A randomised controlled study examining the short-term effects of Strain-Counterstrain treatment on quantitative sensory measures at digitally tender points in the low back

Lewis, Cynan, Khan, Asad, Souvlis, Tina and Sterling, Michele (2010) A randomised controlled study examining the short-term effects of Strain-Counterstrain treatment on quantitative sensory measures at digitally tender points in the low back. Manual Therapy, 15 6: 536-541. doi:10.1016/j.math.2010.05.011


Author Lewis, Cynan
Khan, Asad
Souvlis, Tina
Sterling, Michele
Title A randomised controlled study examining the short-term effects of Strain-Counterstrain treatment on quantitative sensory measures at digitally tender points in the low back
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1532-2769
1356-689X
Publication date 2010-12
Year available 2010
Sub-type Article (original research)
DOI 10.1016/j.math.2010.05.011
Volume 15
Issue 6
Start page 536
End page 541
Total pages 6
Place of publication Edinburgh ; Melbourne
Publisher Churchill Livingstone
Collection year 2011
Language eng
Abstract Strain-Counterstrain (SCS) intervention has been claimed to elicit immediate and sustained reductions in tenderness at digitally tender points (DTPs), however, there is little experimental evidence to support this. Twenty-eight volunteer participants with low back pain - LBP (17 females and 11 males with mean [SD] age of 39.2 [11.1] and Oswestry disability index of 15.7 [8.6]) participated in this controlled, within-participants study of the immediate and short-term effects of SCS intervention, on pressure pain threshold (PPT) electrical detection threshold (EDT) and electrical pain threshold (EPT) at DTPs in the low back region. Immediate increases in PPT at DTPs were found following all interventions; control intervention: 30.7 kPa [CI 95% - 3.3-64.8] (p= 0.041), sham-SCS intervention: 48.2 kPa [CI 95% 14.8-81.7] (p= 0.008) and SCS intervention: 93.4 kPa [CI 95% 60.0-126.9] (p< 0.0001). Results suggest that SCS intervention does elicit an immediate quantifiable reduction in tenderness at DTPs but that some of this reduction is attributable to the manual-contact component of the treatment. Increases in PPT at DTPs following SCS intervention did not appear to be maintained between 24 and 96 h after treatment. A further finding was that the control intervention elicited significant increases in both EDT (p= 0.044) and EPT (p= 0.026). The explanation for these findings is unclear. © 2010.
Keyword Digitally Tender Points
Strain-counterstrain
Quantitative Sensory Testing
Pressure-pain Threshold
Pressure ALGometry
Healthy-volunteers
Myofascial Pain
Muscle Pain
Reliability
Thresholds
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 23 June, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Sun, 12 Dec 2010, 00:03:30 EST