Chiropractic

Effects of abnormal posture on capsular ligament elongations in a computational model subjected to whiplash loading

Journal of Biomechanics Volume 38, Issue 6, June 2005, Pages 1313-1323 Brian D.Stemper Abstract Although considerable biomechanical investigations have been conducted to understand the response of the cervical spine under whiplash (rear impact-induced postero-anterior loading to the thorax), studies delineating the effects of initial spinal curvature are limited. This study advanced the hypothesis that abnormal […]

Determining the relationship between cervical lordosis and neck complaints

J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. McAviney J1, Schulz D, Bock R, Harrison DE, Holland B. Abstract OBJECTIVE: To investigate the presence of a “functionally normal” cervical lordosis and identify if this and the amount of forward head posture are related to neck complaints. METHODS: Using the posterior tangent method, an angle of cervical lordosis was measured from C2 through C7 vertebrae on 277 lateral cervical x-rays. Anterior weight bearing […]

Anterior thoracic posture increases thoracolumbar disc loading

Harrison DE, et al. Eur Spine J. 2005. Abstract In the absence of external forces, the largest contributor to intervertebral disc (IVD) loads and stresses is trunk muscular activity. The relationship between trunk posture, spine geometry, extensor muscle activity, and the loads and stresses acting on the IVD is not well understood. The objective of […]

Dose Response for Chiropractic Care of Chronic Cervicogenic Headache and Associated Neck Pain: A Randomized Pilot Study

Journal of Manipulative and Physiological Therapeutics Volume 27, Issue 9, November–December 2004, Pages 547-553 Mitchell Haas DC Objective To acquire information for designing a large clinical trial and determining its feasibility and to make preliminary estimates of the relationship between headache outcomes and the number of visits to a chiropractor. Design Randomized, controlled trial. Setting […]

Efficacy of Preventive Spinal Manipulation for Chronic Low-Back Pain and Related Disabilities: A Preliminary Study

Journal of Manipulative and Physiological Therapeutics October 2004 Volume 27, Issue 8, Pages 509–514 Martin Descarreaux Abstract Objective To document the potential role of maintenance chiropractic spinal manipulation to reduce overall pain and disability levels associated with chronic low-back conditions after an initial phase of intensive chiropractic treatments. Methods Thirty patients with chronic nonspecific low-back […]

Does an audible release improve the outcome of a chiropractic adjustment?

J Can Chiropr Assoc. 2004 Sep; 48(3): 237–239. Does an audible release improve the outcome of a chiropractic adjustment? J Can Chiropr Assoc. 2004 Sep; 48(3): 237–239. Clinical scenario A 24-year-old female presented to the chiropractic clinic with low back pain and neck pain. During the chiropractic treatment, the patient enquired about the significance of […]

Central Neuronal Plasticity, Low Back Pain and Spinal Manipulative Therapy

JMPT June 2004 Volume 27, Issue 5, Pages 314–326 Robert W Boal, PhD Abstract Objective Recent experimental evidence demonstrating neuronal/synaptic plasticity and, in particular, long-term potentiation (LTP) and long-term depression (LTD) in spinal neurons is reviewed. The implications of these studies for possible mechanistic explanations of low back pain and its remediation by spinal manipulative […]

Safety of Spinal Manipulation in the Treatment of Lumbar Disk Herniations: A Systematic Review and Risk Assessment

Drew Oliphant, DC Journal of Manipulative and Physiological Therapeutics Volume 27, Issue 3 , Pages 197-210, March 2004 Journal Reference Abstract Objective To provide a qualitative systematic review of the risk of spinal manipulation in the treatment of lumbar disk herniations (LDH) and to estimate the risk of spinal manipulation causing a severe adverse reaction […]

Chiropractic and Dentistry in the 21st Century (Full Text Article)

Blum CL. The Journal of Craniomandibular Practice Jan 2004; 22(1): 1-3. Full Story PubMed Reference Full Text PDF Journal Reference As interdisciplinary healthcare matures, understanding that patient care should ultimately be our focus, hopefully differences can be put aside in light of our common goal. Within the cranial manipulative field mutual research cooperation between chiropractors, osteopaths, […]

Pain relief produced by joint manipulation appears to involve descending inhibitory mechanisms that utilize serotonin and noradrenaline

Here is a study where they demonstrate, in the mouse model, where it was demonstrated that the pain relief produced by joint manipulation appears to involve descending inhibitory mechanisms that utilize serotonin and noradrenaline. Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opioid or GABA receptors in the spinal cord D.A. Skyba […]

