Pain Clinical Trial
Official title:
Transcutaneous Electrical Nerve Stimulation and Cervical Joint Manipulation on Pressure Pain Threshold
This study evaluates the hypoalgesic effect of the TENS application associated with joint manipulation of the cervical region in healthy individuals. One group had both active treatments, the other group received both placebo treatments, the third and fourth group received only one of the two treatments actively and the other placebo
Transcutaneous Electrical Nerve Stimulation (TENS) and Cervical Joint Manipulation (CJM) are
often used for pain treatment.
TENS also promotes analgesia by activating a descending pathway, which originates in the
periaqueductal grey (PAG) and in the rostroventromedial medulla (RVM) to inhibit the
excitability of nociceptive neurons in the dorsal horn of the spinal cord.
Joint manipulation generates a series of stimuli within the central nervous system through
the activation of proprioceptors located in the joint capsule or muscles, stimulates the PAG,
causing pain inhibition by activation of non-opioid descending inhibitory pathways
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