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Cervical thrust manipulation

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...
March 21, 2016: Journal of Chiropractic Education
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
Danielle M Gergen
OBJECTIVE: The objective was to describe chiropractic and acupuncture care of a patient with acute mild traumatic brain injury (mTBI) symptoms. CLINICAL FEATURES: A 31-year-old woman had acute neck pain, headache, dizziness, nausea, tinnitus, difficulty concentrating, and fatigue following a fall. She was diagnosed at an urgent care facility with mTBI immediately following the fall. Pharmaceutical intervention had been ineffective for her symptoms. INTERVENTION AND OUTCOME: The patient was treated with chiropractic adjustments characterized as high velocity, low amplitude thrusts directed to the cervical spine and local acupuncture points in the cervical and cranial regions...
September 2015: Journal of Chiropractic Medicine
L B Calixtre, R F C Moreira, G H Franchini, F Alburquerque-Sendín, A B Oliveira
There is a lack of knowledge about the effectiveness of manual therapy (MT) on subjects with temporomandibular disorders (TMD). The aim of this systematic review is to synthetise evidence regarding the isolated effect of MT in improving maximum mouth opening (MMO) and pain in subjects with signs and symptoms of TMD. MEDLINE(®) , Cochrane, Web of Science, SciELO and EMBASE(™) electronic databases were consulted, searching for randomised controlled trials applying MT for TMD compared to other intervention, no intervention or placebo...
November 2015: Journal of Oral Rehabilitation
Anke Langenfeld, B Kim Humphreys, Rob A de Bie, Jaap Swanenburg
BACKGROUND: Neck pain is a common musculoskeletal condition with a point prevalence of around 15% in males and 23% in females that often presents in physiotherapy practice. Physical therapy and/or manipulation therapy is generally the first management option for patients with mechanical neck pain. Physical therapists treat mechanical neck pain with a number of interventions including joint mobilization and/or manipulation, therapeutic exercises or education. However, manipulation of the cervical spine carries some risks...
2015: Trials
Luca Buzzatti, Steven Provyn, Peter Van Roy, Erik Cattrysse
BACKGROUND: Very little is known about the kinematics of the upper cervical spine in particular during Manual Therapy techniques. In fact no data about displacement of the atlanto-axial joint during High-Velocity Low-Amplitude (HVLA) thrust are available. Knowing the precise kinematics of these vertebrae might allow a better comprehension of such important technique and possible vital structures involvement. METHODS: A Zebris CMS20 ultrasound-based motion tracking system was adopted...
December 2015: Manual Therapy
Jonathan W Erhardt, Brett A Windsor, Roger Kerry, Chris Hoekstra, Douglas W Powell, Ann Porter-Hoke, Alan Taylor
BACKGROUND: High velocity thrust (HVT) cervical techniques have been associated with serious vertebral artery (VA) trauma. Despite numerous studies, the nature of this association is uncertain. Previous studies have failed to demonstrate haemodynamic effects on the VA in simulated pre-thrust positions. No study has investigated haemodynamic affects during or immediately following HVT, nor sufficiently controlled for the influence of the thrust. OBJECTIVES: To investigate the immediate effects of HVT of the atlanto-axial joint upon haemodynamics in the sub-occipital portion of the vertebral artery (VA3)...
August 2015: Manual Therapy
Rogelio A Coronado, Joel E Bialosky, Mark D Bishop, Joseph L Riley, Michael E Robinson, Lori A Michener, Steven Z George
STUDY DESIGN: Single-blind randomized trial. OBJECTIVES: To compare the effects of cervical and shoulder thrust manipulation (TM) and exercise on pain sensitivity, and to explore associations with clinical outcomes in patients with shoulder pain. BACKGROUND: Experimental studies indicate that spinal TM has an influence on central pain processes, supporting its application for treatment of extremity conditions. Direct comparison of spinal and peripheral TM on pain sensitivity has not been widely examined...
April 2015: Journal of Orthopaedic and Sports Physical Therapy
Ron Pavkovich
BACKGROUND AND PURPOSE: Neck pain is a common complaint treated by the physical therapist. Trigger points (TrPs) have been studied as a source of neuromusculoskeletal pain, though the ability of clinicians to accurately locate a TrP is not well supported. Dry needling (DN) is an intervention utilized by physical therapists where a monofilament needle is inserted into soft tissue in order to reduce pain thereby facilitating return to prior level of function. The purpose of this case report is to report the outcomes of DN as a primary treatment intervention for acute, non-specific cervical region pain...
February 2015: International Journal of Sports Physical Therapy
Erik Cattrysse, Silvia Gianola, Steven Provyn, Peter Van Roy
INTRODUCTION: The study of neck kinematics during high-velocity, low-amplitude manipulations of the atlanto-axial segment is essential to understanding cervical motion mechanisms and their impact and possible risk for soft-tissue injuries during treatment of spine disorders. METHODS: Twenty fresh-frozen specimens were tested during manual application of an axial rotation technique. FINDINGS: The kinematics indicate the thrust induced motion components of approximately 1° at the treated segment around all three axes of the local embedded reference frame...
February 2015: Clinical Biomechanics
Silvia Gianola, Erik Cattrysse, Steven Provyn, Peter Van Roy
OBJECTIVE: This study aimed to investigate the reproducibility of the kinematics in rotational high-velocity, low-amplitude (HVLA) thrust of the upper cervical spine. METHODS: Twenty fresh human cervical specimens were studied in a test-retest situation with 2 manual therapists. Kinematics of C1-C2 and C0-C1 were examined during segmental rotational HVLA manipulation through an ultrasound-based tracking system. The thrust moment was analyzed by 3-dimensional aspects: the range of motion of axial rotation, flexion-extension, lateral banding, and the cross-correlation between the axial rotation and the coupled lateral banding components...
