Spinal Manipulation/Mobilization

Spinal Manipulation is Not an Emerging Risk Factor for Stroke Nor is it Major Head/Neck Trauma. Don’t Just Read the Abstract!

Dean L Smith Open Neurol J. 2011; 5: 46–47. Published online May 30, 2011 PubMed Reference Dear Editor, We read with interest the article by Micheli et al. [1] describing the emerging risk factors for cervical artery dissection. In their abstract, the authors’ state, “Other known risks factors for CAD are major head/neck trauma like […]

The Safety of Cervical Manipulation: Putting Stroke Risk in Perspective, Part 1

By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – May 20, 2011, Vol. 29, Issue 11 Relative Activity Risks Several studies have attempted to link chiropractic manipulation to adverse events, the most serious and widely studied being strokes following dissections of the vertebral artery.1-6 To begin to shed light on this problem, several retrospective studies against […]

Immune Responses to Spinal Manipulation

Dynamic Chiropractic – May 6, 2011, Vol. 29, Issue 10 Immune Responses to Spinal Manipulation By Malik Slosberg, DC, MS For many years, chiropractors have observed in their own practices that their patients sometimes demonstrate improvements of complaints related to immune problems: the disappearance or lessening of allergy symptoms, quicker recovery from or less frequent […]

A Cochrane Review of Combined Chiropractic Interventions for Low-Back Pain

Walker, Bruce F DC Spine: 1 February 2011 – Volume 36 – Issue 3 – p 230–242 Journal Reference Abstract Study Design. Cochrane systematic review of randomized controlled trials. Objective. To determine the effects of combined chiropractic interventions on pain, disability, back-related function, overall improvement, and patient satisfaction in adults with low-back pain (LBP). Summary […]

The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study

Spine J. 2010 Dec;10(12):1055-64. doi: 10.1016/j.spinee.2010.08.019. The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Bishop PB, Quon JA, Fisher CG, Dvorak MF. Abstract BACKGROUND CONTEXT: Evidence-based clinical practice guidelines (CPGs) […]

Deaths after chiropractic: a review of published cases

E. Ernst International Journal of Clinical Practice Volume 64, Issue 8, pages 1162–1165, July 2010 Summary Objective:  The aim of this study was to summarise all cases in which chiropractic spinal manipulation was followed by death. Design:  This study is a systematic review of case reports. Methods:  Literature searches in four electronic databases with no […]

Death by Chiropractic: Another Misbegotten Review

Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC ChiroACCESS The title of one of Edzard Ernst’s most recent articles, “Deaths after chiropractic: A review of published cases”,1 seems to have wasted no time in creating a worst-case scenario, frightening the reader from a profession which has successfully treated patients for 115 years and for which evidence supporting its […]

Effectiveness of manual therapy for chronic tension-type headache: A pragmatic, randomised, clinical trial

René F Castien Cephalalgia. 2011 Jan;31(2):133-43. Epub 2010 Jul 20. Abstract Objective: To evaluate the effectiveness of manual therapy (MT) in participants with chronic tension-type headache (CTTH). Subjects and Methods: We conducted a multicentre, pragmatic, randomised, clinical trial with partly blinded outcome assessment. Eighty-two participants with CTTH were randomly assigned to MT or to usual […]

Chiropractic Science: A Contemporary Neurophysiologic Paradigm – Full Text

J Can Chiropr Assoc. 2010 Sep; 54(3): 144–146. PMCID: PMC2921779 PMID: 20808613 Dr. John Srbely, DC, PhD In order for chiropractic to reach its full potential as a healthcare profession, it must be universally integrated into the mainstream healthcare model. For this to be realized, chiropractic must first be unconditionally embraced by mainstream science. With […]

Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines.

