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Immediate Effects on Pressure Pain Threshold Following a Single Cervical Spine Manipulation in Healthy Subjects

Chiro.Org Blog: The application of a manipulative intervention directed at the posterior joint of the C5-6 vertebral level produced an immediate increase in pressure pain threshold (PPT) over the lateral epicondyle of both elbows in healthy subjects. Effect sizes for the HVLA thrust manipulation were large, suggesting a strong effect of unknown clinical importance at this stage, whereas effect sizes for both placebo and control procedures were small, suggesting no significant effect. […]