The effects of cervical High-Velocity Low-Amplitude Thrust technique on distal upper limb pain perception
Item
- Title
- The effects of cervical High-Velocity Low-Amplitude Thrust technique on distal upper limb pain perception
- Author(s)
- Roberts, Arwel
- Abstract
- Introduction and ObjectiveHigh velocity low amplitude thrust (HVLAT) is a technique used by manual therapists for a number of indications, mainly reducing pain and restoring mobility local to its application. This randomized, placebo-controlled, single-blinded study aims to investigate the effect of high velocity low amplitude thrust technique on pain applied using a topical irritant cream to the periphery of an asymptomatic population. MethodsTwelve male asymptomatic subjects volunteered to partake in the study at the Research Laboratory of the British School of Osteopathic Medicine. All participants would undergo four visits receiving an intervention (cervical spine HVLAT), sham, control, and non-irritating cream. Participants were randomised and blinded to the order of group received. All groups received the relevant cream application to the predefined area on the right upper extremity followed by either a HVLAT, sham, or control. Data was obtained through the use of a Visual Analogue Scale score of the subject’s pain perception every 30 seconds. AnalysisA two-way analysis of variance was used to compare all groups against all time points. P value was set to 0.005. Significant increases in pain perception (VAS) were observed pre and post intervention in the sham and control group (p< 0.001). The intervention group had no statistical significant increase in pain perception (VAS) pre and post intervention (p= 0.125). A decreasing pain perception (VAS) trend was seen following the intervention, but no statistically significant difference was seen between the HVLAT and sham HVLAT at the post intervention time point (p= 0.061). All groups had a statistically significant increase in VAS compared to the non-irritant group. ConclusionHVLAT produced a statistically significant lesser VAS when compared to the control group post intervention but not compared to the sham HVLAT. HVLAT appears to have an effect on peripheral pain distal to the site of application at the spine but no effect significantly different to the sham HVLAT.
- presented at
- British College of Osteopathic Medicine
- Date Accepted
- 2017
- Date Submitted
- 12.11.2018 13:43:53
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 35
- Submitted by:
- 4457
- Pub-Identifier
- 16238
- Inst-Identifier
- 1076
- Keywords
- HVLAT; manipulation; osteopathy; pain; pain perception
- Recommended
- 0
- Item sets
- Thesis
Roberts, Arwel, “The effects of cervical High-Velocity Low-Amplitude Thrust technique on distal upper limb pain perception”, Osteopathic Research Web, accessed May 4, 2024, https://www.osteopathicresearch.com/s/orw/item/2117