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Thrust manipulation

Francisco Bautista-Aguirre, Ángel Oliva-Pascual-Vaca, Alberto M Heredia-Rizo, Juan J Boscá-Gandía, François Ricard, Cleofás Rodriguez-Blanco
BACKGROUND: Cervical and thoracic spinal manipulative therapy has shown positive impact for relief of pain and improve function in non-specific mechanical neck pain. Several attempts have been made to compare their effectiveness although previous studies lacked a control group, assessed acute neck pain or combined thrust and nonthrust techniques. AIM: To compare the immediate effects of cervical and thoracic spinal thrust manipulations on mechanosensitivity of upper limb nerve trunks and grip strength in patients with chronic non-specific mechanical neck pain...
February 17, 2017: European Journal of Physical and Rehabilitation Medicine
Amy L Minkalis, Robert D Vining, Cynthia R Long, Cheryl Hawk, Katie de Luca
PURPOSE: Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy approach, thrust manipulation, as a treatment option. METHODS: A systematic search was conducted of the electronic databases from inception to March 2016: PubMed, PEDro, ICL, CINAHL, and AMED. Two independent reviewers conducted the screening process to determine article eligibility...
2017: Chiropractic & Manual Therapies
Aaron A Puhl, Christine J Reinhart, Jon B Doan, Howard Vernon
BACKGROUND CONTEXT: Spinal manipulative therapy (SMT) has been attributed with substantial non-specific effects. Accurate assessment of the non-specific effects of SMT relies on high-quality studies with low risk of bias that compare with appropriate placebos. PURPOSE: This review aims to characterize the types and qualities of placebo control procedures used in controlled trials of manually applied, lumbar and pelvic (LP)-SMT, and to evaluate the assessment of subject blinding and expectations...
November 22, 2016: Spine Journal: Official Journal of the North American Spine Society
Jeremy J Burdon, Jiasui Zhan, Luke G Barrett, Julien Papaïx, Peter H Thrall
Advances in genomic and molecular technologies coupled with an increasing understanding of the fine structure of many resistance and infectivity genes, have opened up a new era of hope in controlling the many plant pathogens that continue to be a major source of loss in arable crops. Some new approaches are under consideration including the use of nonhost resistance and the targeting of critical developmental constraints. However, the major thrust of these genomic and molecular approaches is to enhance the identification of resistance genes, to increase their ease of manipulation through marker and gene editing technologies and to lock a range of resistance genes together in simply manipulable resistance gene cassettes...
August 31, 2016: Phytopathology
Christopher H Wise, Ronald J Schenk, Jill Black Lattanzi
BACKGROUND: Despite emerging evidence to support the use of high velocity thrust manipulation in the management of lumbar spinal conditions, utilization of thrust manipulation among clinicians remains relatively low. One reason for the underutilization of these procedures may be related to disparity in training in the performance of these techniques at the professional and post professional levels. PURPOSE: To assess the effect of using a new model of active learning on participant confidence in the performance of spinal thrust manipulation and the implications for its use in the professional and post-professional training of physical therapists...
July 2016: Journal of Manual & Manipulative Therapy
Dhinu J Jayaseelan, Nancy S Tow
Temporomandibular disorder (TMD) is a common condition that can be difficult to manage in physical therapy. A number of interventions, such as manual therapy, therapeutic exercise, and patient education have typically been used in some combination. However, the evidence regarding thrust manipulation of not only the local but also adjacent segments is sparse. Specifically, the use of cervicothoracic (CT) junction thrust manipulation has not previously been described in the management of individuals with TMD...
May 2016: Journal of Manual & Manipulative Therapy
Ye-Seul Lee, Won-Mo Jung, In-Seon Lee, Hyangsook Lee, Hi-Joon Park, Younbyoung Chae
Acupuncture manipulation varies widely among practitioners in clinical settings, and it is difficult to teach novice students how to perform acupuncture manipulation techniques skillfully. The Acupuncture Manipulation Education System (AMES) is an open source software system designed to enhance acupuncture manipulation skills using visual feedback. Using a phantom acupoint and motion sensor, our method for acupuncture manipulation training provides visual feedback regarding the actual movement of the student's acupuncture manipulation in addition to the optimal or intended movement, regardless of whether the manipulation skill is lifting, thrusting, or rotating...
2016: Journal of Visualized Experiments: JoVE
Michael O'Donnell, Jo Armour Smith, Alex Abzug, Kornelia Kulig
BACKGROUND: Spinal manipulation is an effective intervention for low back pain, yet there is little consistency in how this skill is taught. OBJECTIVES: The purpose of this study was to identify what educators and clinicians believe are important characteristics of the patient and operator position prior to side-lying lumbar manipulation and the patient position and operator motion during the manipulative thrust. DESIGN: A multi-disciplinary correspondence-based Delphi method...
September 2016: Manual Therapy
Philip Salen, Michelle Grossman, Michael Grossman, Anthony Milazzo, Jill Stoltzfus
STUDY OBJECTIVES: Ketamine and etomidate are used for procedural sedation (PS) to facilitate the performance of painful procedures. We hypothesized that ketamine produces adequate and comparable sedation conditions for dislocated large joint reduction when compared to etomidate and results in fewer adverse events. METHODS: This Institutional Review Board approved prospective trial compared a convenience sample of subjects, who were randomized to receive either ketamine or etomidate for PS to facilitate reduction of large joint dislocations...
