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https://www.readbyqxmd.com/read/27905508/tissue-loading-created-during-spinal-manipulation-in-comparison-to-loading-created-by-passive-spinal-movements
#1
Martha Funabashi, Gregory N Kawchuk, Albert H Vette, Peter Goldsmith, Narasimha Prasad
Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created by SMT relate to those created by typical motions is fundamental. Using robotic testing, it is now possible to make these comparisons to determine if SMT generates unique loading scenarios. In 12 porcine cadavers, SMT and passive motions were applied to the L3/L4 segment and the resulting kinematics tracked...
December 1, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27888138/the-quality-of-placebos-used-in-randomized-controlled-trials-of-lumbar-and-pelvic-joint-thrust-manipulation-a-systematic-review
#2
REVIEW
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 to 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
https://www.readbyqxmd.com/read/27857642/chiropractic-management-of-a-patient-with-neck-tongue-syndrome-a-case-report
#3
Craig S Roberts
OBJECTIVE: The purpose of this case report was to describe the chiropractic management of a patient with neck-tongue syndrome (NTS). CLINICAL FEATURES: A 34-year-old female patient sought treatment at a chiropractic clinic for symptoms involving neck pain associated with left-sided paresthesia of the tongue that had persisted for >2 years. A diagnosis of NTS was made. INTERVENTION AND OUTCOME: The patient was treated with spinal manipulation, myofascial release, and home exercises...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27857638/changes-in-muscle-spasticity-in-patients-with-cerebral-palsy-after-spinal-manipulation-case-series
#4
Oleh Kachmar, Taras Voloshyn, Mykhailo Hordiyevych
OBJECTIVE: The purpose of this case series was to report quantitative changes in wrist muscle spasticity in children with cerebral palsy after 1 spinal manipulation (SM) and a 2-week course of treatment. METHODS: Twenty-nine patients, aged 7 to 18 years, with spastic forms of cerebral palsy and without fixed contracture of the wrist, were evaluated before initiation of treatment, after 1 SM, and at the end of a 2-week course of treatment. Along with daily SM, the program included physical therapy, massage, reflexotherapy, extremity joint mobilization, mechanotherapy, and rehabilitation computer games for 3 to 4 hours' duration...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27822362/does-case-misclassification-threaten-the-validity-of-studies-investigating-the-relationship-between-neck-manipulation-and-vertebral-artery-dissection-stroke-yes
#5
Jessica K Paulus, David E Thaler
BACKGROUND: For patients and health care providers who are considering spinal manipulative therapy of the neck, it is crucial to establish if it is a trigger for cervical artery dissection and/or stroke, and if it is, the magnitude of the risk. DISCUSSION: We discuss the biological plausibility of how neck manipulation could cause cervical artery dissection. We also discuss how case misclassification threatens the validity of influential published studies that have investigated the relationship between neck manipulation and dissection...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27814850/t4-syndrome-a-distinct-theoretical-concept-or-elusive-clinical-entity-a-case-report
#6
Patricia Miyuki Hirai, Oliver P Thomson
T4 syndrome has existed as a clinical concept for more than three decades and it has been identified as a source of upper extremity (UE) symptoms. This case report explores the clinical reasoning in the diagnoses and management of a patient with symptoms consistent with T4-type syndrome and critically discusses the concept of T4 syndrome using recent research to help explain the clinical presentation. Manual therapy treatment focused on stimulation of the sympathetic ganglia, decreasing local upper thoracic pain and UE referral pattern noted during passive examination...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27809905/peyton-s-four-step-approach-for-teaching-complex-spinal-manipulation-techniques-a-prospective-randomized-trial
#7
Gertraud Gradl-Dietsch, Cavan Lübke, Klemens Horst, Melanie Simon, Ali Modabber, Tolga T Sönmez, Ralf Münker, Sven Nebelung, Matthias Knobe
BACKGROUND: The objectives of this prospective randomized trial were to assess the impact of Peyton's four-step approach on the acquisition of complex psychomotor skills and to examine the influence of gender on learning outcomes. METHODS: We randomly assigned 95 third to fifth year medical students to an intervention group which received instructions according to Peyton (PG) or a control group, which received conventional teaching (CG). Both groups attended four sessions on the principles of manual therapy and specific manipulative and diagnostic techniques for the spine...
