The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

The Effects of Joint Mobilization and TENS on Pain Threshold and Hormonal Changes in Patients with Chronic Low Back Pain

관절가동술과 TENS가 만성요통환자의 통증역치 및 호르몬 변화에 미치는 영향

  • Received : 2020.05.31
  • Accepted : 2020.06.15
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this research is to investigate the effects of joint mobilization and transcutaneous electrical nerve stimulation (TENS) on pain threshold and hormonal changes in patients with chronic LBP. Methods: 14 patients with chronic LBP were divided into the experimental group and the control group with 7 patients each, and both groups of patients were evaluated on pain duration, blood tests, and pressure pain threshold (PPT) on their first visit. On their second visit, joint mobilization was applied to the experimental group for 10 min and TENS to the control group for 20 min. Results: Pain threshold and duration of analgesia increased from after treatment in the experimental group. Serotonin and Cortisol decreased after treatment in the experimental group. Conclusion: Joint mobilization in patients with chronic LBP caused an increase in pain duration and pain thresholds and a decrease in serotonin, whereas there was little difference in cortisol.

Keywords

References

  1. Atlas JS, Nardin RA. Evaluation and treatment of low back pain: An evidence -based approach to clinical care. Muscle Nerve. 2003;27(3):265-84. https://doi.org/10.1002/mus.10311
  2. Aure OF, Nilsen JH, Vasseljen O. Manual Therapy and exercise therapy in patients with chronic low back pain: A ramdomized, controlled trial with 1-year follow-up. Spine, 2003;28(6):525-31. https://doi.org/10.1097/01.brs.0000049921.04200.a6
  3. Back IY. Exercise and Energy Metabolism. Yonsei University. 2009.
  4. Basbaum AI, Bautista DM, Scherrer G, et al. Cellular and molecular mechanisms of pain. Cell, 2009;139(2):267-284. https://doi.org/10.1016/j.cell.2009.09.028
  5. Carol H. Secrets of Serotonin. Revised Edition. Lynn Sonberg Book Associates. 2008.
  6. Gill K, Krag MH, Johnson GB, et al. Repeatability of four clinical methods for assessment of lumbar spinal motion. Spine, 1988;13,50-53. https://doi.org/10.1097/00007632-198801000-00012
  7. Godges JJ, Mattson-Bell M, Thorpe D, et al. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther. 2003:33(12):713-718. https://doi.org/10.2519/jospt.2003.33.12.713
  8. Harzard RG. Chronic low back pain and disability: the efficacy of functional restoration. Bull Hosp Jt Dis. 1996;55(4):213-216.
  9. Jung WJ, Lee WH. How to Effects of Manual Therapy : Chronic Low Back Pain Patients. Korean J Orthop Manu Ther. 2010;16(1):50-56
  10. Kim HB, Kim SY, Kim YM. The comparison about a evaluation and treatment concept of the manual therapy techniques. Korean J Orthop Manu Ther. 2005;11(1)49-64.
  11. Kim JM, Ahn DH. Pain Physiology and Principles of Physical Therapy. Phys Ther Korea. 1998;5(2):106-117.
  12. Kim SY. The Effects of Mobilization for Spinal Facet Joint on Pain and Range of Motion in Patients with Chronic Low Back Pain. Catholic University of Daegu, Master Thesis. 2011.
  13. Kosek E, Ordeberg G. Abnomalities of somatosensory perception in patients with painful osteoarthritis normalize following successful treatment. European journal of pain. 2000;4(3):229-238. https://doi.org/10.1053/eujp.2000.0175
  14. Kwag KI, Choi HY, Kim JY. The effects of lumbar stabilization exercise on depression and functions in elderly women with low back pain. J of the Korea Entertainment Industry Association. 2013;7(2):117-123. https://doi.org/10.21184/jkeia.2013.06.7.2.117
  15. Maitland GD. Peripheral Manipulation, 3rd Butterworths. London, England. 1991;171-190.
  16. Nam KW, Kim SH, Seo DY. Effects of self-stretching and joint mobilization to upper thoracic vertebrae in craniovertebral angle and autonomic system function in chronic cervical pain. J Korean Soc Phys Med. 2018;13(2):61-68. https://doi.org/10.13066/kspm.2018.13.2.61
  17. Parada CA, Tambeli CH, Cunha FQ, et al. The major role of peripheral release of histamine and 5-hydroxytryptamine in formalin-induced nociception. Neuroscience. 2001;102(4):937-944. https://doi.org/10.1016/s0306-4522(00)00523-6
  18. Park HS, Shin YI, Park JH. Effects of joint mobilization and group back pain exercise program on the hearing impairment patient with low back pain. Korean J Orthop Manu Ther. 2008;14(1):48-60.
  19. Sapaosky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Reviews. 2000;21(1):55-89. https://doi.org/10.1210/edrv.21.1.0389
  20. Schofield P. Assessment and management of pain in older adults: current perspectives and future directions. Scott Univ Med J. 2014;3(3):149-156. https://doi.org/10.1097/SPC.0b013e3282ffb406
  21. Tambeli CH, Oliveira MCG, Clemente JT, et al. A novel mechanism involved in 5-hydroxytryptamine-induced nociception: The indirect activation of primary afferents. Neuroscience. 2006;141(3):1517-1524. https://di.org/10.1016/j.neuroscience.2006.0.030
  22. Telles S, Sharma SK, Gupta RK, et al. Heart rate variability in chronic low back pain patients randomized to yoga or standard care. BMC Complement Altern Med. 2016;16(1):27. https://doi.org/10.1186/s12906-016-1271-1
  23. Wright A. Hypoalgesia post-manipulative therapy: A review of a potential neuro-physiological mechanism. Manu Ther. 1995;1:11-16. https://doi.org/10.1054/math.1995.0244
  24. Yang JH, Lim SW. A survey of utilization of alternative therapies in chronic low back pain patients. INJE University. 2003;18(1):643-662.