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"Spinal Manipulation"

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https://www.readbyqxmd.com/read/29866131/optimizing-treatment-protocols-for-spinal-manipulative-therapy-study-protocol-for-a-randomized-trial
#1
Julie M Fritz, Jason A Sharpe, Elizabeth Lane, Doug Santillo, Tom Greene, Gregory Kawchuk
BACKGROUND: Low back pain is a common and costly condition. Spinal manipulative therapy (SMT) is a treatment supported in some guidelines, although most clinical trials examining SMT report small effect sizes. Enhancing the effects of SMT requires an understanding of underlying mechanisms and a systematic approach to leverage understanding of mechanisms to create more effective treatment protocols that are scalable in clinical practice. Prior work has identified effects on spinal stiffness and lumbar multifidus activation as possible mechanisms...
June 4, 2018: Trials
https://www.readbyqxmd.com/read/29861263/comparing-spinal-manipulation-with-and-without-kinesio-taping-%C3%A2-in-the-treatment-of-chronic-low-back-pain
#2
Fahimeh Kamali, Ehsan Sinaei, Elham Taherkhani
OBJECTIVES: Chronic non-specific low back pain (CNLBP) is a prevalent problem among athletes that can cause long-lasting disability and time lost from sporting activities. Thus far, a variety of methods have been suggested to address this problem, including spinal manipulation (SM) and Kinesio Tape® (KT). The aim of this study was to investigate whether adding KT to SM can provide any extra effect in athletes with CNLBP or not. METHOD: Forty-two athletes (21males, 21females) with CNLBP were randomized into two groups of SM (n = 21) and SM plus KT (n = 21)...
April 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29806112/does-a-tailored-guideline-implementation-strategy-have-an-impact-on-clinical-physiotherapy-practice-a-nonrandomized-controlled-study
#3
Susanne Bernhardsson, Maria E H Larsson
RATIONALE, AIMS, AND OBJECTIVES: Clinical practice guidelines are a common strategy for implementing research findings into practice and facilitating evidence-based practice in health care settings. There is a paucity of knowledge about the impact of different guideline implementation strategies on clinical practice in a physiotherapy context. The study aimed to assess the impact of a guideline implementation intervention on clinical physiotherapy practice. METHODS: A tailored, multicomponent guideline implementation was compared with usual practice...
May 28, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29796250/spinal-manipulation-in-the-treatment-of-patients-with-mri-confirmed-lumbar-disc-herniation-and-sacroiliac-joint-hypomobility-a-quasi-experimental-study
#4
Esmaeil Shokri, Fahimeh Kamali, Ehsan Sinaei, Farahnaz Ghafarinejad
Background: To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility. Methods: Twenty patients aged between 20 and 50 years with MRI-confirmed LDH who also had SIJ hypomobility participated in the trial in 2010. Patients who had sequestrated disc herniation were excluded. All patients received five sessions of spinal manipulative therapy (SMT) for the SIJ and lumbar spine during a 2-week period...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29792940/a-randomized-control-trial-to-determine-the-effectiveness-and-physiological-effects-of-spinal-manipulation-and-spinal-mobilization-compared-to-each-other-and-a-sham-condition-in-patients-with-chronic-low-back-pain-study-protocol-for-the-relief-study
#5
Brian C Clark, David W Russ, Masato Nakazawa, Christopher R France, Stevan Walkowski, Timothy D Law, Megan Applegate, Niladri Mahato, Samuel Lietkam, James Odenthal, Daniel Corcos, Simeon Hain, Betty Sindelar, Robert J Ploutz-Snyder, James S Thomas
BACKGROUND: Low back pain (LBP) is one of the most common reasons for seeking medical care. Manipulative therapies are a common treatment for LBP. Few studies have compared the effectiveness of different types of manipulative therapies. Moreover, the physiologic mechanisms underlying these treatments are not fully understood. Herein, we present the study protocol for The Researching the Effectiveness of Lumbar Interventions for Enhancing Function Study (The RELIEF Study). METHODS AND STUDY DESIGN: The RELIEF Study is a Phase II RCT with a nested mechanistic design...
July 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29767395/behavioral-therapy-approaches-for-the-management-of-low-back-pain-an-up-to-date-systematic-review
#6
REVIEW
Kristallia Vitoula, Annalena Venneri, Giustino Varrassi, Antonella Paladini, Panagiota Sykioti, Joy Adewusi, Panagiotis Zis
Low back pain is one of the most common causes for seeking medical treatment and it is estimated that one in two people will experience low back pain at some point during their lifetimes. Management of low back pain includes pharmacological and non-pharmacological approaches. Non-pharmaceutical treatments include interventions such as acupuncture, spinal manipulation, and psychotherapy. The latter is especially important as patients who suffer from low back pain often have impaired quality of life and also suffer from depression...
