translation · doi:10.1016/j.arrct.2022.100242 · Cited by 14 · see citing works
“Manual therapy (MT) stimulates a neurophysiological effect that improves pain, increases pressure pain threshold (PPT), increases pain-free grip, improves neurodynamic tension, and changes skin conductance and temperature.(18) Effects can be found both locally and remotely from the treatment site.”
Background
- Authors
- Hegedus, E. J., Goode, A., Butler, R. J., & Slaven, E.
- Affiliations
- High Point University (US)
- Duke University (US)
- University of Indianapolis (US)
- Corresponding author
- Hegedus, Eric J
- Venue
- Journal of Manual & Manipulative Therapy
- Publisher
- Informa UK Limited
- Published
- 2011-08
- Volume
- 19
- Issue
- 3
- Pages
- 143-151
- ISSN
- 1066-9817 (ISSN-L)
- 2042-6186
- PMC
- PMC3143008
- OpenAlex
- W2043094616
- Cited by
- 59
- References
- 2
- Citations by year
- 2025: 7 · 2024: 4 · 2023: 9 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Manual & Manipulative Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- neurophysiological effects, spinal manipulation, hypoalgesia, manual therapy, post-treatment outcomes, skin conductance, skin temperature
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