Spinal Manipulation/Mobilization

Manual medicine and orthopedics

von Heymann W, et al. Orthopade. 2013 Oct;42(10):834-41. doi: 10.1007/s00132-013-2094-0. Article in German. Affiliation Praxis für Manuelle Medizin/Chirotherapie, Orthopädische Praxisgemeinschaft, Schwachhauserheerstr. 367, 28211, Bremen, Deutschland, vonheymann@aerzteseminar-mwe.de. Abstract Manual medicine (MM) is a manual medical technique to identify and treat reversible dysfunction especially of the musculoskeletal system. The origins of MM were derived from empirical observations […]

Review of methods used by chiropractors to determine the site for applying manipulation

John J Triano, Brian Budgell, Angela Bagnulo, Benjamin Roffey, Thomas Bergmann, Robert Cooperstein, Brian Gleberzon, Christopher Good, Jacquelyn Perron and Rodger Tepe Abstract (provisional) Background With the development of increasing evidence for the use of manipulation in the management of musculoskeletal conditions, there is growing interest in identifying the appropriate indications for care. Recently, attempts […]

The Biology of Manual Therapies

Brian C. Clark, PhD JAOA Full Text Article:  http://www.jaoa.org/content/112/9/617.full JAOA Full Text PDF:  http://www.jaoa.org/content/112/9/617.full.pdf+html Abstract Each year, more than 18 million adults in the United States receive manual therapies, at a total annual out-of-pocket cost of $3.9 billion. Although there is growing evidence supporting the efficacy of manual therapies, little is known about the mechanisms […]

Precompetition Manipulative Treatment and Performance Among Virginia Tech Athletes During 2 Consecutive Football Seasons

A Preliminary, Retrospective Report Per Gunnar Brolinson, DO Abstract Context: One of the goals of providing manipulative treatment such as osteopathic manipulative treatment (OMT) is to restore maximal, pain-free movement of the musculoskeletal system and to enhance neuromuscular function. Anecdotally, some athletes have reported that their athletic performance improves after manipulative treatment. Objective: To develop preliminary data […]

Associations of Cytokine Concentrations With Key Osteopathic Lesions and Clinical Outcomes in Patients With Nonspecific Chronic Low Back Pain

Results From the OSTEOPATHIC Trial John C. Licciardone, DO, MS, MBA Abstract Context: Little is known about the role that cytokines play in osteopathic manual treatment (OMT) of patients with chronic low back pain (LBP). Objective: To measure the baseline concentrations of interleukin (IL)-1β, IL-6, IL-8, IL-10, and tumor necrosis factor (TNF)-α in patients with chronic LBP; […]

Commentary: we can tell where it hurts, but can we tell where the pain is coming from or where we should manipulate?

Spinal manipulative therapy (SMT) is often recommended as a conservative option by evidence based clinical practice guidelines and a treatment modality frequently utilized by chiropractors and other clinicians who offer SMT to their patients. This article serves as a commentary to a review of the methods that are often used by chiropractors to determine the site for applying their manipulative intervention.

The effect of application site of spinal manipulative therapy (SMT) on spinal stiffness

Tiffany L. Edgecombe, PhD Abstract Background context Like other factors that can influence treatment efficacy (eg, dosage, frequency, time of day), the site of treatment application is known to affect various physical interventions such as topical anesthetics and cardiopulmonary resuscitation. Like these examples, spinal manipulative therapy (SMT) is a physical intervention that may exhibit maximal […]

Dose-response and efficacy of spinal manipulation for care of chronic low back pain:

A randomized controlled trial Mitchell Haas, DC Abstract Background context There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation. Purpose To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine […]

Determining the Optimal Number of Spinal Manipulation Sessions for Chronic Low-Back Pain

Findings from the largest and most rigorous, randomized dose-response study of spinal manipulative therapy (SMT) for chronic low-back pain suggest that 12 sessions (SMT) may be the best “dose” for people with chronic low-back pain. The study, published in The Spine Journal, was funded by NCCAM. Spinal manipulative therapy, most commonly performed by licensed clinicians (such as […]

Essential literature for the chiropractic profession: a survey of chiropractic research leaders

Barbara A Mansholt Chiropractic & Manual Therapies 2013, 21:33 Evidence-based clinical practice (EBCP) is an accepted practice for informed clinical decision making in mainstream health care professions. EBCP augments clinical experience and can have far reaching effects in education, policy, reimbursement and clinical management. The proliferation of published research can be overwhelming—finding a mechanism to […]

Is manipulative therapy more effective than sham manipulation in adults?