May 16, 2018: Pain and Therapy
https://www.readbyqxmd.com/read/29765191/alleviation-of-posttraumatic-dizziness-by-restoration-of-the-cervical-lordosis-a-cbp-%C3%A2-case-study-with-a-one-year-follow-up
#7
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present the successful treatment of posttraumatic dizziness and neck pains that were initiated in a patient following a whiplash event. [Subject and Methods] A 46 year old male suffered a whiplash event that initiated neck pain and dizziness symptoms. The patient had many positive orthopedic findings and demonstrated a forward head posture and cervical hypolordosis. The patient was treated by Chiropractic BioPhysics® technique including cervical extension traction, extension exercises and spinal manipulative therapy initially three times a week for 16-weeks, and once a month thereafter...
May 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29744116/spinal-manipulation-and-therapeutic-exercises-in-treating-post-surgical-resurgent-lumbar-radiculopathy
#8
Vinicius Tieppo Francio, Chris Towery, Saeid Davani, Tony Brown
Lumbar radiculopathy due to disc herniation is one of the most common conditions seen in orthopedic practices worldwide. Surgical intervention is often necessary, and most patients improve without reoccurrences. The purpose of this case is to describe the successful outcome of post-surgical resurgent lumbar radiculopathy treated with spinal manipulation and therapeutic exercises. Here, we discuss the case of a 42-year-old male who received twelve treatments of spinal manipulation, in addition to therapeutic McKenzie methods exercises...
October 2017: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29713457/the-regional-effect-of-spinal-manipulation-on-the-pressure-pain-threshold-in-asymptomatic-subjects-a-systematic-literature-review
#9
REVIEW
Margaux Honoré, Charlotte Leboeuf-Yde, Olivier Gagey
Background: Spinal manipulation (SM) has been shown to have an effect on pain perception. More knowledge is needed on this phenomenon and it would be relevant to study its effect in asymptomatic subjects. Objectives: To compare regional effect of SM on pressure pain threshold (PPT) vs. sham, inactive control, mobilisation, another SM, and some type of physical therapy. In addition, we reported the results for the three different spinal regions. Method: A systematic search of literature was done using PubMed, Embase and Cochrane...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29706725/alleviation-of-neck-pain-by-the-non-surgical-rehabilitation-of-a-pathologic-cervical-kyphosis-to-a-normal-lordosis-a-cbp-%C3%A2-case-report
#10
Alyssa K Dennis, Paul A Oakley, Michael T Weiner, Tara A VanVranken, David A Shapiro, Deed E Harrison
[Purpose] To present a case of the therapeutic reversal of a cervical kyphosis into a lordosis in a patient who presented with neck pain and headaches. [Subject and Methods] A 24-year-old male irritated his neck while dancing. Upon examination it was revealed he had an excessive, 45 mm forward head translation and a 15° cervical kyphosis from C3-C6. The patient was treated with Chiropractic BioPhysics® methods aimed at restoring the cervical lordosis by mirror image® , neck extension exercises, cervical extension traction, and spinal manipulative therapy...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29702550/chiropractic-manipulation-increases-maximal-bite-force-in-healthy-individuals
#11
Heidi Haavik, Mustafa Görkem Özyurt, Imran Khan Niazi, Kelly Holt, Rasmus Wiberg Nedergaard, Gizem Yilmaz, Kemal Sitki Türker
Recent research has shown that chiropractic spinal manipulation can alter central sensorimotor integration and motor cortical drive to human voluntary muscles of the upper and lower limb. The aim of this paper was to explore whether spinal manipulation could also influence maximal bite force. Twenty-eight people were divided into two groups of 14, one that received chiropractic care and one that received sham chiropractic care. All subjects were naive to chiropractic. Maximum bite force was assessed pre- and post-intervention and at 1-week follow up...
April 27, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29687966/spinal-manipulation-combined-with-laser-therapy-is-more-beneficial-than-laser-therapy-alone-in-chronic-non-specific-low-back-pain-a-randomized-controlled-study
#12
Gopal N Subash Chandra Bose, Walid Kamal, Shanmugananth Es, Siddhart Joshi, Parth Trivedi
BACKGROUND: Low back pain (LBP) is a common musculoskeletal disorder causing pain and disability in most of the countries. In recent years, new approaches such as Spinal manipulation and laser therapy have been considered as an alternative to conventional exercise and also found contradicting results in terms of its effectiveness. AIM: A study to compare the combined effects of spinal manipulation, Laser and exercise versus Laser and exercise alone in chronic non-specific low back pain (cnLBP)...