November 3, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27799691/the-immediate-effects-of-spinal-thoracic-manipulation-on-respiratory-functions
#8
Doo Chul Shin, Yong Woo Lee
[Purpose] The purpose of this study was to investigate the effects of thoracic spinal manipulation therapy on respiratory function including forced vital capacity and forced expiratory volume in one second in young healthy individuals. [Subjects and Methods] Thirty young healthy subjects recruited from a local university participated in this study. Subjects were randomly allocated into an experimental group (n=15) and a control group (n=15). The experimental group received thoracic spinal manipulation and the control group received placebo thoracic spinal manipulation...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27793133/the-quantity-and-quality-of-complementary-and-alternative-medicine-clinical-practice-guidelines-on-herbal-medicines-acupuncture-and-spinal-manipulation-systematic-review-and-assessment-using-agree-ii
#9
Jeremy Y Ng, Laurel Liang, Anna R Gagliardi
BACKGROUND: Complementary and alternative medicine (CAM) use is often not disclosed by patients, and can be unfamiliar to health care professionals. This may lead to underuse of beneficial CAM therapies, and overuse of other CAM therapies with little proven benefit or known contraindications. No prior research has thoroughly evaluated the credibility of knowledge-based resources. The purpose of this research was to assess the quantity and quality of CAM guidelines. METHODS: A systematic review was conducted to identify CAM guidelines...
October 29, 2016: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/27751598/complementary-therapies-in-addition-to-medication-for-patients-with-nonchronic-nonradicular-low-back-pain-a-systematic-review
#10
Samantha Rothberg, Benjamin W Friedman
BACKGROUND: A total of 2.7 million patients present to US emergency departments annually for management of low back pain (LBP). Despite optimal medical therapy, more than 50% remain functionally impaired 3 months later. We performed a systematic review to address the following question: Among patients with nonchronic LBP, does spinal manipulation, massage, exercise, or yoga, when combined with standard medical therapy, improve pain and functional outcomes more than standard medical therapy alone? METHODS: We used published searches to identify relevant studies, supplemented with our own updated search...
October 5, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27713576/neck-pain-in-children-a-retrospective-case-series
#11
Jocelyn Cox, Christine Davidian, Silvano Mior
INTRODUCTION: Spinal pain in the paediatric population is a significant health issue, with an increasing prevalence as they age. Paediatric patients attend for chiropractor care for spinal pain, yet, there is a paucity of quality evidence to guide the practitioner with respect to appropriate care planning. METHODS: A retrospective chart review was used to describe chiropractic management of paediatric neck pain. Two researchers abstracted data from 50 clinical files that met inclusion criteria from a general practice chiropractic office in the Greater Toronto Area, Canada...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27712027/clinical-practice-guidelines-for-the-noninvasive-management-of-low-back-pain-a-systematic-review-by-the-ontario-protocol-for-traffic-injury-management-optima-collaboration
#12
J J Wong, P Côté, D A Sutton, K Randhawa, H Yu, S Varatharajan, R Goldgrub, M Nordin, D P Gross, H M Shearer, L J Carroll, P J Stern, A Ameis, D Southerst, S Mior, M Stupar, T Varatharajan, A Taylor-Vaisey
: We conducted a systematic review of guidelines on the management of low back pain (LBP) to assess their methodological quality and guide care. We synthesized guidelines on the management of LBP published from 2005 to 2014 following best evidence synthesis principles. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane, DARE, National Health Services Economic Evaluation Database, Health Technology Assessment Database, Index to Chiropractic Literature and grey literature. Independent reviewers critically appraised eligible guidelines using AGREE II criteria...
October 6, 2016: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/27705840/what-do-patients-value-about-spinal-manipulation-and-home-exercise-for-back-related-leg-pain-a-qualitative-study-within-a-controlled-clinical-trial
#13
Michele Maiers, Maria A Hondras, Stacie A Salsbury, Gert Bronfort, Roni Evans
BACKGROUND: Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES: To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (HEA). DESIGN: Qualitative study in a controlled clinical trial. METHOD: Semi-structured interviews conducted after 12 weeks of treatment asked participants about satisfaction with care and whether treatment was worthwhile...
