Spinal Manipulation/Mobilization

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 […]

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 […]

Chiropractic care of a patient with temporomandibular disorder and atlas subluxation

Joel Alcantara, DC Journal of Manipulative and Physiological Therapeutics Volume 25, Issue 1 , Pages 63-70, January 2002 Abstract Objective: To describe the chiropractic care of a patient with cervical subluxation and complaints associated with temporomandibular disorder. Clinical Features: A 41-year-old woman had bilateral ear pain, tinnitus, vertigo, altered or decreased hearing acuity, and headaches. She had a […]

Orthopedic surgeon injures a patient with SMT treating for tinnitus

Kraft CN Z Orthop Ihre Grenzgeb. 2001 Jan-Feb;139(1):8-11. Abstract PURPOSE: Chirotherapy is a popular and successful management option for reversible functional disorders of the cervical spine. Though rarely observed, complications do occur, mainly involving the cerebrovascular system. By means of the here described case and a literature survey, we aim to highlight non-cerebrovascular complications of […]

Spinal Reflex Attenuation Associated With Spinal Manipulation

Dishman, J. Donald DC, MSc; Bulbulian, Ronald PhD Spine: 1 October 2000 – Volume 25 – Issue 19 – pp 2519-2525 Abstract Study Design. This study evaluated the effect of lumbosacral spinal manipulation with thrust and spinal mobilization without thrust on the excitability of the alpha motoneuronal pool in human subjects without low back pain. […]

Effect of chiropractic intervention on small scoliotic curves in younger subjects

Effect of chiropractic intervention on small scoliotic curves in younger subjects: A time-series cohort design Charles A. Lantz, DC, PhDa, Jasper Chen, DCb Received: March 2, 2000; Received in revised form: May 29, 2000 claimed to affect scoliotic curves, and case studies abound reporting on successful outcomes. No clinical trials exist, however, that evaluate chiropractic’s […]

A randomized controlled trial of chiropractic spinal manipulative therapy for migraine

Peter J. Tuchin, GradDipChiro, DipOHS, Henry Pollard, GradDipChiro, GradDipAppSc, Rod Bonello, DC, DO Journal of Manipulative and Physiological Therapeutics Volume 23, Issue 2 , Pages 91-95, February 2000 Abstract Objective: To assess the efficacy of chiropractic spinal manipulative therapy (SMT) in the treatment of migraine. Design: A randomized controlled trial of 6 months’ duration. The trial consisted of […]

Possible manifestation of temporomandibular joint dysfunction on chiropractic cervical X-ray studies

Knutson GA J Manipulative Physiol Ther. 1999 Jan;22(1):32-7. Abstract OBJECTIVE: Our purpose was to show that biomechanical alterations toward and away from normal on x-ray studies may be the result of changes in temporomandibular joint dysfunction and to discuss possible neurologic explanations for this phenomenon. CLINICAL FEATURES: Two patients are discussed; the first had migraine […]

The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache

Nelson CF, Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV. J Manipulative Physiol Ther. 1998 Oct;21(8):511-9. Center for Clinical Studies, Northwestern College of Chiropractic, Bloomington, MN 55431, USA. cnelson@nwchiro.edu BACKGROUND: Migraine headache affects approximately 11 million adults in the United States. Spinal manipulation is a common alternative therapy for headaches, but its efficacy […]

Rotary manipulation for cervical radiculopathy

Observations on the importance of the direction of the thrust. Authors Hubka MJ,et al. Show all Journal J Manipulative Physiol Ther. 1997 Nov-Dec;20(9):622-7. Affiliation Los Angeles College of Chiropractic, Whittier, CA, USA. Abstract OBJECTIVE: To describe the clinical presentation of eight patients with cervical spine radiculopathy, the manipulation technique used for each patient and the outcomes of […]

A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain

Dabbs V, Lauretti WJ. J Manipulative Physiol Ther. 1995 Oct;18(8):530-6. Abstract OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and […]

A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain

J Manipulative Physiol Ther. 1995 Oct;18(8):530-6. Dabbs V, Lauretti WJ. Abstract OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and […]

Randomised comparison of chiropractic and hospital outpatient management for low back pain

BMJ. 1995 Aug 5;311(7001):349-51. Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up. Meade TW, Dyer S, Browne W, Frank AO. Abstract OBJECTIVE: To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. DESIGN: Randomised allocation of patients to chiropractic […]

The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea

kjohn K , Schmid DM , Triano JJ , Brennan PC Research Department, National College of Chiropractic, Lombard, IL 60148-4583. Journal of Manipulative and Physiological Therapeutics [1992, 15(5):279-285] Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov’t Abstract OBJECTIVE: The primary objectives of this study were to compare the effect of spinal […]

Enhanced phagocytic cell respiratory burst induced by spinal manipulation

J Manipulative Physiol Ther. 1991 Sep;14(7):399-408. Enhanced phagocytic cell respiratory burst induced by spinal manipulation: potential role of substance P. Brennan PC1, Kokjohn K, Kaltinger CJ, Lohr GE, Glendening C, Hondras MA, McGregor M, Triano JJ. Abstract The effect of spinal manipulation on the respiratory burst of polymorphonuclear neutrophils (PMN) and monocytes from treated adults […]

A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial

HADLER, NORTIN M. MD Spine: September 1987 Abstract Fifty-four subjects volunteered to participate in a controlled study contrasting spinal manipulation with spinal mobilization without the rotational forces and leverage required to move facet joints. All suffered from regional low-back pain for less than 1 month, were ages 18-40, had never previously undergone any form of […]