Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 2 , Pages 117-124 , February 2010

The Relationship of the Audible Pop to Hypoalgesia Associated With High-Velocity, Low-Amplitude Thrust Manipulation: A Secondary Analysis of an Experimental Study in Pain-Free Participants

  • Joel E. Bialosky, PT, PhD

      Affiliations

    • Clinical Assistant Professor, University of Florida Department of Physical Therapy, Gainesville, Fla
    • Corresponding Author InformationSubmit requests for reprints to: Joel E. Bialosky, PT, PhD, Clinical Assistant Professor, University of Florida Department of Physical Therapy, P.O. Box 100154, Gainesville, FL 32610
    • ,
  • Mark D. Bishop, PT, PhD

      Affiliations

    • Assistant Professor, University of Florida Department of Physical Therapy, Gainesville, Fla
    • ,
  • Michael E. Robinson, PhD

      Affiliations

    • Professor, University of Florida Department of Clinical and Health Psychology, Gainesville, Fla
    • ,
  • Steven Z. George, PT, PhD

      Affiliations

    • Assistant Professor, University of Florida Department of Physical Therapy, Gainesville, Fla

Received 26 March 2009 ,Revised 17 July 2009 ,Accepted 29 July 2009.

  • Image Result

    High-velocity, low-amplitude thrust technique used in this study. Reprinted from Cibulka MT. The treatment of the sacroiliac joint component to low back pain: a case report. Phys Ther. 1992;72:917-922

    High-velocity, low-amplitude thrust technique used in this study. Reprinted from Cibulka MT. The treatment of the sacroiliac joint component to low back pain: a case report. Phys Ther. 1992;72:917-922, with the permission of the American Physical Therapy Association. This material is copyrighted, and any further reproduction or distribution is prohibited.

  • Image Result
    Pain perception to Aδ fiber-mediated pain. Pre to post-HVLA thrust manipulation change in self-report of pain to standard thermal stimuli. Positive numbers on the y-axis indicate hypoalgesia, whereas

    Pain perception to Aδ fiber-mediated pain. Pre to post-HVLA thrust manipulation change in self-report of pain to standard thermal stimuli. Positive numbers on the y-axis indicate hypoalgesia, whereas negative numbers indicate hyperalgesia. NRS indicates numeric rating scale anchored with 0 = no pain at all and 100 = worst pain imaginable. Error bars indicate 1 SEM.

  • Image Result
    Change in temporal summation. Pre to post-HVLA thrust manipulation change in self-report of pain to standard thermal stimuli. Positive numbers on the y-axis indicate hypoalgesia. NRS indicates numeric

    Change in temporal summation. Pre to post-HVLA thrust manipulation change in self-report of pain to standard thermal stimuli. Positive numbers on the y-axis indicate hypoalgesia. NRS indicates numeric rating scale anchored with 0 = no pain at all and 100 = worst pain imaginable. Error bars indicate 1 SEM.

 The project was supported by grant no. R-21 AT002796-01 from the National Institutes of Health—National Center for Complimentary and Alternative Medicine (SZG, MDB, MER).

 JEB received support from the National Institutes of Health T-32 Neural Plasticity Research Training Fellowship (T32HD043730)

PII: S0161-4754(09)00320-0

doi: 10.1016/j.jmpt.2009.12.008

Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 2 , Pages 117-124 , February 2010

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