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Waarala ZM, Comins L, Laumet S, Folger JK, Laumet G. Massage-like stroking produces analgesia in mice. NEUROBIOLOGY OF PAIN (CAMBRIDGE, MASS.) 2024; 15:100149. [PMID: 38226332 PMCID: PMC10788302 DOI: 10.1016/j.ynpai.2023.100149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 12/22/2023] [Accepted: 12/22/2023] [Indexed: 01/17/2024]
Abstract
Chronic pain treatment remains a major challenge and pharmacological interventions are associated with important side effects. Manual medicine treatments such as massage, acupuncture, manipulation of the fascial system (MFS), and osteopathic manipulative treatments produce pain relief in humans, but the underlying mechanism is poorly understood limiting leverage and optimization of manual medicine techniques as safe pain therapy. To decipher the physiological mechanisms of manipulative medicine treatments, we have established a preclinical model. Here, we established a murine model of massage-like stroking (MLS)-induced analgesia. We characterized that the analgesia effects were present in both sexes, and were independent of the experimenters, handling, consciousness, and opioid receptors. MLS alleviates thermal pain in naive mice and postoperative pain hypersensitivity. This novel model will allow discovery of the physiological mechanisms involved in MLS-induced analgesia and identification of new therapeutic strategies.
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Affiliation(s)
- Zachary M.S. Waarala
- Department of Physiology, Michigan State University, East Lansing, MI 48824, USA
- College of Osteopathic Medicine, Michigan State University, East Lansing, MI 48824, USA
| | - Logan Comins
- Department of Physiology, Michigan State University, East Lansing, MI 48824, USA
- College of Osteopathic Medicine, Michigan State University, East Lansing, MI 48824, USA
| | - Sophie Laumet
- Department of Physiology, Michigan State University, East Lansing, MI 48824, USA
| | - Joseph K. Folger
- Department of Physiology, Michigan State University, East Lansing, MI 48824, USA
| | - Geoffroy Laumet
- Department of Physiology, Michigan State University, East Lansing, MI 48824, USA
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Damian K, Chad C, Kenneth L, David G. Time to evolve: the applicability of pain phenotyping in manual therapy. J Man Manip Ther 2022; 30:61-67. [PMID: 35344468 PMCID: PMC8967203 DOI: 10.1080/10669817.2022.2052560] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Keter Damian
- Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA
- Department of Graduate Studies in Health and Rehabilitation Sciences, Youngstown State University, Youngstown, Ohio, USA
| | - Cook Chad
- Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA
- Department of Population Health Sciences, Duke University, Durham, NC, USA
- Duke Clinical Research Institution, Duke University, Durham, NC, USA
| | - Learman Kenneth
- Department of Graduate Studies in Health and Rehabilitation Sciences, Youngstown State University, Youngstown, Ohio, USA
| | - Griswold David
- Department of Graduate Studies in Health and Rehabilitation Sciences, Youngstown State University, Youngstown, Ohio, USA
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Espi-Lopez GV, Ingles M, Carrasco-Fernandez JJ, Serra-Añó P, Copete-Fajardo L, Gonzalez-Gerez JJ, Saavedra-Hernandez M, Marques-Sule E. Effects of Foam Rolling vs. Manual Therapy in Patients with Tension-Type Headache: A Randomized Pilot Study. J Clin Med 2022; 11:jcm11071778. [PMID: 35407385 PMCID: PMC8999161 DOI: 10.3390/jcm11071778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/18/2022] [Accepted: 03/21/2022] [Indexed: 12/10/2022] Open
Abstract
Background: This study compares the effect of foam rolling (FR) vs. manual therapy (MT) on pain, pressure pain threshold (PPT), headache disability (HDI) and impact of headache (HIT-6) in patients with tension-type headache (TTH). Methods: A total of 38 participants with TTH were randomly assigned to an FR group (FRG, n = 13), an MT group (MTG, n = 13) or a control group (CG, n = 12). FRG received FR treatment; MTG received MT techniques; CG received a placebo treatment. The treatment lasted one month. Outcome measures were assessed at baseline, post-intervention and follow-up. Results: Both FRG and MTG showed significant improvements in all variables after the treatment, but the intervention effect was maintained only for functional disability (p = 0.002 and p = 0.005, respectively), overall disability (p = 0.007; p = 0.030) and HIT-6 (p = 0.002; p = 0.001) at follow-up. After treatment, FRG and MTG presented a significantly higher PPT in right (p = 0.044; p = 0.009) and left suboccipital (p = 0.004; p = 0.021). MTG showed a significantly lower HIT-6 than CG (p = 0.008). No differences between FRG and MTG were found in any variable. Conclusions: Both FR and MT are effective treatments for the improvement of clinical symptoms in TTH. Further studies are needed to confirm our findings in a larger population.
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Affiliation(s)
- Gemma V. Espi-Lopez
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
| | - Marta Ingles
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
| | - Juan J. Carrasco-Fernandez
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
| | - Pilar Serra-Añó
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
| | - Luis Copete-Fajardo
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
| | - Juan Jose Gonzalez-Gerez
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, c/Carretera de Sacramento s/n, La Cañada, 04120 Almería, Spain;
- Fisiosur I + D Research Institute, Garrucha, 04630 Almería, Spain
| | - Manuel Saavedra-Hernandez
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, c/Carretera de Sacramento s/n, La Cañada, 04120 Almería, Spain;
- Fisiosur I + D Research Institute, Garrucha, 04630 Almería, Spain
- Correspondence: or ; Tel.: +34-95021-4593
| | - Elena Marques-Sule
- Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain; (G.V.E.-L.); (M.I.); (J.J.C.-F.); (P.S.-A.); (L.C.-F.); (E.M.-S.)
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Cook CE, Donaldson M, Lonnemann E. 'Next steps' for researching orthopedic manual therapy. J Man Manip Ther 2021; 29:333-336. [PMID: 34913408 PMCID: PMC8725722 DOI: 10.1080/10669817.2021.2008010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Chad E. Cook
- Department of Orthopaedics, Duke University, Durham, NC, USA
- Department of Population Health Sciences, Durham, NC, USA
- Duke Clinical Research Institute, Durham, NC, USA
| | - Megan Donaldson
- Department of Public Health and Community Medicine, Doctor of Physical Therapy, Program Director, Tufts University, Boston, MA, USA
| | - Elaine Lonnemann
- TDPT, CHS, USAHS, 1 University Boulevard, St Augustine, FL, USA
- Fellow and President American Academy of Orthopaedic Manual Physical Therapists, Baton Rouge, LA, USA
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