A systematic review and meta-analysis Gwendolijne GM Scholten-Peeters Chiropractic & Manual Therapies 2013, 21:34 doi:10.1186/2045-709X-21-34 Abstract Background Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared to sham manipulations is unclear. The purpose of […]

The Spinal Manipulation Institute

Distinguish yourself as an expert in both HVLA thrust manipulation and dry needling by becoming an OSTEOPRACTOR™. Get CERTIFIED in SPINAL MANIPULATIVE THERAPY™ (Cert. SMT) by completing SMT-1 to 4 of the OSTEOPRACTIC™ HVLA Thrust Manipulation Series; and in addition, get CERTIFIED in DRY NEEDLING™ (Cert. DN) by completing the DN-1 and DN-2 dry needling […]

Comparative Clinical Effectiveness of Management Strategies for Sciatica

For the first time many different treatment strategies for sciatica have been compared in the same systematic review and meta-analysis…..

Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation

Schmid A, et al. Man Ther. 2008 Oct;13(5):387-96. doi: 10.1016/j.math.2007.12.007. Epub 2008 Mar 3. Affiliation Uniklinik Balgrist, Department of Physiotherapy, Forchstrasse 340, 8008 Zurich, Switzerland. anninaschmid@hotmail.com Abstract Segmental neurological modulation, neural hysteresis and biomechanical effects have been proposed as mechanisms underpinning the effects of manual therapy. An increasing number of studies hypothesise activation of the […]

Alterations in Cortical and Cerebellar Motor Processing in Subclinical Neck Pain Patients Following Spinal Manipulation

Julian Daligadu, MHSc Journal of Manipulative and Physiological Therapeutics: Volume 36, Issue 8 , Pages 527-537, October 2013 Abstract Objective The purpose of this study was investigate whether there are alterations in cerebellar output in a subclinical neck pain (SCNP) group and whether spinal manipulation before motor sequence learning might restore the baseline functional relationship […]

Short-Term Effects of a Course of Manual Therapy and Exercise in People With Moderate COPD

A Preliminary Clinical Trial Roger M. Engel, DO, DC, PhD Journal of Manipulative and Physiological Therapeutics: Volume 36, Issue 8 , Pages 490-496, October 2013 Abstract Objective The purpose of this preliminary study was to demonstrate the feasibility of a study that measures the short-term effects of a course of manual therapy (MT) and exercise […]

Outcomes From MRI Confirmed Symptomatic Cervical HNP Patients Treated With HVLA Spinal Manipulative Therapy

A Prospective Cohort Study With 3-Month Follow-Up Cynthia K. Peterson, RN, DC, M.Med.E Journal of Manipulative and Physiological Therapeutics: Volume 36, Issue 8 , Pages 461-467, October 2013 Abstract Objective The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation (CDH) who are treated with spinal manipulative […]

Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain

A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo von Heymann, Wolfgang J. Dr. Med Spine: 01 April 2013 – Volume 38 – Issue 7 – p 540–548 Abstract Study Design. A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms. Objective. To investigate in acute nonspecific low back pain (LBP) the effectiveness of […]

The Quality of Reports on Cervical Arterial Dissection following Cervical Spinal Manipulation

Shari Wynd Abstract Background Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic review of reports describing these events offers an important opportunity to better understand the […]

The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine

The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine Gary L. Shum, PhD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 4 , Pages 673-679, April 2013 Abstract Objective To study the immediate effect of posteroanterior mobilization on back pain and the associated biomechanical changes in […]