Spinal Manipulation/Mobilization

Neural Responses to Physical Characteristics of a High-velocity, Low-amplitude Spinal Manipulation: Effect of Thrust Direction

Reed, William R. DC, PhD∗; Long, Cynthia R. PhD∗; Kawchuk, Gregory N. DC, PhD†; Sozio, Randall S. BS∗; Pickar, Joel G. DC, PhD∗Author Information SPINE: January 1, 2018 – Volume 43 – Issue 1 – p 1-9 doi: 10.1097/BRS.0000000000001344 Abstract Study Design. Electrophysiological recordings were obtained from proprioceptors in deep lumbar paraspinal muscles of anesthetized […]

Utilization of Manipulative Treatment for Spine and Shoulder Conditions Between Different Medical Providers in a Large Military Hospital – Full Text Article

Archives of Physical Medicine & Rehabilitation January 2018 Volume 99, Issue 1, Pages 72–81 Daniel Rhon, DSc’ Abstract Objective To describe the use of manipulative treatment for shoulder and spine conditions among various provider types. Design Retrospective observational cohort. Setting Single military hospital. Participants Consecutive sample of patients (N=7566) seeking care for an initial spine or shoulder […]

Adult degenerative deformity: principles of sagittal balance, classification and surgical management

Orthopaedics and Trauma Volume 31, Issue 6, December 2017, Pages 370-377 George Mataliotakis Athanasios I. Tsirikos Saeed Mohammad Abstract Deformity has always been part of the gradual spinal degenerative process occurring in older ages causing pain and disability. The shift of the adult population towards older ages has rendered this entity a much more frequent […]

Relationship Between Subjective Experience of Individuals, Practitioner Seniority, Cavitation Occurrence, and 3-Dimensional Kinematics During Cervical Spine Manipulation

JMPT. November–December, 2017 Volume 40, Issue 9, Pages 643–648 Bernard Van Geyt, MSc Abstract Objective The purpose of this study was to assess individual subjective experience (ISE) of the recipients of a cervical manipulation and to analyze the influence of kinematics, cavitation occurrence, and practitioner seniority on individual experience. Methods Practitioners with different seniority (years […]

Comparison of 2 Lumbar Manual Therapies on Temporal Summation of Pain in Healthy Volunteers

The Journal  of Pain November 2017 Volume 18, Issue 11, Pages 1397–1408 Charles W. Penza Highlights SMT and MOB equally attenuate temporal summation of heat pain (TSP) compared with no treatment. In pain-free individuals, variability in TSP is best explained by 3 subgroups. The magnitude of the effect size of spinal manipulation on TSP differs […]

Spinal Manipulation and Therapeutic Exercises in Treating Post-Surgical Resurgent Lumbar Radiculopathy

Francio, Vinicius TieppoDavani, Saeid et al. Archives of Physical Medicine and Rehabilitation , Volume 98 , Issue 10 , e18 – e19 Research Objectives: To educate clinicians about the benefits of spinal manipulation and therapeutic exercises in cases of post-surgical lumbar radiculopathy, which is consider a relative contra-indication, successfullyused in this case. Lumbar radiculopathy due […]

Spinal manipulative therapy for low back pain—time for an update

André E. Bussières, Claude A. Gauthier, Gilles Fournier and Martin Descarreaux Canadian Family Physician September 2017, 63 (9) 669-672 We read with interest the Tools for Practice article in the April issue of Canadian Family Physician.1In an attempt to answer the question posed by the authors, “Is spinal manipulative therapy (SMT) effective for low back pain […]

Shoe Orthotics for the Treatment of Chronic Low Back Pain

Arch Phys Med Rehabil. 2017 Sep;98(9):1752-1762. doi: 10.1016/j.apmr.2017.03.028. Epub 2017 Apr 30. Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial. Cambron JA, Dexheimer JM, Duarte M, Freels S. Abstract OBJECTIVES: To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with […]

An Observational Study on Recurrences of Low Back Pain During the First 12 Months After Chiropractic Treatment.