Mechanism of action of spinal manipulative therapy

Joint Bone Spine Volume 70, Issue 5, September 2003, Pages 336-341 Joint Bone Spine Review Author links open overlay panelJean-YvesMaigne Abstract Spinal manipulative therapy (SMT) acts on the various components of the vertebral motion segment. SMT distracts the facet joints, with faster separation when a cracking sound is heard. Intradiscal pressure may decrease briefly. Forceful […]

TMD Patients Report Relief With Chiropractic

A new study reveals that patients with temporomandibular joint dysfunction (TMD) benefit from holistic therapies, especially “hands on” approaches such as chiropractic. The analysis pooled data on 192 patients with TMD. A total of 62.5% of subjects reported using a holistic therapy for relief of jaw problems. Along with massage and acupuncture, chiropractic was among […]

Efficacy of cervical endplay assessment as an indicator for spinal manipulation

Haas M,et al. Spine (Phila Pa 1976). 2003 Jun 1;28(11):1091-6; discussion 1096. Full Text Comment in Aust J Physiother. 2004;50(1):57. Abstract STUDY DESIGN: Double-blind, randomized, placebo-controlled trial. OBJECTIVES: To evaluate the effect of manual endplay assessment on neck pain and stiffness outcomes in neck pain patients receiving spinal manipulation. SUMMARY OF THE BACKGROUND DATA: There have […]

Somatovisceral response following osteopathic HVLAT: a pilot study on the effect of unilateral lumbosacral high-velocity low-amplitude thrust technique on the cutaneous blood flow in the lower limb

J Manipulative Physiol Ther. 2003 May;26(4):220-5. Somatovisceral response following osteopathic HVLAT: a pilot study on the effect of unilateral lumbosacral high-velocity low-amplitude thrust technique on the cutaneous blood flow in the lower limb. Karason AB1, Drysdale IP. Abstract INTRODUCTION: Spinal manipulative treatment is widely used among manual therapists, although knowledge regarding the absolute physiological effects […]

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial. AuthorsKorthals-de Bos IB, et al. BMJ. 2003 Apr 26;326(7395):911. Comment in BMJ. 2003 Aug 16;327(7411):395. BMJ. 2003 Apr 26;326(7395):914. Abstract OBJECTIVE: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general […]

Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients with Neck Pain

Jan Lucas Hoving, PT, PhD Background: Neck pain is a common problem, but the effectiveness of frequently applied conservative therapies has never been directly compared. Objective: To determine the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner. Design: Randomized, controlled trial. Setting: Outpatient care setting in the Netherlands. Patients: 183 […]

Neurophysiological effects of spinal manipulation

Joel G Pickar, DC, PhD The Spine Journal Volume 2, Issue 5, September–October 2002, Pages 357–371 Abstract Background context: Despite clinical evidence for the benefits of spinal maniputation and the apparent wide usage of it, the biological mechanisms underlying the effects of spinal manipulation are not known. Although this does not negate the clinical effects […]

Forward Head Posture and Cervical Spine Degeneration

Evaluation of axial and flexural stresses in the vertebral body cortex and trabecular bone in lordosis and two sagittal cervical translation configurations with an elliptical shell model Harrison DE, et al. Journal J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):391-401. Affiliation Comment in J Manipulative Physiol Ther. 2003 Nov-Dec;26(9):608; author reply 608-12. Abstract BACKGROUND: Osteoarthritis and spinal degeneration are […]

The Webster Technique: A chiropractic technique with obstetric implications – Full Text Article

Richard A. Pistolese, DC Journal of Manipulative and Physiological Therapeutics Volume 25, Issue 6 , Pages E1-E9, July 2002 Full Text Article Abstract Objective: To survey members of the International Chiropractic Pediatric Association (ICPA); regarding the use of the Webster Technique for managing the musculoskeletal causes of intrauterine constraint, which may necessitate cesarean section. Methods: […]

Patients using chiropractors in North America: who are they, and why are they in chiropractic care?

Spine (Phila Pa 1976). 2002 Feb 1;27(3):291-6; discussion 297-8. doi: 10.1097/00007632-200202010-00018. Ian D Coulter 1, Eric L Hurwitz, Alan H Adams, Barbara J Genovese, Ron Hays, Paul G Shekelle PMID: 11805694 DOI: 10.1097/00007632-200202010-00018 Abstract Summary of background data and objectives: Alternative health care was used by an estimated 42% of the U.S. population in 1997, […]