April 2016: International Journal of Critical Illness and Injury Science
Beth E Fisher, Andrew Piraino, Ya-Yun Lee, Jo Armour Smith, Sean Johnson, Todd E Davenport, Kornelia Kulig
Study Design Controlled laboratory study. Background Joint mobilization and manipulation decrease pain and improve patient function. Yet, the processes underlying these changes are not well understood. Measures of corticospinal excitability provide insight into potential mechanisms mediated by the central nervous system. Objectives To investigate the differential effects of joint mobilization and manipulation at the talocrural joint on corticospinal excitability in individuals with resolved symptoms following ankle sprain...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
Christopher Ferrigno, Markus A Wimmer, Robert M Trombley, Hannah J Lundberg, Najia Shakoor, Laura E Thorp
The knee adduction moment (KAM) is an established marker of compartmental load distribution across the tibiofemoral joint. Research suggests a link between the magnitude of the KAM and center of plantar pressure (COP) thus alterations in the two may be related. The objective of this study was to investigate whether the COP predictably shifts when the KAM is reduced through a gait adaptation. Twenty healthy adults underwent gait analysis walking with their normal gait pattern and with medial thrust gait, a gait adaptation known to significantly reduce the KAM...
July 2016: Medical Engineering & Physics
Stuart J Currie, Casey A Myers, Ashok Krishnamurthy, Brian A Enebo, Bradley S Davidson
OBJECTIVE: The purpose of this study was to determine electromyographic threshold parameters that most reliably characterize the muscular response to spinal manipulation and compare 2 methods that detect muscle activity onset delay: the double-threshold method and cross-correlation method. METHODS: Surface and indwelling electromyography were recorded during lumbar side-lying manipulations in 17 asymptomatic participants. Muscle activity onset delays in relation to the thrusting force were compared across methods and muscles using a generalized linear model...
May 2016: Journal of Manipulative and Physiological Therapeutics
David J Starmer, Brett P Guist, Taylor R Tuff, Sarah C Warren, Matthew G R Williams
OBJECTIVE: The purpose of this study was to analyze differences in peak force modulation and time-to-peak thrust in posterior-to-anterior (PA) high-velocity-low-amplitude (HVLA) manipulations in first-year chiropractic students prior to and following a 12-week detraining period. METHODS: Chiropractic students (n=125) performed 2 thrusts prior to and following a 12-week detraining period: total peak force targets were 400 and 600 N, on a force-sensing table using a PA hand contact of the participant's choice (bilateral hypothenar, bilateral thenar, or cross bilateral)...
May 2016: Journal of Manipulative and Physiological Therapeutics
Zachary Walston, Dale Yake
Study Design Case series. Background Low back pain (LBP) is an increasing problem in health care. The evidence for the use of spinal manipulative therapy to treat pediatric patients with LBP is minimal. The treatment of pediatrics with manual therapy, particularly spinal manipulation, is controversial within the medical community, primarily with respect to adverse events. The purpose of this case series was to illustrate the feasibility and safety of lumbar manipulation plus exercise in the adolescent population with mechanical LBP...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
Gaston Coutsiers Morell
DATA SOURCES: Medline, Cochrane, Web of Science, SciELO and Embase databases from 1993-2014. STUDY SELECTION: Randomised Controlled Trials (RCTs) comparing a manual therapy physical therapy intervention to a reference group (placebo intervention, controlled comparison intervention, standard treatment or other treatment). DATA EXTRACTION AND SYNTHESIS: Two independent reviewers abstracted data and assessed quality and clinical relevance of each paper...
March 2016: Evidence-based Dentistry
Brynne E Stainsby, Michelle C S Clarke, Jade R Egonia
OBJECTIVE: The purpose of this study was to evaluate the effectiveness of different reported methods used to teach spinal manipulative therapy to chiropractic students. METHODS: For this best-evidence literature synthesis, 5 electronic databases were searched from 1900 to 2015. Eligible studies were critically appraised using the criteria of the Scottish Intercollegiate Guidelines Network. Scientifically admissible studies were synthesized following best-evidence synthesis principles...
October 2016: Journal of Chiropractic Education
Megan Donaldson, Shannon Petersen, Chad Cook, Ken Learman
STUDY DESIGN: Randomized controlled trial. BACKGROUND: Several studies that have investigated the effects of a therapist-selected versus a randomly assigned segmental approach have looked at immediate effects only for pain-related outcomes. OBJECTIVES: To examine differences in outcomes following a therapist-selected nonthrust manipulation versus a prescriptively selected nonthrust manipulation in subjects with low back pain. METHODS: Subjects with mechanically producible low back pain were randomly treated with nonthrust manipulation in a therapist-selected approach or a prescriptively selected approach...
April 2016: Journal of Orthopaedic and Sports Physical Therapy
Aimie L Peek, Caroline Miller, Nicola R Heneghan
OBJECTIVES: Non-specific shoulder pain (NSSP) is often persistent and disabling leading to high socioeconomic costs. Cervical manipulation has demonstrated improvements in patients with NSSP, although risks associated with thrust techniques are documented. Thoracic manual therapy (TMT) may utilise similar neurophysiological effects with less risk. The current evidence for TMT in treating NSSP is limited to systematic reviews of manual therapy (MT) applied to the upper quadrant. These reviews included trials that used shoulder girdle manual therapy (SG-MT) in the TMT group...
September 2015: Journal of Manual & Manipulative Therapy
Emilio J Puentedura, William H O'Grady
No abstract text is available yet for this article.
September 2015: Journal of Manual & Manipulative Therapy
Roger Mark Engel, Subramanyam R Vemulpad, Paul Dougherty
No abstract text is available yet for this article.
September 2015: Journal of Manual & Manipulative Therapy
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