Chiropractic

Non-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems

J Gen Intern Med. 2022 Jan 19;1-10. doi: 10.1007/s11606-021-07370-8. Zachary L Mannes Abstract Background: Consensus guidelines recommend multimodal chronic pain treatment with increased use of non-pharmacological treatment modalities (NPM), including as first-line therapies. However, with many barriers to NPM uptake in US healthcare systems, NPM use may vary across medical care settings. Military veterans are […]

Are manual therapy or booster sessions worthwhile in addition to exercise therapy for knee osteoarthritis: Economic evaluation and 2-year follow-up of a randomized controlled trial

Musculoskeletal Science and Practice Volume 56, December 2021, 102439 Original article Yana Pryymachenkoa https://doi.org/10.1016/j.msksp.2021.102439 Highlights •  Exercise therapy provides benefits for knee osteoarthritis. •  Manual therapy or booster sessions improve treatment effects and are cost-effective. •  More evidence is needed on the combination of manual therapy and booster sessions. Abstract Background Exercise therapy is known […]

Evidence for increased neuromuscular drive following spinal manipulation in individuals with subacromial pain syndrome

Clinical Biomechanics Volume 90, December 2021, 105485 Amy K. Hegarty Highlights •  Shoulder muscle activity is a key deficit in those individuals with shoulder pain. •  Spinal manipulation increased shoulder muscle activity in patients with shoulder pain. •  Shoulder muscle activity was related to improved shoulder pain and function. •  Neuromuscular drive mechanism may optimize […]

Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Journal of Clinical Medicine Volume 10 Issue 21 10.3390/jcm10215011 Published: 28 October 2021 by Aleksander Chaibi Abstract (1) Background: Acute neck pain is common and usually managed by medication and/or manual therapy. General practitioners (GPs) hesitate to refer to manual therapy due to uncertainty about the effectiveness and adverse events (AEs); (2) Method: To review […]

Effect of manual therapy with exercise in patients with chronic cervical radiculopathy: a randomized clinical trial

Trials. 2021 Oct 18;22(1):716. doi: 10.1186/s13063-021-05690-y. Ali M Alshami PMID: 34663421 PMCID: PMC8525034 DOI: 10.1186/s13063-021-05690-y Abstract Background: Research that has examined the effects of cervical spine mobilization on hypoesthesia and hypersensitivity characteristics in patients with cervical radiculopathy is scarce. The aim of this study was to examine the short-term effects of vertebral mobilization on the […]

High Velocity Low Amplitude Manipulation Techniques

Andrew LaPelusa; Bruno Bordoni. Last Update: October 1, 2021. Continuing Education Activity High-velocity low amplitude (HVLA) techniques employ a rapid use of force over a short duration, distance, and/or rotational area within the anatomical range of motion of a joint to engage the restrictive barrier in one or more planes of motion to elicit the […]

Localised manual therapy treatment has a preferential effect on the kinematics of the targeted motion segment

Musculoskelet Sci Pract. 2021 Sep 3;56:102457. doi: 10.1016/j.msksp.2021.102457. Online ahead of print. Neil Tuttle PMID: 34507045 DOI: 10.1016/j.msksp.2021.102457 Abstract Aim: An observational cohort study to determine whether localised manual therapy results in a preferential increase in mobility of the targeted motion segment. Method: Eighteen participants with mechanical neck pain had three MRIs of their cervical […]

A Case Report of Life-Threatening Hemopneumothorax as a Result of Spinal Manipulation Performed by Chiropractor

Cureus. 2021 Sep 16;13(9):e18031. doi: 10.7759/cureus.18031. eCollection 2021 Sep. Sohaib Khatib PMID: 34692274 PMCID: PMC8523197 DOI: 10.7759/cureus.18031 Abstract Chiropractic is a very popular alternative medicine practice in the United States. Despite that, this practice has been associated with several complications raising concerns for its safety. We report the case of an otherwise healthy 36-years-old, tall […]

Exercise Therapy is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Archives of Physical Medicine and Rehabilitation 21 August 2021 Michel G. Mertens MSc Highlights •  Exercise therapy is effective in improving range of motion, function and pain •  The effect of adding stretches to a program with exercises is uncertain •  Adding physical modalities is to a program with exercises not beneficial •  The effect […]

