Vieira Pellenz, FelipeOliva Pascual-Vaca, ÁngelRodríguez Blanco, CleofásHeredia Rizo, Alberto MarcosRicard, FrançoisAlmazán-Campos, Ginés2024-08-012024-08-012014Vieira Pellenz, F., Oliva Pascual-Vaca, Á., Rodríguez Blanco, C., Heredia Rizo, A.M., Ricard, F. y Almazán-Campos, G. (2014). Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: A randomized controlled trial. Archives of physical medicine and rehabilitation, 95 (9), 1613-1619. https://doi.org/10.1016/j.apmr.2014.05.002.0003-99931532-821Xhttps://hdl.handle.net/11441/161848Objective To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with evaluations at baseline and after intervention. Setting University-based physical therapy research clinic. Participants Men (N=40; mean age ± SD, 38±9.14y) with diagnosed degenerative lumbar disease at L5-S1 were randomly divided into 2 groups: a treatment group (TG) (n=20; mean age ± SD, 39±9.12y) and a control group (CG) (n=20; mean age ± SD, 37±9.31y). All participants completed the intervention and follow-up evaluations. Interventions A single L5-S1 SM technique (pull-move) was performed in the TG, whereas the CG received a single placebo intervention. Main Outcome Measures Measures included assessing the subject's height using a stadiometer. The secondary outcome measures included perceived low back pain, evaluated using a visual analog scale; neural mechanosensitivity, as assessed using the passive straight-leg raise (SLR) test; and amount of spinal mobility in flexion, as measured using the finger-to-floor distance (FFD) test. Results The intragroup comparison indicated a significant improvement in all variables in the TG (P<.001). There were no changes in the CG, except for the FFD test (P=.008). In the between-group comparison of the mean differences from pre- to postintervention, there was statistical significance for all cases (P<.001). Conclusions An HVLA SM in the lumbosacral joint performed on men with degenerative disk disease immediately improves self-perceived pain, spinal mobility in flexion, hip flexion during the passive SLR test, and subjects' full height. Future studies should include women and should evaluate the long-term results.application/pdf7 p.engAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Intervertebral disc degenerationLumbar disc diseaseSpinal manipulationRehabilitationinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccesshttps://doi.org/10.1016/j.apmr.2014.05.002