Comparison of spinal column alignment and autonomic nervous activity using the intersegmental tenderness test in the segment above

DOI Web Site 参考文献28件 オープンアクセス
  • Aino Masaki
    Japan Systemic Fascia Neuro-Pain Approach Association: 1-13-24 Kashii Ekimae, Higashi-ku, Fukuoka-shi, Fukuoka 813-0013, Japan
  • Oka Shinichiro
    Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Japan
  • Haruguchi Koutarou
    Department of Rehabilitation, Fukuoka Wajiro Hospital, Japan
  • Aino Mayumi
    Department of Rehabilitation, Kitakyushu Koga Hospital, Japan
  • Hashimura Shun
    Department of Rehabilitation, Kitakyushu Koga Hospital, Japan
  • Kurosawa Kazuo
    Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare, Japan

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<p> [Purpose] The thoracolumbar supraspinous intersegmental tenderness test (ITT) in the segment above was performed to compare spinal alignment and autonomic activity in the presence or absence of pain. [Participants and Methods] Thirty young males were grouped into Th1–4 (Cardiopulmonary visceral nerves), Th5–9 (Large visceral nerve), and Th10–12 (Small visceral nerve) by ITT for the presence of pain. Measurements of the spinal alignment and autonomic function were performed. [Results] Those with ITT pain had a significantly lower range of motion in the sagittal plane at Th12, Th12–L1, and L2–3 and in the frontal plane at Th1–2, Th4–5, Th6–7, and L3–4 than those in the no pain group. On autonomic function tests, the pain group had significantly lower Total Power, LF (Low Frequency), and CVRR (Coefficient of variation of R-R interval). [Conclusion] In ITT, patients with pain at Th5–9 have a mixture of reduced sagittal tilt angle and autonomic hypofunction of the adjacent upper and lower thoracic to lumbar vertebrae.</p>

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