Original ResearchBilateral Sensory Effects of Unilateral Passive Accessory Mobilization in Patients With Thumb Carpometacarpal Osteoarthritis
Section snippets
Subjects
We performed a secondary analysis of data from a randomized controlled clinical trial.2 The methods and description of the trial have been previously described.2 The most relevant parts of the design are summarized below.
Subjects with dominant hand thumb CMC OA were recruited. The diagnosis was based on the patient's medical history and radiographic evidence of stage III and IV thumb CMC OA according to the Eaton-Littler-Burton Classification.18, 19 Inclusion criteria for this study were age
Flow of Participants Through the Study
Twenty-eight patients (72% females), with unilateral CMC OA and mean age ± SD of 82 ± 6 years, met all the inclusion criteria and agreed to participate (Fig 1). No significant differences in any outcome were found at baseline between groups. Baseline data of the participants are summarized in Table 1.
Changes in Mechanical Pain Sensitivity
The intraexaminer repeatability of PPTs over the contralateral lateral epicondyle, thumb CMC joint, scaphoid, and hamate bones was 0.93, 0.95, 0.78, and 0.89, respectively. The SEM was 0.44, 0.29,
Discussion
This secondary analysis found that the application of a unilateral passive accessory mobilization intervention targeted to the symptomatic thumb CMC joint in individuals with thumb CMC OA resulted in limited hypoalgesic effects over the contralateral CMC only at the 4-week follow-up period. No differences were noted for PPT level over the contralateral lateral epicondyle, the tubercle of the scaphoid bone, and the unciform apophysis of the hamate. Therefore, it is likely that joint mobilization
Conclusions
The findings of this secondary analysis showed that the application of a unilateral passive accessory mobilization intervention targeting the symptomatic thumb CMC joint in patients with thumb CMC OA resulted in limited hypoalgesic effects over the contralateral CMC joint at 2 weeks after the intervention. No changes were observed for PPT levels over the lateral epicondyle, the tubercle of the scaphoid bone, and the unciform apophysis of the hamate. No motor effects were associated with the
Funding Sources and Potential Conflicts of Interest
No funding sources or conflicts of interest were reported for this study.
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2017, Journal of Bodywork and Movement TherapiesCitation Excerpt :Our study directly compared the immediate hypoalgesic effects of three MT techniques previously shown to cause hypoalgesia. The results support that all the MT techniques studied produced local and segmental hypoalgesic effects and these outcomes are similar to the results of previous studies (Sterling et al., 2001; Vicenzino et al., 1996, 1998; Villafane et al., 2013a, Villafane et al. 2013b). For example, the results from the CLGM technique used in our study agreed with Vicenzino et al., (1996) who demonstrated hypoalgesic effects in the elbow region in healthy subjects and also in patients with lateral epicondilalgia and the results of for Posteroanterior (PA) mobilization results agree with previous studies in which unilateral grade III mobilization has a superior effects the contact or control conditions in patients with neck pain (Sterling et al., 2001).
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2017, Osteoarthritis and CartilageCitation Excerpt :A formal meta-analysis was to be performed, if feasible. A total of 95 RCTs were analyzed in this systematic review6–99. There were 2 RCTs published between 1970 and 1979, 5 between 1980 and 1989, 14 between 1990 and 1999, 34 between 2000 and 2009, and 40 between 2010 and December 2015.