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Article
A Randomized, Placebo-Controlled, Cardiovascular Response Comparison of Unilateral Posterior-to-Anteriorly Directed Mobilization of the Neck in Pain-Free Adults
All PTHMS Faculty Publications
  • Emmanuel Yung, Sacred Heart University
  • Michael Wong, Azusa Pacific University
  • M. I. Ali, Sacred Heart University
  • T. Smith, Sacred Heart University
  • E. Barton, Azusa Pacific University
  • K. Peterson, Azusa Pacific University
  • David A. Cameron, Sacred Heart University
  • Jason Grimes, Sacred Heart University
  • K. Ching, Azusa Pacific University
  • Andrew Sullivan, Sacred Heart University
Document Type
Peer-Reviewed Article
Publication Date
9-1-2016
Program
Physical Therapy
Abstract
Neck pain is a prevalent global malady. Physiotherapists apply joint mobilization (JM) as a routine, pragmatic procedure for neck pain. Perhaps because JM is widely acknowledged as an effective intervention as concluded by multiple systematic reviews and meta-analyses. Unilateral anterior glide (UPA) is an entry-level variant of JM. And the purported rationale of how pain modulation is attained when employing JM is expounded as a neurophysiologic mechanism. Notwithstanding, the neurophysiologic system that alters pain overlaps with blood pressure (BP) as observed in BP-related hypoalgesia. Therefore, BP is a pertinent and easily quantified variable to examine. Nonetheless, there is scant evidence on the cardiovascular response to UPA. Moreover, it is unsettled whether JM produces sympatho -excitatory or -inhibitory reaction as determined by two published reports that employed central anterior glide (CPA) and unilateral posterior pressures (AP), respectively.
DOI
http://dx.doi.org/10.1016/j.math.2016.05.255
Citation Information
Yung, E., Wong, M., Ali, M.I., Smith, T., Barton, E., Peterson, K., Cameron, D.A., Grimes, J., Ching, K., & Sullivan, A. (2016). A randomized, placebo-controlled, cardiovascular response comparison of unilateral posterior-to-anteriorly directed mobilization of the neck in pain-free adults. Manual Therapy, 25, e135. doi:10.1016/j.math.2016.05.255