Comparison of Paraspinal Cutaneous Temperature Measurements Between Subjects With and Without Chronic Low Back Pain

• Published in: Journal of manipulative and physiological therapeutics Vol. 36; no. 1; pp. 44 - 50
• Main Authors: Roy, Richard A., Dc, PhD, FICC, Boucher, Jean P., PhD, FACSM, Comtois, Alain S., PhD
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 2013
• Subjects: Chiropractic; Chronic Pain - physiopathology; Chronic Pain - therapy; Diagnostic Techniques and Procedures; Female; Humans; Low Back Pain; Low Back Pain - physiopathology; Low Back Pain - therapy; Male; Manipulation, Chiropractic; Middle Aged; Physical Medicine and Rehabilitation; Skin Temperature - physiology; Spine; Thermography; Diagnostic Techniques and Procedures; Chiropractic; Low Back Pain; Thermography
• ISSN: 0161-4754; 1532-6586
• DOI: 10.1016/j.jmpt.2012.12.002

Abstract Objective The purpose of this study was to evaluate the effects of chiropractic manipulative treatment on paraspinal cutaneous temperature (PCT) for subjects with chronic low back pain and compare these PCT findings to subjects without chronic low back pain. Methods Two groups were created, a symptomatic treatment group (subjects with chronic low back pain, n = 11, 7 males, 4 females) and an asymptomatic, nontreatment group (asymptomatic subjects, n = 10, 6 males, 4 females). Outcomes included the modified Oswestry questionnaire and PCT measurements in the prone position after an 8-minute acclimation period. The treatment group received 9 chiropractic spinal instrument-based manipulative treatments over 2 weeks. Reevaluation was done 2 weeks after the initial evaluation for both groups. Results The preintervention Oswestry results (29.8% ± 11.8%) for the treatment group were higher than the asymptomatic group (10.2% ± 10.6%). The postintervention Oswestry results for the treatment group were 14.20 % ± 11.5%. The resulting Cohen's effect size of the spinal manipulation on the Oswestry evaluation is 0.58. The preintervention PCT showed higher temperature for the nontreatment group compared with the treatment group. Comparing the levels associated with low back pain, the nontreatment group PCT was stable, varying from 0.01°C to 0.02°C, whereas the treatment group PCT varied from 0.10°C to 0.18°C. The treatment group postintervention PCT showed an increase in temperature after the 9 visits; however, this did not reach the values of the asymptomatic group. Conclusion The PCT readings for subjects with chronic low back pain were lower than the asymptomatic, nontreatment group. The PCT temperature of the treatment group increased after 9 treatments.