Articles: back-pain.
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A systematic review. ⋯ 3.
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Prospective observational cohort study. ⋯ 4.
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A cross-sectional survey with a longitudinal follow-up. ⋯ 2.
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The aim of the present study was to determine whether thoracic spinal manipulation (SM) decreases temporal summation of back pain. The study comprised two controlled experiments including 16 and 15 healthy participants, respectively. Each study included six sessions during which painful or non-painful electrical stimulations were delivered in three conditions: (1) control (2) light mechanical stimulus (MS) or (3) SM. ⋯ Changes were not significant for the MS sessions (all p's>0.05) and no effect was observed for the tactile sensation (all p's>0.1). These results indicate that SM produces specific inhibitory effects on temporal summation of back pain, consistent with the involvement of a spinal anti-nociceptive mechanism in clinical pain relief by SM. This provides the first mechanistic evidence of back pain relief by spinal manipulation.
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Randomized Controlled Trial
Effects of Myofascial Release in Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial.
Double-blind, randomized parallel sham-controlled trial with concealed allocation and intention-to treat analysis. ⋯ 2.