Assessing the effects of superficial and deep tissue techniques on the pressure pain threshold of the hamstrings
Item
- Title
- Assessing the effects of superficial and deep tissue techniques on the pressure pain threshold of the hamstrings
- Author(s)
- Patel, Rishi
- Abstract
- ObjectiveThis study aims to investigate whether there is a change in pressure pain threshold (PPT) in the hamstrings when comparing between two soft tissue techniques (superficial effleurage and deep neuromuscular technique, NMT) in asymptomatic participants. MethodsFourteen (n=14) asymptomatic male participants screened for inclusion were recruited in a single blinded randomised crossover study. Each participant was randomly assigned to one of three groups; a deep neuromuscular technique group, a superficial effleurage group and a control group of no technique over a period of 3 consecutive weeks. Each participant took part in each group with a one week washout period between. Pressure pain threshold (PPT) was measured using a hand held algometer, pre and immediately post intervention, 15 minutes post intervention and 30 minutes post -intervention. Three anatomic locations were tested on each participant, the mid-point area (longitudinally and transversely) of the hamstring muscle, the lumbar erector spinae muscle at the point of the fourth lumbar vertebrae and the dorsum middle phalanx of the index finger. A two-way repeated measures ANOVA was conducted to determine any significant difference between interventions and times. Statistical significance was set at alpha =0.05. ResultsThe ICC test results showed excellent intra-rater reliability between all sets of data (0.838-0.989). A two way repeated measures ANOVA revealed that there were significant differences found between groups across time in the hamstring (P=0.003), lumbar erector spinae muscle (P=0.001) but no significant differences at the phalanx (P=0.799). There was a significant difference post intervention during NMT technique (P=0.005) and 15 minutes post (P=0.002), there were also significant differences during effleurage post intervention (P=0.012). All other time periods were found non-significant. Significant differences were found between the NMT and effleurage post intervention in the hamstring (P=0.029), in the lumbar spine post intervention (P=0.003) and 15 minutes post intervention (P=0.044). No significant differences were found in the control group. ConclusionNMT shows a significant increase in PPT, whereas effleurage shows a significant decrease in PPT. The control group was not significant. Future research should be conducted in a clinical setting on symptomatic patients and whether the technique has an effect on PPT in other areas than the lumbar spine.
- presented at
- British College of Osteopathic Medicine
- Date Accepted
- 2013
- Date Submitted
- 14.11.2018 12:23:27
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 29
- Submitted by:
- 4457
- Pub-Identifier
- 16328
- Inst-Identifier
- 1076
- Recommended
- 0
- Item sets
- Thesis
Patel, Rishi, “Assessing the effects of superficial and deep tissue techniques on the pressure pain threshold of the hamstrings”, Osteopathic Research Web, accessed May 4, 2024, https://www.osteopathicresearch.com/s/orw/item/2021