Efficacy of manual therapy interventions in management of lumbar prolapsed intervertebral disc: A pilot randomized controlled trial

Varun Singh, Manoj Malik Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, India Corresponding author: Varun Singh Accepted: 21 August 2021 ABSTRACT Background. This pilot trial reports the initial estimates of the efficacy of manual therapy interventions in lumbar prolapsed intervertebral disc and determines the feasibility and acceptability of full powered “randomized […]

AMA Patient Page – Low Back Pain

AMA Patient Page July 20, 2021 Low Back Pain Adrian C. Traeger, PhD JAMA. 2021;326(3):286. doi:10.1001/jama.2020.19715 Journal Reference

Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature – Full Text

Int J Environ Res Public Health. 2021 Jun; 18(11): 6176. Published online 2021 Jun 7. doi: 10.3390/ijerph18116176 PMCID: PMC8201115 PMID: 34200510 Tomasz Kuligowski Abstract The aim of this study was to describe and update current knowledge of manual therapy accuracy in treating cervical and lumbar radiculopathy, to identify the limitations in current studies, and to […]

Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Eur J Pain. 2021 May 4. doi: 10.1002/ejp.1788. Online ahead of print. Hainan Yu Abstract Objectives: To develop an evidence-based guideline for the non-invasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology. Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, […]

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 310

Clinical Neurology and Neurosurgery Available online 24 April 2021, 106665 Akash Mitra Highlights •  Chiropractic manipulations are a risk factor for vertebral artery dissections •  Patients with chiropractor-associated injuries were relatively young and healthy •  Chiropractic-associated injuries were milder compared to other causes of dissection •  Spinal fracture was the only predictor of worse outcome […]

How Does A Chiropractic Treatment Work? [Video]

Apr 16, 2021 Gregory D. Cramer, DC, PhD is the Dean of the Department of Research and a Professor of Research and Basic Sciences at National University of Health Sciences, and he presents a video where he reviews some of the science behind what happens with a chiropractic adjustment. The video is 58 minutes, 11 seconds, so […]

Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain

Eur J Pain. 2021 Aug;25(7):1429-1448. doi: 10.1002/ejp.1773. Epub 2021 Apr 15. Carlos Gevers-Montoro Abstract Together, neck pain and back pain are the first cause of disability worldwide, accounting for more than 10% of the total years lived with disability. In this context, chiropractic care provides a safe and effective option for the management of a […]

Assessment of Studies Evaluating Spinal Manipulative Therapy and Infectious Disease and Immune System Outcomes

April 13, 2021 A Systematic Review Ngai Chow, DC, MSc JAMA Netw Open. 2021;4(4):e215493. doi:10.1001/jamanetworkopen.2021.5493 Key Points Question  Is spinal manipulative therapy associated with changes in the immune system? Findings  In this systematic review of 13 studies comprising 795 participants, no clinical studies investigated the efficacy or effectiveness of spinal manipulative therapy in preventing or improving disease-specific […]

Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis

Gianola S, Bargeri S, Del Castillo G, et al British Journal of Sports Medicine Published Online First: 13 April 2021. doi: 10.1136/bjsports-2020-103596 Abstract Objective To assess the effectiveness of interventions for acute and subacute non-specific low back pain (NS-LBP) based on pain and disability outcomes. Design A systematic review of the literature with network meta-analysis. Data sources Medline, […]

The effect of lumbar spine manipulation on pain and disability in Achilles tendinopathy. A case report

Journal of Bodywork and Movement Therapies Volume 26, April 2021, Pages 214-219 Christos Savva Abstract Background/purpose Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy […]

Effects of Osteopathic T9-T10 Vertebral Manipulation in Tonsillitis: A Randomized Clinical Trial – Full-Text Article

Healthcare (Basel). 2021 Apr 1;9(4):394. doi: 10.3390/healthcare9040394. Agustín Luceño-Mardones 1 2, Irene Luceño-Rodríguez 3, Elena Sonsoles Rodríguez-López 1 4, Jesús Oliva-Pascual-Vaca 1 5 6, Ignacio Rosety 7, Ángel Oliva-Pascual-Vaca 1 5 PMID: 33916061 PMCID: PMC8065872 DOI: 10.3390/healthcare9040394 Abstract This study aimed to determine whether osteopathic manipulation of the T9-T10 vertebrae improves the evolution of tonsillitis. […]