Mechanisms

Spinal Manipulation for Back and Neck Pain: Does It Work?

Laird Harrison February 15, 2017 Spinal Manipulation: A Valid Technique? In her office at McMaster University in Toronto, Anita Gross, MSc, has logged paper after paper showing that spinal manipulation can help control neck pain. “The evidence keeps growing and growing,” she says. Gross, a physiotherapist and associate professor of rehabilitation science, helped write a […]

Effect of lumbar spinal manipulation on local and remote pressure pain threshold and pinprick sensitivity in asymptomatic individuals: a randomised trial

Sasha L. DorronEmail author, Barrett E. Losco, Peter D. Drummond and Bruce F. Walker Chiropractic & Manual Therapies 2016 24:47 DOI: 10.1186/s12998-016-0128-5 ©  The Author(s). 2016 Received: 5 August 2016 Accepted: 11 October 2016 Published: 5 December 2016 Abstract Background The mechanisms of clinical pain relief associated with spinal manipulative therapy (SMT) are poorly understood. Our objective was to determine whether lumbar high-velocity low-amplitude SMT altered pressure pain threshold (PPT) and pinprick […]

Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee

Authors: Carol A. Courtney, PT, PhD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:46 Issue:3 Pages:168–176 DOI: 10.2519/jospt.2016.6259 Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been […]

Manipulation of Dysfunctional Spinal Joints Affects Sensorimotor Integration in the Prefrontal Cortex: A Brain Source Localization Study – Full Text

Neural Plasticity Volume 2016, Article ID 3704964, 9 pages http://dx.doi.org/10.1155/2016/3704964 Dina Lelic Received 12 November 2015; Accepted 28 January 2016 Abstract Objectives. Studies have shown decreases in N30 somatosensory evoked potential (SEP) peak amplitudes following spinal manipulation (SM) of dysfunctional segments in subclinical pain (SCP) populations. This study sought to verify these findings and to […]

Measureable changes in the neuro-endocrinal mechanism following spinal manipulation

Med Hypotheses. 2015 Oct 10. pii: S0306-9877(15)00374-6. doi: 10.1016/j.mehy.2015.10.003. [Epub ahead of print] Kovanur Sampath K Abstract The autonomic nervous system and the hypothalamic-pituitary-adrenal axis have been shown to be dysfunctional in a number of chronic pain disorders. Spinal manipulation is a therapeutic technique used by manual therapists, which may have widespread neuro-physiological effects. The […]

The effect of spinal manipulation on deep experimental muscle pain in healthy volunteers

Søren O’Neill Chiropractic & Manual Therapies 2015, 23:25 Abstract Background High-velocity low-amplitude (HVLA) spinal manipulation is commonly used in the treatment of spinal pain syndromes. The mechanisms by which HVLA-manipulation might reduce spinal pain are not well understood, but often assumed to relate to the reduction of biomechanical dysfunction. It is also possible however, that […]

Do Participants With Low Back Pain Who Respond to Spinal Manipulative Therapy Differ Biomechanically From Nonresponders, Untreated Controls or Asymptomatic Controls?

Spine: 01 September 2015 – Volume 40 – Issue 17 – p 1329–1337 Wong, Arnold Y. L. PT, MPhil, PhD Study Design. Nonrandomized controlled study. Objective. To determine whether patients with low back pain (LBP) who respond to spinal manipulative therapy (SMT) differ biomechanically from nonresponders, untreated controls or asymptomatic controls. Summary of Background Data. […]

Unilateral lumbar Z-joint mobilisation improves posterior chain neurodynamics

April 2015 Journal of Bodywork and Movement Therapies Volume 19, Issue 2, Pages 226–231 The immediate and 24-hour follow-up effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics G. Shankar Ganesh, MPT Summary Few studies have reported the effects of lumbar spine mobilization on neurodynamics. In a recent study, Szlezak et al. (2011) reported […]

Changes in H-reflex and V-waves following spinal manipulation

Exp Brain Res. 2015 Apr;233(4):1165-73. doi: 10.1007/s00221-014-4193-5. Epub 2015 Jan 13. Niazi IK1, Türker KS, Flavel S, Kinget M, Duehr J, Haavik H. Author information Abstract This study investigates whether spinal manipulation leads to neural plastic changes involving cortical drive and the H-reflex pathway. Soleus evoked V-wave, H-reflex, and M-wave recruitment curves and maximum voluntary contraction (MVC) in surface electromyography (SEMG) […]

Changes in H-reflex and V-waves following spinal manipulation

Exp Brain Res. 2015 Apr;233(4):1165-73. doi: 10.1007/s00221-014-4193-5. Epub 2015 Jan 13. Niazi IK, Türker KS, Flavel S, Kinget M, Duehr J, Haavik H. Author information Abstract This study investigates whether spinal manipulation leads to neural plastic changes involving cortical drive and the H-reflex pathway. Soleus evoked V-wave, H-reflex, and M-wave recruitment curves and maximum voluntary […]

Peripheral Oxidative Stress Blood Markers in Patients With Chronic Back or Neck Pain Treated With High-Velocity, Low-Amplitude Manipulation

