Spinal Manipulation/Mobilization

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].

Editors Skelly AC, Chou R, Dettori JR, Turner JA, Friedly JL, Rundell SD, Fu R, Brodt ED, Wasson N, Kantner S, Ferguson AJR. Source Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Apr. Report No.: 20-EHC009. AHRQ Comparative Effectiveness Reviews. Structured Abstract Objectives: We updated the evidence from our 2018 report assessing persistent […]

Investigating the Effects of Chiropractic Spinal Manipulation on EEG in Stroke Patients.

Brain Sci. 2020 Apr 27;10(5). pii: E253. doi: 10.3390/brainsci10050253. Navid MS1,2,3, Niazi IK3,4,5, Lelic D1, Nedergaard RB1,2,3, Holt K3, Amjad I3,6, Drewes AM1,2, Haavik H3. Abstract Objective: The purpose of this study was to evaluate the impact of chiropractic spinal manipulation on the early somatosensory evoked potentials (SEPs) and resting-state electroencephalography (EEG) recorded from chronic […]

Effectiveness of Spinal Manipulation and Myofascial Release Compared With Spinal Manipulation Alone on Health-Related Outcomes in Individuals With Non-Specific Low Back Pain: Randomized Controlled Trial

Physiotherapy, 107, 71-80 2019 Nov 18 Taise Angeli Boff Abstract Objective: To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP). Design: Randomized controlled trial with three months follow-up. Setting: Rehabilitation clinic. Participants: Seventy-two individuals (between 18 and 50 years […]

Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:December 31, 2019 Volume 50 Issue 1 Pages 24-32 https://www.jospt.org/doi/10.2519/jospt.2020.8928 Abstract Objective To determine the short-term effectiveness of thoracic manipulation when compared to sham manipulation for individuals with low back pain (LBP). Design Randomized controlled trial. Methods Patients with LBP were stratified based on symptom duration and randomly assigned […]

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain – Full Text Article

J Manipulative Physiol Ther. 2019 Dec 20. pii: S0161-4754(19)30008-9. doi: 10.1016/j.jmpt.2019.08.001. [Epub ahead of print] Whalen W, Farabaugh RJ, Hawk C, Minkalis AL, Lauretti W, Crivelli LS, Wyatt L, Sheppard M, Walters SA. Abstract OBJECTIVE: The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain. METHODS: A […]

Evidence for decreased Neurologic Pain Signature activation following thoracic spinal manipulation in healthy volunteers and participants with neck pain

NeuroImage: Clinical Volume 24, 2019, 102042 Kenneth A.Weber II Highlights •  The use of brain-based models of pain were explored in two clinical studies. •  Neurologic pain signature activation decreased following spinal manipulation. •  Spinal manipulation altered the processing of pain-related brain activity. •  We provide evidence for a centrally mediated therapeutic action of spinal […]

Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report – Full Text Article

Jesse Cooper Chiropractic & Manual Therapies volume 27, Article number: 41 (2019) Abstract Background Spinal epidural hematoma is a rare condition usually secondary to trauma and coagulopathy. To the best of our knowledge, we present the first case of a patient with an iatrogenic hypercoaguable state performing self-neck manipulation, which resulted in a spinal epidural […]

Influence of the cervical spine manipulation in the neck disability index in patients with chronic neck pain: A preliminary study – Full Text Available

Miranda, Iã Ferreira; Facchini, Daniel http://dx.doi.org/10.17784/mtprehabjournal.2015.13.283 Man. Ther., Posturology Rehabil. J., vol.13, p.0, 2015 Abstract Introduction: Neck pain is one of the major problems managed by chiropractors, therefore its common the use of spinal manipulation to manage this problem. Objective: To evaluate the influence of Cervical Spine Manipulation (CSM) in the Neck Disability Index (NDI) of patients […]

Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:10 Pages:688–697 DOI: 10.2519/jospt.2019.8578 Background Manual therapy interventions targeting the neck include various positions and movements of the craniocervical region. The hemodynamic changes in various spinal positions potentially have clinical relevance. Objectives To investigate the effects of craniocervical positions and movements on hemodynamic parameters (blood flow velocity and/or volume) of cervical […]

Acute Presentation of Cervical Myelopathy Following Manipulation Therapy

Isr Med Assoc J. 2019 Aug;21(8):542-545. Salame K Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. Abstract Spinal manipulation therapy (SMT) is commonly used as an effective therapeutic modality for a range of cervical symptoms. However, in rare cases, cervical manipulation may be associated with complications. In this review we present […]

Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans

A Systematic Literature Review Wirth, Brigitte PT, PhD Spine: August 1, 2019 – Volume 44 – Issue 15 – p E914-E926 doi: 10.1097/BRS.0000000000003013 Study Design. Systematic review. Objective. To summarize the evidence of neurophysiological effects of spinal manipulative therapy (SMT) with a high velocity low amplitude thrust (HVLA-SMT) in asymptomatic and symptomatic humans. Summary of […]

Remission of Myasthenia Gravis Following Cervical Adjustment – Full Text Article

AME Case Rep. 2019; 3: 9. Published online 2019 Apr 22. doi: 10.21037/acr.2019.04.04 PMCID: PMC6509433 PMID: 31119210 Eric Chun Pu Chucorresponding author and David Bellin Abstract Myasthenia gravis (MG) is an autoimmune disorder, caused by circulating antibodies against the acetylcholine receptor (AChR) and associated proteins. Anticholinesterase medications and immunomodulating therapies are the mainstays of current […]

Pain: Considering Complementary Approaches (eBook)

US Department of Health and Human Services National Center for Complementary and Integrative Health Pain is the most common reason for seeking medical care. It is also a common reason why people turn to complementary health approaches. This 47-page eBook provides an overview of complementary health approaches for pain, including acupuncture, massage therapy, meditation, spinal […]

High-velocity, low-amplitude manipulation (HVLA) does not alter three-dimensional position of sacroiliac joint in healthy men: A quasi-experimental study

Journal of Bodywork and Movement Therapies Published online: June 13, 2019 Danielle de Faria Alvim de Toledo Abstract The impact of high-velocity, low-amplitude (HVLA) manipulations on the behavior of sacroiliac joint (SIJ) mobility in individuals submitted to an osteopathic intervention has not been sufficiently investigated. Furthermore, there is no standard agreement on the description of […]

Who Responds Best To Spinal Manipulation?

JUNE 9, 2019 DRGRABER Not every patient responds the same to Chiropractic adjustments or high velocity, low-amplitude (HVLA) spinal manipulation (SMT). That fact is obvious. However, there are some evidence-based patient characteristics that can predict who will respond better than others. Utilizing the research evidence on responsiveness characteristics to SMT can aid us in making […]

Diverse Role of Biological Plasticity in Low Back Pain and Its Impact on Sensorimotor Control of the Spine

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:6 Pages:389–401 DOI: 10.2519/jospt.2019.8716 Synopsis Pain is complex. It is no longer acceptable to consider pain solely as a peripheral phenomenon involving activation of nociceptive neurons. The contemporary understanding of pain involves consideration of different underlying pain mechanisms and an increasing awareness of plasticity in […]

Effect of cervical manipulation on vertebral artery and cerebral haemodynamics in patients with chronic neck pain: a crossover randomised controlled trial

Nicholas Moser BMJ Open 2019;9:e025219. doi: 10.1136/bmjopen-2018-025219 Abstract Objective It is hypothesised that cervical manipulation may increase the risk of cerebrovascular accidents. We aimed to determine whether cervical spine manipulation is associated with changes in vertebral artery and cerebrovascular haemodynamics measured with MRI compared with neutral neck position and maximum neck rotation in patients with chronic neck pain. […]

Spinal manipulation therapy: is it all about the brain? A current review of the neurophysiological effects of manipulation

Journal of Integrative Medicine Available online 9 May 2019 GilesGyer Abstract Spinal manipulation has been an effective intervention for the management of various musculoskeletal disorders. However, the mechanisms underlying the pain modulatory effects of spinal manipulation remain elusive. Although both biomechanical and neurophysiological phenomena have been thought to play a role in the observed clinical […]

Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial

Craig Schulz Chiropractic & Manual Therapies 2019 27:21 https://doi.org/10.1186/s12998-019-0243-1© The Author(s). 2019 Received: 2 November 2018 Accepted: 5 March 2019 Published: 15 May 2019 Background Low back pain (LBP) is a common disabling condition in older adults which often limits physical function and diminishes quality of life. Two clinical trials in older adults have shown […]

The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy – A Double-Blind Randomized Controlled Trial

Arch Phys Med Rehabil. 2019 May;100(5):828-836. doi: 10.1016/j.apmr.2018.11.004. Epub 2018 Dec 3. Kiran Satpute PMID: 30521781 DOI: 10.1016/j.apmr.2018.11.004 Abstract Objectives: To evaluate the effect of spinal mobilization with leg movement (SMWLM) on low back and leg pain intensity, disability, pain centralization, and patient satisfaction in participants with lumbar radiculopathy. Design: A double-blind randomized controlled trial. […]