Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial

D Pecos-Martín; A E de Melo Aroeira; R L Verás Silva; G Martínez de Tejada Pozo; L M Rodríguez Solano; G Plaza-Manzano; T Gallego-Izquierdo; D Falla

doi:10.1016/j.physio.2015.10.016

Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial

D Pecos-Martín, A E de Melo Aroeira, R L Verás Silva, G Martínez de Tejada Pozo, L M Rodríguez Solano, G Plaza-Manzano, T Gallego-Izquierdo, D Falla

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

OBJECTIVES: To investigate the activity of the thoracic erector spinae muscles and perceived pain intensity immediately after central postero-anterior (PA) mobilisation of the thoracic spine.

DESIGN: Randomised, placebo-controlled, experimental design.

PARTICIPANTS AND INTERVENTIONS: Thirty-four participants with non-specific thoracic pain were randomised to the experimental group [grade III central PA mobilisation performed for 3minutes at the level of the seventh thoracic vertebra (T7)] or the placebo group (less than grade I central PA mobilisation performed for 3minutes at T7).

MAIN OUTCOME MEASURES: Before and immediately after PA mobilisation, surface electromyography (EMG) was recorded from the thoracic erector spinae muscles as the participants performed 10° spine extension from a prone position for 10seconds. Each participant rated their pain intensity as an investigator performed grade III central PA over the most symptomatic thoracic segment, and the pressure pain threshold (PPT) was evaluated bilaterally over the erector spinae muscles.

RESULTS: The EMG amplitude of thoracic erector spinae activity was reduced significantly after the intervention in the experimental group (P<0.05), but not in the placebo group. The difference between the groups was significant {pre-post change: placebo -14 [standard deviation (SD) 50]mV, experimental 28 (SD 48)mV; mean difference -42mV; 95% confidence interval of the difference -76 to 7; P<0.05} albeit small (Grissom=0.44). However, both groups showed a significant reduction in pain immediately after the intervention, and both groups showed a similar pre-post change in PPT.

CONCLUSION: These preliminary findings indicate that grade III central mobilisation over the most symptomatic thoracic segment reduces thoracic erector spinae activity during extension of the trunk in people with non-specific thoracic spine pain.

CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN47601528.

Original language	English
Pages (from-to)	90-97
Number of pages	8
Journal	Physiotherapy
Volume	103
Issue number	1
Early online date	12 Dec 2015
DOIs	https://doi.org/10.1016/j.physio.2015.10.016
Publication status	Published - Mar 2017

Keywords

Electromyography
Mobilisation
Manual therapy
Musculoskeletal pain
Thoracic pain

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Pecos-Martín, D., de Melo Aroeira, A. E., Verás Silva, R. L., Martínez de Tejada Pozo, G., Rodríguez Solano, L. M., Plaza-Manzano, G., Gallego-Izquierdo, T., & Falla, D. (2017). Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial. Physiotherapy, 103(1), 90-97. Advance online publication. https://doi.org/10.1016/j.physio.2015.10.016

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title = "Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial",

abstract = "OBJECTIVES: To investigate the activity of the thoracic erector spinae muscles and perceived pain intensity immediately after central postero-anterior (PA) mobilisation of the thoracic spine.DESIGN: Randomised, placebo-controlled, experimental design.PARTICIPANTS AND INTERVENTIONS: Thirty-four participants with non-specific thoracic pain were randomised to the experimental group [grade III central PA mobilisation performed for 3minutes at the level of the seventh thoracic vertebra (T7)] or the placebo group (less than grade I central PA mobilisation performed for 3minutes at T7).MAIN OUTCOME MEASURES: Before and immediately after PA mobilisation, surface electromyography (EMG) was recorded from the thoracic erector spinae muscles as the participants performed 10° spine extension from a prone position for 10seconds. Each participant rated their pain intensity as an investigator performed grade III central PA over the most symptomatic thoracic segment, and the pressure pain threshold (PPT) was evaluated bilaterally over the erector spinae muscles.RESULTS: The EMG amplitude of thoracic erector spinae activity was reduced significantly after the intervention in the experimental group (P<0.05), but not in the placebo group. The difference between the groups was significant {pre-post change: placebo -14 [standard deviation (SD) 50]mV, experimental 28 (SD 48)mV; mean difference -42mV; 95% confidence interval of the difference -76 to 7; P<0.05} albeit small (Grissom=0.44). However, both groups showed a significant reduction in pain immediately after the intervention, and both groups showed a similar pre-post change in PPT.CONCLUSION: These preliminary findings indicate that grade III central mobilisation over the most symptomatic thoracic segment reduces thoracic erector spinae activity during extension of the trunk in people with non-specific thoracic spine pain.CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN47601528.",

keywords = "Electromyography, Mobilisation, Manual therapy, Musculoskeletal pain, Thoracic pain",

author = "D Pecos-Mart{\'i}n and {de Melo Aroeira}, {A E} and {Ver{\'a}s Silva}, {R L} and {Mart{\'i}nez de Tejada Pozo}, G and {Rodr{\'i}guez Solano}, {L M} and G Plaza-Manzano and T Gallego-Izquierdo and D Falla",