September 23, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27696633/chiropractic-spinal-manipulative-therapy-for-migraine-a-three-armed-single-blinded-placebo-randomized-controlled-trial
#14
A Chaibi, J Š Benth, P J Tuchin, M B Russell
BACKGROUND AND PURPOSE: To investigate the efficacy of chiropractic spinal manipulative therapy (CSMT) for migraineurs. METHODS: This was a prospective three-armed, single-blinded, placebo, randomized controlled trial (RCT) of 17 months duration including 104 migraineurs with at least one migraine attack per month. The RCT was conducted at Akershus University Hospital, Oslo, Norway. Active treatment consisted of CSMT, whereas placebo was a sham push manoeuvre of the lateral edge of the scapula and/or the gluteal region...
October 2, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27687057/relationship-of-modic-changes-disk-herniation-morphology-and-axial-location-to-outcomes-in-symptomatic-cervical-disk-herniation-patients-treated-with-high-velocity-low-amplitude-spinal-manipulation-a-prospective-study
#15
Michel Kressig, Cynthia K Peterson, Kyle McChurch, Christof Schmid, Serafin Leemann, Bernard Anklin, B Kim Humphreys
OBJECTIVE: The purpose of this study was to evaluate whether cervical disk herniation (CDH) location, morphology, or Modic changes (MCs) are related to treatment outcomes. METHODS: Magnetic resonance imaging (MRI) and outcome data from 44 patients with CDH treated with spinal manipulative therapy were evaluated. MRI scans were assessed for CDH axial location, morphology, and MCs. Pain (0-10 for neck and arm) and Neck Disability Index (NDI) data were collected at baseline; 2 weeks; 1, 3, and 6 months; and 1 year...
October 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27670875/a-clinical-observation-of-functional-abdominal-pain-syndrome-in-patients-treated-by-traditional-chinese-spinal-orthopedic-manipulation
#16
Liu-Xin Qu, Li-Yang Xing, Norman Wanda, Hong Chen, Ming-Ju Li, Song Gao, Ping Li
OBJECTIVE: To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating patients with functional abdominal pain syndrome (FAPS) in comparison with Pinaverium Bromide (Dicetel, PBD), and to assess a possible cause for FAPS. METHODS: Eighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations...
September 26, 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27669076/ineffectiveness-of-spinal-manipulation-for-acute-musculoskeletal-thoracic-or-chest-wall-pain
#17
Michael A Seffinger, Melissa Yunting Tang
No abstract text is available yet for this article.
October 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27661020/the-effectiveness-of-complementary-manual-therapies-for-pregnancy-related-back-and-pelvic-pain-a-systematic-review-with-meta-analysis
#18
Helen Hall, Holger Cramer, Tobias Sundberg, Lesley Ward, Jon Adams, Craig Moore, David Sibbritt, Romy Lauche
BACKGROUND: Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. OBJECTIVE: The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain. METHODS: Seven databases were searched from their inception until April 2015 for randomized controlled trials...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27660595/the-physiological-role-of-tumor-necrosis-factor-in-human-immunity-and-its-potential-implications-in-spinal-manipulative-therapy-a-narrative-literature-review
#19
Liang Zhang, Chao Hua Yao
OBJECTIVE: Although tumor necrosis factor (TNF) is a well-known inflammatory cytokine in the pathological development of various human diseases, its physiological roles are not widely understood nor appreciated. The molecular mechanisms underlying spinal manipulation therapy (SMT) remain elusive. The relationship between TNF and SMT is unclear. Thus, we performed this literature review to better understand TNF physiology and its potential relationship with SMT, and we propose a novel mechanism by which SMT may achieve clinical benefits by using certain beneficial features of TNF...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27660593/spinal-manipulation-vs-sham-manipulation-for-nonspecific-low-back-pain-a-systematic-review-and-meta-analysis
#20
Jay K Ruddock, Hannah Sallis, Andy Ness, Rachel E Perry
OBJECTIVE: The purpose of this systematic review was to identify and critically evaluate randomized controlled trials of spinal manipulation (SM) vs sham manipulation in the treatment of nonspecific low back pain. METHODS: Four electronic databases were searched from their inception to March 2015 to identify all relevant trials. Reference lists of retrieved articles were hand-searched. All data were extracted by 2 independent reviewers, and risk of bias was assessed using the Cochrane Back Review Group Risk of Bias tool...
September 2016: Journal of Chiropractic Medicine
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