Spinal Manipulation/Mobilization

The Chiropractic Hospital-Based Interventions Research Outcomes Study: Consistency of Outcomes Between Doctors of Chiropractic Treating Patients With Acute Lower Back Pain

JMPT, June 2015Volume 38, Issue 5, Pages 311–323 Jeffrey A. Quon, DC, MHSc, PhD Abstract Objective The aim of this study was to determine if effectiveness differs between community-based doctors of chiropractic administering standardized evidence-based care that includes high-velocity low-amplitude spinal manipulative therapy (SMT) for acute low back pain (LBP). Methods A secondary analysis of […]

Family Practice Experts Recommendations for Chronic Pain Includes Manipulation, Endurance Exercise, Acupuncture, etc

Family Practice Essentials. 2015 May;432:21-6. Chronic pain management: nonpharmacological therapies for chronic pain. Chang KL, Fillingim R2, Hurley RW3, Schmidt S4. Abstract Nonpharmacologic therapies have become a vital part of managing chronic pain (CP). Although these can be used as stand-alone therapies, nonpharmacologic treatments often are used to augment and complement pharmacologic treatments (ie, multimodal […]

Articular dysfunction patterns in patients with mechanical low back pain: A clinical algorithm to guide specific mobilization and manipulation techniques

Manual Therapy Volume 20, Issue 3, June 2015, Pages 499-502 Manual Therapy Professional issue V. Dewitte, B. Cagnie Abstract Recent systematic reviews have demonstrated reasonable evidence that lumbar mobilization and manipulation techniques are beneficial. However, knowledge on optimal techniques and doses, and its clinical reasoning is currently lacking. To address this, a clinical algorithm is […]

A Somatovisceral Reflex of Lowered Blood Pressure and Pulse Rate

Asian Journal of Multidiciplinary Studies Vol 3, No 6 (2015) Steven David Roffers, J. Michael Menke, David Houston Morris Abstract OBJECTIVE: A randomized controlled trial (RCT) was designed to test effects of specific thoracic (T1 to T5) manipulations using an Activator instrument for changes in diastolic and systolic blood pressure, blood pressure classification, and pulse […]

Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis

J Phys Ther Sci. 2015 Jun; 27(6): 1937–1939. Published online 2015 Jun 30. doi: 10.1589/jpts.27.1937 PMCID: PMC4500015 Jioun Choi, MS, PT, Sangyong Lee, PhD, PT, and Chunbae Jeon, PhD, PT3,* Abstract [Purpose] This study examined the effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. [Subjects] Thirty patients with […]

Cervical Manipulation Does Not Damage Healthy Vertebral Arteries

Posted on May 29, 2015 Cervical Manipulation Does Not Damage Healthy Vertebral Arteries. TAKE-HOME MESSAGE In this study, mechanical stress/strain on cervical arteries was measured while the cervical spine was taken through ROM and through manipulation. Cervical rotation placed the vertebral arteries under more stress than manipulation. Manipulation was less stressful on vertebral arteries than cervical […]

Do participants with low back pain who respond to spinal manipulative therapy differ biomechanically from non-responders, untreated or asymptomatic controls?

Spine (Phila Pa 1976). 2015 May 27. [Epub ahead of print] Wong AY Abstract STUDY DESIGN: Non-randomized controlled studyObjective. To determine if low back pain (LBP) patients who respond to spinal manipulative therapy (SMT) differ biomechanically from non-responders and untreated asymptomatic controls. SUMMARY OF BACKGROUND DATA: Some, but not all LBP patients report improvement in […]

Common questions about chronic low back pain Am Fam Physician

Am Fam Physician. 2015 May 15;91(10):708-14. Common questions about chronic low back pain. Herndon CM, Zoberi KS, Gardner BJ. Abstract More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, […]

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 […]

