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dc.contributor.authorTreacher, Alastair
dc.date.accessioned2011-07-04T22:03:30Z
dc.date.available2011-07-04T22:03:30Z
dc.date.issued2011en_NZ
dc.identifier.urihttps://hdl.handle.net/10652/1611
dc.description.abstractBackground and objective: To measure the immediate effect of a High-Velocity Low-Amplitude (HVLA) manipulation targeting the C5/6 vertebral segment on pain intensity in subjects with Lateral Epicondylalgia (LE). Design: Randomised assessor blinded controlled experiment. Methods: Ten subjects (7 male, 3 female; mean age= 37.7, SD=10.8) with unilateral elbow pain participated in this study. Prior to enrolment subjects were screened to establish the presence of LE. Pain-Free Grip Strength (PFGS) and Pressure Pain Threshold (PPT) at the lateral epicondyle were measured for both arms prior to and immediately following the application of either High-Velocity Low-Amplitude thrust targeting the C5/6 vertebral segment or the control condition. Results: The intervention group demonstrated an increase in mean Pain-Free Grip strength (37.9 ± 19.2N) following a High-Velocity Low-Amplitude manipulation (p=0.03, d=0.32) compared to a decrease in Pain-Free Grip Strength (25.6 ± 24.2N, p= 0.13) observed in the control group. The increase in Pain-Free Grip Strength observed in the intervention group exceeded the a priori Smallest Detectable Difference (14N). Neither the control or intervention group demonstrated substantial within group or between group change in mean Pressure Pain Threshold (control: p=0.59, 1.4 N/cm2; intervention: p=0.3, 3.3 N/cm2; between group: p=0.08, 8.8 N/cm2) following the intervention. Conclusion: High-Velocity Low-Amplitude thrust targeting the C5/6 vertebral segment can lead to a moderate increase in pain free grip strength in subjects with Lateral Epicondylitis. The change observed in PFGS following HVLA also indicates that further work exploring the proposed cervical component of LE is justified.en_NZ
dc.language.isoenen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjecthigh velocity/low amplitude thrustsen_NZ
dc.subjectHVLA manipulationen_NZ
dc.subjectLateral Epicondylalgiaen_NZ
dc.titleImmediate effects of high-velocity thrust to the cervical spine on pressure pain threshold and pain-free grip strength in subjects with lateral epicondylalgiaen_NZ
dc.typeMasters Thesisen_NZ
dc.rights.holderAuthoren_NZ
thesis.degree.nameMaster of Osteopathyen_NZ
thesis.degree.levelMastersen_NZ
thesis.degree.grantorUnitec Institute of Technologyen_NZ
dc.subject.marsden110499 Complementary and Alternative Medicine not elsewhere classifieden_NZ
dc.identifier.bibliographicCitationTreacher, A. (2011). Immediate effects of high-velocity thrust to the cervical spine on pressure pain threshold and pain-free grip strength in subjects with lateral epicondylalgia. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/1611en
unitec.pages68en_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.publication.placeAuckland, New Zealanden_NZ
unitec.advisor.principalHilton, Craig
unitec.advisor.associatedMoran, Robert
unitec.institution.studyareaOsteopathy
dc.identifier.wikidataQ112888142


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