Trierweiler Jaqueline, Göttert Débora Negrini, Gehlen Günther
Academic of Chiropractic from the University Feevale, Laboratory of Comparative Histophysiology, ICS, University Feevale, Novo Hamburgo, RS, Brazil.
J Manipulative Physiol Ther. 2012 Jan;35(1):18-25. doi: 10.1016/j.jmpt.2011.09.007. Epub 2011 Nov 4.
The purpose of this study was to evaluate the mechanical allodynia in animals after immobilization and chiropractic manipulation using the Activator instrument (Activator Methods International, Phoenix, Ariz) through the Von Frey test in an animal model that had its hind limb immobilized as a form to induce mechanical allodynia.
Eighteen adult male Wistar rats were used and divided into 3 groups: control group (C) (n = 6) that was not immobilized; immobilized group (I) (n = 6) that had its right hind limb immobilized; immobilized and adjusted group (IAA) (n = 6) that had its right hind limb immobilized and received chiropractic manipulation after. The mechanical allodynia was induced through the right hind limb immobilization. At the end of the immobilization period, the first Von Frey test was performed, and after that, 6 chiropractic manipulations on the tibial tubercle were made using the Activator instrument. After the manipulation period, Von Frey test was performed again.
It was observed that after the immobilization period, groups I and IAA had an exacerbation of mechanical allodynia when compared with group C (P < .001) and that after the manipulation, group IAA had a reversion of these values (P < .001), whereas group I kept a low pain threshold when compared with group C (P < .001).
This study demonstrates that immobilization during 4 weeks was sufficient to promote mechanical allodynia. Considering the chiropractic manipulation using the Activator instrument, it was observed that group IAA had decreased levels of mechanical allodynia, obtaining similar values to group C.
本研究的目的是在动物模型中,通过将后肢固定作为诱发机械性异常性疼痛的一种方式,并使用激活器仪器(国际激活器方法公司,亚利桑那州凤凰城)进行脊椎按摩治疗,然后通过von Frey测试来评估动物的机械性异常性疼痛。
使用18只成年雄性Wistar大鼠,将其分为3组:未固定的对照组(C组)(n = 6);右后肢固定的固定组(I组)(n = 6);右后肢固定且随后接受脊椎按摩治疗的固定及调整组(IAA组)(n = 6)。通过右后肢固定诱发机械性异常性疼痛。在固定期结束时,进行首次von Frey测试,之后,使用激活器仪器对胫骨结节进行6次脊椎按摩治疗。在治疗期结束后,再次进行von Frey测试。
观察到在固定期后,与C组相比,I组和IAA组的机械性异常性疼痛加重(P <.001),并且在治疗后,IAA组这些值出现逆转(P <.001),而与C组相比,I组的疼痛阈值仍然较低(P <.001)。
本研究表明,4周的固定足以促进机械性异常性疼痛。考虑到使用激活器仪器进行脊椎按摩治疗,观察到IAA组的机械性异常性疼痛水平降低,获得了与C组相似的值。