April 24, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29682055/pneumorrhachis-following-chest-injury-a-rare-entity
#13
Shivender Sobti, S Bhaskar, Rajesh K Sharma, Ajay Choudhary
Pneumorrhachis (PR) - the phenomenon of intraspinal air - is a rare radiological finding. The presence of intraspinal air is usually after epidural injections, spinal manipulations, synovial cysts, degenerative disc disease, and epidural abscess. PR is mostly asymptomatic but can also be symptomatic. We report a case with PR after chest trauma and attempt to explain its development.
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29673262/psychometric-properties-of-the-numeric-pain-rating-scale-and-neck-disability-index-in-patients-with-cervicogenic-headache
#14
Ian A Young, James Dunning, Raymond Butts, Joshua A Cleland, César Fernández-de-Las-Peñas
Background Self-reported disability and pain intensity are commonly used outcomes in patients with cervicogenic headaches. However, there is a paucity of psychometric evidence to support the use of these self-report outcomes for individuals treated with cervicogenic headaches. Therefore, it is unknown if these measures are reliable, responsive, or result in meaningful clinically important changes in this patient population. Methods A secondary analysis of a randomized clinical trial (n = 110) examining the effects of spinal manipulative therapy with and without exercise in patients with cervicogenic headaches...
January 1, 2018: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/29628810/rehabilitation-of-tibial-plateau-fracture-following-anterior-cruciate-ligament-reconstruction-a-case-report
#15
Ali Rabatsky, John D Lockenour
Objective: The purpose of this case report was to describe the management of a tibial plateau fracture in a patient who had undergone anterior cruciate ligament (ACL) reconstruction 3.5 years earlier. Clinical Features: A 36-year-old man presented with pain and edema following a fall from a height of approximately 2 m while skateboarding. The patient reported having undergone arthroscopic ACL reconstruction with allograft and bioabsorbable screws 3.5 years earlier...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#16
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
May 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29596158/spinal-manipulation-and-exercise-for-low-back-pain-in-adolescents-a-randomized-trial
#17
Roni Evans, Mitchell Haas, Craig Schulz, Brent Leininger, Linda Hanson, Gert Bronfort
Low back pain (LBP) is common in adolescence, but there is a paucity of high-quality research to inform care. We conducted a multicenter randomized trial comparing 12 weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) to ET alone. Participants were 185 adolescents aged 12 to 18 years with chronic LBP. The primary outcome was LBP severity at 12, 26, and 52 weeks. Secondary outcomes included disability, quality of life, medication use, patient- and caregiver-rated improvement, and satisfaction...
March 27, 2018: Pain
https://www.readbyqxmd.com/read/29595991/the-clinical-effects-of-manipulative-therapy-in-people-with-chronic-obstructive-pulmonary-disease
#18
Jayde Galletti, George Mcheileh, Andrew Hahne, Annemarie Louise Lee
OBJECTIVES: This study aimed to determine the effects of manipulative therapies (MT), including spinal manipulation, and diaphragmatic release techniques on lung function, exercise capacity, symptoms, and health-related quality of life (HRQOL) in people with chronic obstructive pulmonary disease (COPD). DESIGN: Systematic review. PARTICIPANTS: People diagnosed with COPD. INTERVENTION: Randomized controlled trials of MT (either with or without pulmonary rehabilitation [PR]) compared to other treatments (soft tissue [ST] therapy or sham therapy) applied in people with COPD were identified following the search of seven databases...
March 29, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29545691/cervical-extension-traction-as-part-of-a-multimodal-rehabilitation-program-relieves-whiplash-associated-disorders-in-a-patient-having-failed-previous-chiropractic-treatment-a-cbp-%C3%A2-case-report
#19
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a patient suffering from chronic whiplash syndrome including chronic neck pain and daily headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female presented with a chief complaint of chronic neck pain and headaches for 12 years, correlating temporally with a sustained whiplash. These symptoms were not significantly relieved by previous chiropractic spinal manipulative therapy. The patient had cervical hypolordosis and was treated with Chiropractic BioPhysics® protocol including extension exercises, manual adjustments and cervical extension traction designed to increase the cervical lordosis...
February 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29545223/vertebral-venous-collaterals-with-underlying-agenesis-of-the-inferior-vena-cava-implications-for-spinal-surgery
#20
Jang W Yoon, Sara Ganaha, Clarence Watridge
BACKGROUND: Congenital agenesis of the inferior vena cava (IVC) can lead to the development of a prominent venous collateral system within and around the spine due to the development of venous collaterals. Surgery on such patients can harbor the risk of catastrophic bleeding or decompensation of a delicate venous drainage pattern during spinal manipulation or even epidural exploration. CASE DESCRIPTION: A 49-year old man with a congenital agenesis of the IVC presented with signs and symptoms of an L5 radiculopathy...
March 12, 2018: World Neurosurgery
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