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doi = "10.1016/j.physio.2015.10.016",

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Pecos-Martín, D, de Melo Aroeira, AE, Verás Silva, RL, Martínez de Tejada Pozo, G, Rodríguez Solano, LM, Plaza-Manzano, G, Gallego-Izquierdo, T & Falla, D 2017, 'Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial', Physiotherapy, vol. 103, no. 1, pp. 90-97. https://doi.org/10.1016/j.physio.2015.10.016

TY - JOUR

T1 - Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain

T2 - a preliminary randomised controlled trial

AU - Pecos-Martín, D

AU - de Melo Aroeira, A E

AU - Verás Silva, R L

AU - Martínez de Tejada Pozo, G

AU - Rodríguez Solano, L M

AU - Plaza-Manzano, G

AU - Gallego-Izquierdo, T

AU - Falla, D

PY - 2017/3

Y1 - 2017/3

N2 - OBJECTIVES: To investigate the activity of the thoracic erector spinae muscles and perceived pain intensity immediately after central postero-anterior (PA) mobilisation of the thoracic spine.DESIGN: Randomised, placebo-controlled, experimental design.PARTICIPANTS AND INTERVENTIONS: Thirty-four participants with non-specific thoracic pain were randomised to the experimental group [grade III central PA mobilisation performed for 3minutes at the level of the seventh thoracic vertebra (T7)] or the placebo group (less than grade I central PA mobilisation performed for 3minutes at T7).MAIN OUTCOME MEASURES: Before and immediately after PA mobilisation, surface electromyography (EMG) was recorded from the thoracic erector spinae muscles as the participants performed 10° spine extension from a prone position for 10seconds. Each participant rated their pain intensity as an investigator performed grade III central PA over the most symptomatic thoracic segment, and the pressure pain threshold (PPT) was evaluated bilaterally over the erector spinae muscles.RESULTS: The EMG amplitude of thoracic erector spinae activity was reduced significantly after the intervention in the experimental group (P<0.05), but not in the placebo group. The difference between the groups was significant {pre-post change: placebo -14 [standard deviation (SD) 50]mV, experimental 28 (SD 48)mV; mean difference -42mV; 95% confidence interval of the difference -76 to 7; P<0.05} albeit small (Grissom=0.44). However, both groups showed a significant reduction in pain immediately after the intervention, and both groups showed a similar pre-post change in PPT.CONCLUSION: These preliminary findings indicate that grade III central mobilisation over the most symptomatic thoracic segment reduces thoracic erector spinae activity during extension of the trunk in people with non-specific thoracic spine pain.CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN47601528.

AB - OBJECTIVES: To investigate the activity of the thoracic erector spinae muscles and perceived pain intensity immediately after central postero-anterior (PA) mobilisation of the thoracic spine.DESIGN: Randomised, placebo-controlled, experimental design.PARTICIPANTS AND INTERVENTIONS: Thirty-four participants with non-specific thoracic pain were randomised to the experimental group [grade III central PA mobilisation performed for 3minutes at the level of the seventh thoracic vertebra (T7)] or the placebo group (less than grade I central PA mobilisation performed for 3minutes at T7).MAIN OUTCOME MEASURES: Before and immediately after PA mobilisation, surface electromyography (EMG) was recorded from the thoracic erector spinae muscles as the participants performed 10° spine extension from a prone position for 10seconds. Each participant rated their pain intensity as an investigator performed grade III central PA over the most symptomatic thoracic segment, and the pressure pain threshold (PPT) was evaluated bilaterally over the erector spinae muscles.RESULTS: The EMG amplitude of thoracic erector spinae activity was reduced significantly after the intervention in the experimental group (P<0.05), but not in the placebo group. The difference between the groups was significant {pre-post change: placebo -14 [standard deviation (SD) 50]mV, experimental 28 (SD 48)mV; mean difference -42mV; 95% confidence interval of the difference -76 to 7; P<0.05} albeit small (Grissom=0.44). However, both groups showed a significant reduction in pain immediately after the intervention, and both groups showed a similar pre-post change in PPT.CONCLUSION: These preliminary findings indicate that grade III central mobilisation over the most symptomatic thoracic segment reduces thoracic erector spinae activity during extension of the trunk in people with non-specific thoracic spine pain.CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN47601528.

KW - Electromyography

KW - Mobilisation

KW - Manual therapy

KW - Musculoskeletal pain

KW - Thoracic pain

U2 - 10.1016/j.physio.2015.10.016

DO - 10.1016/j.physio.2015.10.016

M3 - Article

C2 - 27012824

SN - 0031-9406

VL - 103

SP - 90

EP - 97

JO - Physiotherapy

JF - Physiotherapy

IS - 1

ER -

Pecos-Martín D, de Melo Aroeira AE, Verás Silva RL, Martínez de Tejada Pozo G, Rodríguez Solano LM, Plaza-Manzano G et al. Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial. Physiotherapy. 2017 Mar;103(1):90-97. Epub 2015 Dec 12. doi: 10.1016/j.physio.2015.10.016

Immediate effects of thoracic spinal mobilisation on erector spinae muscle activity and pain in patients with thoracic spine pain: a preliminary randomised controlled trial

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