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Immediate Effects of Upper Thoracic Manipulation on Skin Surface Temperature of T3 Vertebral Region and Biceps Brachii Muscle

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ClinicalTrials.gov Identifier: NCT01872676
Recruitment Status : Completed
First Posted : June 7, 2013
Last Update Posted : June 7, 2013
Sponsor:
Information provided by (Responsible Party):
Amanda Carine Packer, Universidade Metodista de Piracicaba

Brief Summary:
The aim of the present study was to assess the immediate effects of upper thoracic manipulation on skin surface temperature in the region of the T3 vertebra and biceps brachii muscle in healthy women. It is a randomized controlled blind study. Twenty-six healthy women of the university community were randomly allocated to an experimental group (n = 13) and a placebo group (n = 13). A single session of the upper thoracic spine manipulation (segment T3)was performed. Infrared thermography was used to determine changes in skin surface temperature in the region of T3 and the biceps brachii muscle, which would indirectly reflect sympathetic activity. Images were taken prior to manipulation, immediately after and both five and 10 minutes after manipulation. Repeated measures ANOVA with the post hoc Bonferroni test and the independent samples t-test were used for the intragroup and intergroup comparisons, respectively, with the level of significance set to 5%.

Condition or disease Intervention/treatment Phase
Myofascial Dysfunction Other: Spine manipulation Other: Manipulation sham Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 26 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Study Start Date : January 2011
Actual Primary Completion Date : January 2012
Actual Study Completion Date : December 2012

Arm Intervention/treatment
Experimental: Manipulation
The experimental group received upper thoracic manipulation of the T3 vertebra. The volunteer was instructed to lie in the supine position, interlace her fingers and position her hands in the posterior region of the base of the neck. The therapist than positioned a stabilizing hand in a pistol grip immediately caudal to the T3 vertebra, pushing the volunteer's arms downward to generate flexion of the upper thoracic spine.
Other: Spine manipulation
Sham Comparator: Sham
The placebo group was placed precisely as the experimental group, with the exception of the positioning of the therapist's hand, which remained with the palm open and not in a pistol grip. Once positioned, the volunteers were instructed to breathe deeply. The maneuver was terminated after one cycle of deep breathing.
Other: Manipulation sham



Primary Outcome Measures :
  1. Skin temperature [ Time Frame: 1 years ]
    Infrared thermography was used to determine changes in skin surface temperature in the region of T3 and the biceps brachii muscle, which would indirectly reflect sympathetic activity. Images were taken prior to manipulation, immediately after and both five and 10 minutes after manipulation.



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Ages Eligible for Study:   18 Years to 30 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthy women
  • 18 and 30 years of age

Exclusion Criteria:

  • use of vasoactive medication
  • body mass index greater than 25 kg/m2
  • having undergone spinal manipulation in previous month
  • and any red flag sign, such as malignant tumor, inflammatory or infectious disease that contraindicated manual therapy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01872676


Locations
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Brazil
Methodist University of Piracicaba
Piracicaba, São Paulo, Brazil, 13.423-170
Sponsors and Collaborators
Universidade Metodista de Piracicaba
Investigators
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Principal Investigator: Amanda Packer, MSc Universidade Metodista de Piracicaba

Additional Information:
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Responsible Party: Amanda Carine Packer, Universidade Metodista de Piracicaba
ClinicalTrials.gov Identifier: NCT01872676     History of Changes
Other Study ID Numbers: U1111-1144-0316
First Posted: June 7, 2013    Key Record Dates
Last Update Posted: June 7, 2013
Last Verified: June 2013

Keywords provided by Amanda Carine Packer, Universidade Metodista de Piracicaba:
Thermography
Skin Temperature
Manipulation, Spinal
Physical Therapy Modalities