Spine J. 2010 Jun;10(6):514-29. doi: 10.1016/j.spinee.2010.03.032. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Dagenais S, Tricco AC, Haldeman S. Abstract BACKGROUND CONTEXT: Low back pain (LBP) is a prevalent, costly, and challenging condition to manage. Clinicians must choose among numerous assessment and management options. Several […]

Effectiveness of manual therapies: the UK evidence report (Full Text)

Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano Chiropractic & Osteopathy 2010, 18:3 Abstract Background The purpose of this report is to provide a succinct but comprehensive summary of the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and non-musculoskeletal conditions. Methods The conclusions […]

Chiropractic care helps reduce pain and disability by 83.2% in pregnancy related lumbopelvic pain

Outcome of pregnancy-related lumbopelvic pain treated according to a diagnosis-based decision rule: a prospective observational cohort study. Murphy DR1, Hurwitz EL, McGovern EE. J Manipulative Physiol Ther. 2009 Oct;32(8):616-24. doi: 10.1016/j.jmpt.2009.09.002. PubMed Reference Abstract OBJECTIVE: The purpose of this study was to describe the clinical outcomes of patients with pregnancy-related lumbopelvic pain (PRLP) treated according […]

The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model

Man Ther. Author manuscript; available in PMC 2010 Oct 1. Published in final edited form as: Man Ther. 2009 Oct; 14(5): 531–538. Published online 2008 Nov 21. doi: 10.1016/j.math.2008.09.001 PMCID: PMC2775050 NIHMSID: NIHMS140696 Joel E Bialosky, PT, MS Abstract Prior studies suggest manual therapy (MT) as effective in the treatment of musculoskeletal pain; however, the […]

The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome

Manual Therapy August 2009 Volume 14, Issue 4, Pages 375–380 Robert E. Boyle Abstract The study was an exploratory, one group pretest/post-test study, with the objective of investigating the short-term effects of thoracic spine thrust manipulations (TSTMs) on patients with shoulder impingement syndrome (SIS). There is evidence that manual physical therapy that includes TSTM and […]

Obstetric Physicians and Surgeons Encouraged to Consider SMT as a Treatment Option For Back Pain During Pregnancy

Manipulative therapy for pregnancy and related conditions: a systematic review. Khorsan R1, Hawk C, Lisi AJ, Kizhakkeveettil A. Obstet Gynecol Surv. 2009 Jun;64(6):416-27. doi: 10.1097/OGX.0b013e31819f9ddf. Abstract OBJECTIVE: The objective of this review is to evaluate the evidence on the effects of Spinal Manipulative Therapy (SMT) on back pain and other related symptoms during pregnancy. DATA […]

Safety of Chiropractic Interventions: A Systematic Review

Gouveia, Liliana Olim MD Spine: 15 May 2009 – Volume 34 – Issue 11 – pp E405-E413 Abstract Study Design. Systematic review of reported adverse events. Objective. To evaluate the tolerability and safety of chiropractic procedures. Summary of Background Data. Despite the increasing popularity of chiropractic, there are few properly designed prospective controlled trials, and […]

Risk of Vertebrobasilar Stroke and Chiropractic Care

Results of a Population-Based Case-Control and Case-Crossover Study J. David Cassidy, DC, PhD Journal of Manipulative and Physiological Therapeutics Volume 32, Issue 2, Supplement , Pages S201-S208, February 2009 Abstract Study Design Population-based, case-control and case-crossover study. Objective To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary […]

Sympathetic and parasympathetic responses to specific diversified adjustments to chiropractic vertebral subluxations of the cervical and thoracic spine

J Chiropr Med. Sep 2008; 7(3): 86–93. Published online Sep 2, 2008. doi: 10.1016/j.jcm.2008.04.001 PMCID: PMC2686395 Sympathetic and parasympathetic responses to specific diversified adjustments to chiropractic vertebral subluxations of the cervical and thoracic spine Arlene Welch Abstract Objective The aims of this study were to investigate the response of the autonomic nervous system based upon […]

SMT is unlikely to result in relevant early pain reduction in patients with acute low back pain

A randomised controlled trial of spinal manipulative therapy in acute low back pain P Jüni Ann Rheum Dis 2009;68:1420-1427 doi:10.1136/ard.2008.093757 Published Online First 5 September 2008 Journal Reference Abstract Objective: To determine whether treatment with spinal manipulative therapy (SMT) administered in addition to standard care is associated with clinically relevant early reductions in pain and […]

Adverse Events Following Chiropractic Care for Subjects With Neck or Low-Back Pain: Do The Benefits Outweigh the Risks?

Sidney M. Rubinstein, DC, PhD Journal of Manipulative and Physiological Therapeutics Volume 31, Issue 6 , Pages 461-464, July 2008 Abstract This synopsis provides an overview of the benign and serious risks associated with chiropractic care for subjects with neck or low-back pain. Most adverse events associated with spinal manipulation are benign and self-limiting. The […]