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首页> 外文期刊>Journal of bodywork and movement therapies >The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial
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The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity: A triple-blind, randomized, placebo-controlled trial

机译:骨质疗法颈椎动员对神经机械敏感性的立即影响:三盲,随机,安慰剂对照试验

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BackgroundNeurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing. AimsThis study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervical mobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity. MethodologyThirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed. ResultsThe results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Leftp?
机译:backgroundneurodynamics是一种用于测试骨周神经的机械敏感性的临床培养基,该临床神经的内部神经的机械敏感性为上下肢体的组织。目前,在骨质化研究中神经动力学检测的文献中缺乏缺乏,并且在有研究的情况下,这些通常是方法论缺陷,没有适当的比较器,致盲和可靠性测试。 AIMSTHIS研究旨在评估在神经动力学测试期间的常用宫颈动员治疗的生理效果(通过运动范围; ROM测量),其与对照和假的适当方法中,即比较。具体而言,这是测试宫颈动员是否可以降低上肢神经机械敏感性。评估和随机地分配给对照,假或动员组的方法,它们都被赋予了神经动力学测试并进行评估。结果结果表明,动员组具有变化左皮的rom最大,最显着的rom?<?0.05并改变-rightp?<?0.05与对照组比较,并改变左撇子?<?0.01和改变-fergep ?<?0.05与假群相比。结论突出显示,正如预期的那样,宫颈动员在降低上肢神经机械敏感性时具有效果。然而,可能存在与心理影响之外的神经机械敏感性相互作用的其他因素,例如心理期望偏见。进一步的研究可以利用此处采用的方法,但与其他治疗区域有助于开发神经组织研究。除此之外,还应进一步探索心理因素,例如利用复杂的自上而下的认知处理理论,例如神经覆盖症或分类理论,以帮助进一步了解诸如安慰剂效应的认知偏差,这在骨科研究中通常被忽略,以及其他科学领域,这将进一步完成整体的角度。

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