Real-Time Visualization of Joint Cavitation

Gregory N. Kawchuk,  Abstract Cracking sounds emitted from human synovial joints have been attributed historically to the sudden collapse of a cavitation bubble formed as articular surfaces are separated. Unfortunately, bubble collapse as the source of joint cracking is inconsistent with many physical phenomena that define the joint cracking phenomenon. Here we present direct evidence […]

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 […]

Effects of Upper and Lower Cervical Spinal Manipulative Therapy on Blood Pressure and Heart Rate Variability in Volunteers and Patients With Neck Pain

Effects of Upper and Lower Cervical Spinal Manipulative Therapy on Blood Pressure and Heart Rate Variability in Volunteers and Patients With Neck Pain: A Randomized Controlled, Cross-Over, Preliminary Study Ni Ni Win, MBBS, PhD Journal of Chiropractic Medicine Volume 14, Issue 1, March 2015, Pages 1–9 Abstract Objective The aims of this study were to […]

Early individualised manipulative rehabilitation following lumbar open laser microdiscectomy improves early post-operative functional disability

J Back Musculoskelet Rehabil. 2015 Mar 19. [Epub ahead of print] Early individualised manipulative rehabilitation following lumbar open laser microdiscectomy improves early post-operative functional disability: A randomized, controlled pilot study. Kim BJ1, Ahn J2, Cho H3, Kim D3, Kim T1, Yoon BC4. Author information Abstract BACKGROUND: Lumbar open laser microdiscectomy has been shown to be an effective intervention and safe approach […]

The Comparative Effects of Spinal and Peripheral Thrust Manipulation and Exercise on Pain Sensitivity and the Relation to Clinical Outcome

J Orthop Sports Phys Ther. 2015 Mar 4:1-44. [Epub ahead of print] The Comparative Effects of Spinal and Peripheral Thrust Manipulation and Exercise on Pain Sensitivity and the Relation to Clinical Outcome: A Mechanistic Trial Using a Shoulder Pain Model. Coronado RA1, Bialosky JE, Bishop MD, Riley Iii JL, Robinson ME, Michener LA, George SZ. Author information Abstract Study Design Single-blind, randomized […]

Is there a role for neck manipulation in elderly falls prevention?

Is there a role for neck manipulation in elderly falls prevention? – An overview Julie C. Kendall, BAppSc J Can Chiropr Assoc. 2015 Mar; 59(1): 53–63. Abstract Many risk factors exist for falls in the elderly. Dizziness is an important risk factor for such falls. Spinal pain has also been identified as a risk factor […]

Beyond the Spine: A New Clinical Research Priority

March 2015, Volume 59, No. 1 James Donovan, BSc, DC Over the past two decades, clinical research within the chiropractic profession has focused on the spine and spinal conditions, specifically neck and low back pain. However, there is now a small group of chiropractors with clinical research training that are shifting their focus away from […]

What’s actually happening when you crack your knuckles?

By Megan Thielkingmegan.thielking@vox.com Feb 17, 2015, 11:00am EST There’s a long-held myth that cracking your knuckles can give you arthritis. The sound definitely might cause the people around you to cringe, but what’s making those noises and is it actually bad for you? Is cracking your knuckles bad for you? You might wince when you […]

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain: A Randomized Clinical Trial Schneider, Michael DC, PhD; Haas, Mitchell DC, MA; Glick, Ronald MD; Stevans, Joel DC; Landsittel, Doug PhD Spine: 15 February 2015 Vol. 40 – Issue 4: p 209–217 Abstract Study Design. Randomized controlled trial with […]

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Whedon, James M. DC, MS; Mackenzie, Todd A. PhD; Phillips, Reed B. DC, PhD; Lurie, Jon D. MD, MS Spine: 15 February 2015 Vol. 40 – Issue 4: p 264–270 Abstract Study Design. Retrospective cohort study. Objective. In older adults with a neuromusculoskeletal complaint, to evaluate risk of injury to the head, neck, or trunk after […]