Journal of Manipulative and Physiological Therapeutics VOLUME 38, ISSUE 2, P119-129, FEBRUARY 2015 Carolina Kolberg, BSc (Chiro), PhD Open Access Published:  December 05, 2014DOI:https://doi.org/10.1016/j.jmpt.2014.11.003 Abstract Objective The purpose of this study was to investigate oxidative-stress parameters in individuals with chronic neck or back pain after 5 weeks of treatment with high-velocity, low-amplitude (HVLA) spinal manipulation. […]

World Federation of Chiropractic – The suggested reading list for chiropractic

The suggested reading list for chiropractic WFC Publishes New Online Reading List Monday January 26, 2015 The World Federation of Chiropractic (WFC) is pleased to announce the debut of an important, online, free service for the chiropractic profession and the public it serves – a Suggested Reading List of key research papers. When you want […]

Changes in H-reflex and V-waves following spinal manipulation

Exp Brain Res. 2015 Jan 13. [Epub ahead of print] Changes in H-reflex and V-waves following spinal manipulation. Niazi IK, Türker KS, Flavel S, Kinget M, Duehr J, Haavik H. Abstract This study investigates whether spinal manipulation leads to neural plastic changes involving cortical drive and the H-reflex pathway. Soleus evoked V-wave, H-reflex, and M-wave […]

The Influence of Lumbar Joint Mobilization on Joint Position Sense in Normal Adults

J Phys Ther Sci. Dec 2014; 26(12): 1985–1987. Published online Dec 25, 2014. doi: 10.1589/jpts.26.1985 The Influence of Lumbar Joint Mobilization on Joint Position Sense in Normal Adults Wontae Gong, PhD, PT Abstract [Purpose] The purpose of this study was to determine the effects of lumbar joint mobilization on the joint position sense (JPS) of […]

Lumbar Spine Degenerative Disc Disease and Chiropractic Spinal Adjusting Pathophysiology, Safety, Effectiveness

DECEMBER 5, 2014 BY CHIROTRUST Introduction A pioneering study was published inThe New England Journal of Medicinein 1994 (1). Researchers from Hoag Memorial Hospital in Newport Beach, California, performed magnetic resonance imaging (MRI) examinations on 98 people who did not have back pain. Sixty-four percent of the 98 asymptomatic subjects were found to have abnormal […]

Peripheral Oxidative Stress Blood Markers in Patients With Chronic Back or Neck Pain Treated With High-Velocity, Low-Amplitude Manipulation.

J Manipulative Physiol Ther. 2014 Dec 5. pii: S0161-4754(14)00244-9. doi: 10.1016/j.jmpt.2014.11.003. [Epub ahead of print] Peripheral Oxidative Stress Blood Markers in Patients With Chronic Back or Neck Pain Treated With High-Velocity, Low-Amplitude Manipulation. Kolberg C, Horst A, Moraes MS, Duarte FC, Riffel AP, Scheid T, Kolberg A, Partata WA. Abstract OBJECTIVE: The purpose of this […]

The role of the descending inhibitory pain mechanism in musculoskeletal pain following high-velocity, low amplitude thrust manipulation. A review of the literature

Savva C, et al. J Back Musculoskelet Rehabil. 2014. Abstract BACKGROUND: Although the antinociceptive effect of high-velocity, low amplitude thrust manipulation (HVLAM) has been recognized by numerous systematic reviews, the underlying mechanism for manipulation-related pain relief remains poorly understood. An increasing number of studies have explored its analgesic mechanism suggesting that the excitation of the […]

Peripheral response to cervical or thoracic spinal manual therapy

J Man Manip Ther. 2014 Nov;22(4):220-9. doi: 10.1179/2042618613Y.0000000062. Peripheral response to cervical or thoracic spinal manual therapy: an evidence-based review with meta analysis. Chu J, Allen DD, Pawlowsky S, Smoot B. Abstract OBJECTIVES: Spinal manual therapy (SMT) is commonly used for treatment of musculoskeletal pain in the neck, upper back, or upper extremity. Some authors […]

The Within-Session Change In Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related To Differences In Diffusion Of Water In The Intervertebral Discs Of The Upper Lumbar Spine And L5-S1

Authors: Paul F. Beattie, PT, PhD, OCS, FAPTA1, Raymond Butts, DPT, PhD2, Jonathan W. Donley, DPT, ATC2, Derek M. Liuzzo, DPT1 Published: Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 1 Pages: 19-29 doi:10.2519/jospt.2014.4967 Study Design Single-group, prospective, repeated-measures design with responder analysis. Objective To determine differences in the changes in diffusion […]

Immediate Changes After Manual Therapy in Resting-State Functional Connectivity as Measured by Functional Magnetic Resonance Imaging in Participants With Induced Low Back Pain

Journal of Manipulative and Physiological Therapeutics ACCRAC 2014 AWARD WINNING PAPER| VOLUME 37, ISSUE 9, P614-627, NOVEMBER 2014 Charles W. Gay, DC Abstract Objective The purposes of this study were to use functional magnetic resonance imaging to investigate the immediate changes in functional connectivity (FC) between brain regions that process and modulate the pain experience […]