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Table 5 Effect of SMT on experimentally induced pain by localization of pain reduction

From: The effect of spinal manipulative therapy on experimentally induced pain: a systematic literature review

 

Systemic effect

Regional effect

Local or same metamere

SMT relieved pain

[23]* -Cervical SMT/hand- foot T°

[42] – C5-C6 SMT / deltoid PPT

[37]– C5-C6 SMT/ Elbow PPT

[44]* -Lumbar Mob/hand PPT

[29] – Atlantooccipital SMT/masseter PPT

[44] – Lumbar mob/ L2 L5 (foot) PPT

[43]* - Lumbar SMT/ deltoid PPT

[38] - Atlantooccipital SMT/sphenoid PPT

[19] - C5-C6 SMT/ Elbow PPT

[18]* -Lumbar SMT/hand- foot PPT

[30] - Lumbar SMT/ 1st segment below PPT

[20] – C3-C4 SMT/ Trapezius PPT 5’

[18]* -Lumbar SMT/hand- foot T°

[43]* - Lumbar SMT/ L3 PPT

[20] – C3-C4 SMT/ Trapezius PPT 10’

[36]* -Lumbar SMT/hand- foot T°

[39] – C7-T1 SMT/ C5-C6 PPT

[31] - C5-C6 SMT/ Elbow PPT

 

[39] – C7-T1 SMT/ C5-C6 PPT

[21] - C5-C6 SMT/ Elbow PPT

 

[40] – Areas of stroking allodynia thorax SMT/ forearm

[21] - C5-C6 SMT/ Elbow spontaneous pain

 

[40] – Mechanical hyperalgesia thorax SMT/ forearm

[32]- C5-C6 SMT/ Elbow PPT

 

[40] – Spontaneous pain thorax SMT/ forearm

[33] - C5-C6 SMT/ Elbow PPT

  

[33] –C5-C6 SMT/ Elbow stretch test

  

[41]- Thoracic SMT/ spinous process electricity

  

[35]- Thoracic SMT/ Thoracic PPT

SMT did not relieve pain

[23]* - Cervical SMT/hand- foot 1st Pain T°

[37] – T5-T8 SMT (sham SMT)/ Elbow PPT

[42] – C5-C6 SMT / Trapezius PPT

[23]* - Cervical SMT/hand- foot PPT

 

[28]** – C5-C6 Mob(AP)/ C5-C6 PPT

[18]* – Lumbar SMT/hand- foot 1st Pain T°

 

[19] - C5-C6 SMT/ Elbow Cold

[36]* –Lumbar SMT/hand- foot 1st Pain T°

 

[19] - C5-C6 SMT/ Elbow Hot

  

[20]*** C3-C4 SMT/ Trapezius PPT0’

  

[32] - C5-C6 SMT/ Elbow Temp PPT

  

[33] –C5-C6 SMT/ Elbow spontaneous pain

   

[34]- C0-C1SMT/ C2 PPT

  1. *Assessment not blinded.
  2. **This was an anterior-posterior mobilization, not lateral as SMT.
  3. ***PPT measured just after SMT, but there was a hypoalgesic effect at 5’ and 10’.
  4. T° = temperature.
  5. PPT = pressure pain thresholds.