January 2015: Journal of Manipulative and Physiological Therapeutics
Geoffrey M Gelley, Steven R Passmore, Brian J MacNeil
This study used an observational design to examine the kinematics of spinal manipulative therapy (SMT) by determining the acceleration characteristics of the manipulative input at the cervical, thoracic, and lumbar spinal regions. Studies of SMT have been restricted to measuring the forces that result from the manipulative input. Several studies have indicated the rate of force development is a key parameter of clinically delivered SMT. Despite this, the movement strategies employed during SMT, including acceleration, have not been directly measured...
April 2015: Manual Therapy
Doug Creighton, Mark Gruca, Douglas Marsh, Nancy Murphy
OBJECTIVES: Cervical mobilization and manipulation have been shown to improve cervical range of motion and pain. Rotatory thrust manipulation applied to the lower cervical segments is associated with controversy and the potential for eliciting adverse reactions (AR). The purpose of this clinical trial was to describe two translatory non-thrust mobilization techniques and evaluate their effect on cervical pain, motion restriction, and whether any adverse effects were reported when applied to the C7 segment...
November 2014: Journal of Manual & Manipulative Therapy
José Biller, Ralph L Sacco, Felipe C Albuquerque, Bart M Demaerschalk, Pierre Fayad, Preston H Long, Lori D Noorollah, Peter D Panagos, Wouter I Schievink, Neil E Schwartz, Ashfaq Shuaib, David E Thaler, David L Tirschwell
PURPOSE: Cervical artery dissections (CDs) are among the most common causes of stroke in young and middle-aged adults. The aim of this scientific statement is to review the current state of evidence on the diagnosis and management of CDs and their statistical association with cervical manipulative therapy (CMT). In some forms of CMT, a high or low amplitude thrust is applied to the cervical spine by a healthcare professional. METHODS: Members of the writing group were appointed by the American Heart Association Stroke Council's Scientific Statements Oversight Committee and the American Heart Association's Manuscript Oversight Committee...
October 2014: Stroke; a Journal of Cerebral Circulation
Antonio I Cuesta-Vargas, Jonathan Williams
BACKGROUND: Cervical Spinal Manipulation (CSM) is considered a high-level skill of the central nervous system because it requires bimanual coordinated rhythmical movements therefore necessitating training to achieve proficiency. The objective of the present study was to investigate the effect of real-time feedback on the performance of CSM. METHODS: Six postgraduate physiotherapy students attending a training workshop on Cervical Spine Manipulation Technique (CSMT) using inertial sensor derived real-time feedback participated in this study...
2014: BMC Medical Education
Pierre-Michel Dugailly, Benoît Beyer, Stéphane Sobczak, Patrick Salvia, Marcel Rooze, Véronique Feipel
To date, kinematics data analyzing continuous 3D motion of upper cervical spine (UCS) manipulation is lacking. This in vitro study aims at investigating inter- and intra-operator reliability of kinematics during high velocity low amplitude manipulation of the UCS. Three fresh specimens were used. Restricted dissection was realized to attach technical clusters to each bone (skull to C2). Motion data was obtained using an optoelectronic system during manipulation. Kinematics data were integrated into specific-subject 3D models to provide anatomical motion representation during thrust manipulation...
October 2014: Journal of Electromyography and Kinesiology
Pierre-Michel Dugailly, Benoît Beyer, Stéphane Sobczak, Patrick Salvia, Véronique Feipel
Studies reporting spine kinematics during cervical manipulation are usually related to continuous global head-trunk motion or discrete angular displacements for pre-positioning. To date, segmental data analyzing continuous kinematics of cervical manipulation is lacking. The objective of this study was to investigate upper cervical spine (UCS) manipulation in vitro. This paper reports an inter- and intra-rater reliability analysis of kinematics during high velocity low amplitude manipulation of the UCS. Integration of kinematics into specific-subject 3D models has been processed as well for providing anatomical motion representation during thrust manipulation...
October 2014: Manual Therapy
Melina N Haik, Francisco Alburquerque-Sendín, Caroline Z Silva, Aristides L Siqueira-Junior, Ivana L Ribeiro, Paula R Camargo
STUDY DESIGN: Randomized controlled trial with immediate follow-up. OBJECTIVES: To evaluate the immediate effects of a low-amplitude, high-velocity thrust thoracic spine manipulation (TSM) on pain and scapular kinematics during elevation and lowering of the arm in individuals with shoulder impingement syndrome (SIS). The secondary objective was to evaluate the immediate effects of TSM on scapular kinematics during elevation and lowering of the arm in individuals without symptoms...
July 2014: Journal of Orthopaedic and Sports Physical Therapy
Renata Salvatori, Robert H Rowe, Raine Osborne, Jason M Beneciuk
STUDY DESIGN: Case report. BACKGROUND: Thoracic spine thrust manipulation has been shown to be an effective intervention for individuals experiencing mechanical neck pain. CASE DESCRIPTION: The patient was a 46-year-old woman referred to outpatient physical therapy 2 months following multiple-level anterior cervical discectomy and fusion. At initial evaluation, primary symptoms consisted of frequent headaches, neck pain, intermittent referred right elbow pain, and muscle fatigue localized to the right cervical and upper thoracic spine regions...
June 2014: Journal of Orthopaedic and Sports Physical Therapy
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