J Manipulative Physiol Ther. 2017 Jul – Aug;40(6):427-433. doi: 10.1016/j.jmpt.2017.03.005. Knecht C, Humphreys BK, Wirth B. Abstract OBJECTIVES: The purpose of this study was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions. METHODS: In Switzerland, 722 patients with […]

Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial – Full Text

Aleksander Chaibi BMC Research Notes 2017 10:310 Abstract Objective Cervicogenic headache is a disabling headache where pharmacological management have limited effect. Thus, non-pharmacological management is warranted. Our objective was therefore to investigate the efficacy of chiropractic spinal manipulative therapy versus placebo (sham manipulation) and control (continued usual but non-manual management) for cervicogenic headache in a […]

New Studies Adjust Our Thinking on Spinal Manipulation – Video

Published on Jul 18, 2017 Spinal manipulation for lower back pain turns out to be a thing. For a lot of reasond, MDs have been suspicious of chiropractors and other practitioners of spinal manipulation, but new studies indicate that spinal manipulation is as effective as other treatments for low back pain. It turns out, people […]

The mechanism of back pain relief by spinal manipulation relies on decreased temporal summation of pain

Neuroscience. 2017 May 4;349:220-228. doi: 10.1016/j.neuroscience.2017.03.006. Epub 2017 Mar 11. Randoll C Abstract The aim of the present study was to determine whether thoracic spinal manipulation (SM) decreases temporal summation of back pain. The study comprised two controlled experiments including 16 and 15 healthy participants, respectively. Each study included six sessions during which painful or […]

The Evolving Evidence on Chiropractors for Low Back Pain

New research suggests spinal adjustments may help. The Bronfenbrenner Center for Translational Research Evidence-Based Living Posted May 19, 2017 The majority of people experience low back pain at some point during their lives—and it can be a miserable experience. Research shows that low back pain is the most common cause of missed work days. To […]

Changes in biochemical markers following spinal manipulation-a systematic review and meta-analysis

Musculoskeletal Science & Practice June 2017  Volume 29, Pages 120–131 Kesava Kovanur-Sampath, M.Ost Highlights •Various biochemical markers such as substance-P, neurotensin, interleukins and cortisol modulate pain and inflammation. •Spinal manipulation increases substance-P, neurotensin, oxytocin and can alter various biochemical marker. •Spinal manipulation therefore may play an important role in pain and or inflammatory disorders. •Future RCTs […]

Researchers: Spinal Manipulation for Low Back Pain Comparable to NSAIDs

APRIL 27, 2017 Spinal manipulation therapy was shown to have modest improvements on pain and function at up to six weeks in patients with acute low back pain (LBP), according to a study published in JAMA (2017;317:1451-1460). Moreover, the therapy was associated with only “temporary minor musculoskeletal harms,” according to the researchers. Paul G. Shekelle, […]

The Role of Spinal Manipulation in the Treatment of Low Back Pain – Full Text JAMA Article by R. Deyo

The Role of Spinal Manipulation in the Treatment of Low Back Pain R. Deyo JAMA. 2017;317(14):1418-1419. doi:10.1001/jama.2017.3085 Download Full Text Article

Beliefs in the population about cracking sounds produced during spinal manipulation

Joint Bone Spine. 2018 Mar;85(2):239-242. doi: 10.1016/j.jbspin.2017.04.006. Epub 2017 Apr 26. Demoulin C Abstract OBJECTIVES: To examine beliefs about cracking sounds heard during high-velocity low-amplitude (HVLA) thrust spinal manipulation in individuals with and without personal experience of this technique. METHODS: We included 100 individuals. Among them, 60 had no history of spinal manipulation, including 40 […]

The Effectiveness and Harms of Spinal Manipulative Therapy for the Treatment of Acute Neck and Lower Back Pain: A Systematic Review

Back pain and neck pain are among the most common symptoms prompting patients to seek care. Many treatments are used for back pain. Spinal manipulative therapy (SMT) is a treatment option available in VA. In order to better understand the potential role of SMT in treating acute back or neck pain, VA requested an up-to-date […]

Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review

H.A. Kranenburg Musculoskeletal Science and Practice April 2017 Volume 28, Pages 32–38 Highlights Vertebral Artery Dissection (VAD) is the most frequent described Major Adverse Event (MAE). The most frequent inventoried treatment technique was a non-specified manipulative technique. Patient characteristics are poorly described in case reports. No pre-manipulative risk profile could be composed based on the […]

Spinal Manipulation Therapy – A Sham Procedure? A study says it actually might not be [Video]

Analyst: F. Perry Wilson, MD, MSCE by MedPage Today Staff April 11, 2017 Proponents have proclaimed a slew of benefits of spinal manipulation therapy, but most data is anecdotal. In this 150-Second analysis, F. Perry Wilson, MD, discusses a meta-analysis appearing in the Journal of the American Medical Association that used relatively high quality data […]