Chiropractic

Reporting of adverse events associated with spinal manipulation in randomised clinical trials: an updated systematic review

BMJ Open. 2023 May 4;13(5):e067526. doi: 10.1136/bmjopen-2022-067526. Lindsay M Gorrell 1, Benjamin T Brown 2, Roger Engel 2, Reidar P Lystad 3 PMID: 37142321 PMCID: PMC10163511 DOI: 10.1136/bmjopen-2022-067526 Abstract Objectives: To describe if there has been a change in the reporting of adverse events associated with spinal manipulation in randomised clinical trials (RCTs) since 2016. […]

We’re Treating Low Back Pain All Wrong

— Let’s reexamine the current approach to treatment by Christine Goertz, DC, PhD April 14, 2023 In December 2019, I attended a National Academies of Sciences workshop on the role of non-pharmacological approaches to pain management. At the end of the meeting, as expected, panelists concluded that more research was needed. However, to my surprise, several scientists […]

A Systematic Review of Clinical Practice Guidelines for Persons With Non-specific Low Back Pain With and Without Radiculopathy: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation

Arch Phys Med Rehabil. 2023 Mar 23;S0003-9993(23)00160-0. doi: 10.1016/j.apmr.2023.02.022. Fabio Zaina PMID: 36963709 DOI: 10.1016/j.apmr.2023.02.022 Abstract Objective: To Identify evidence-based rehabilitation interventions for persons with non-specific low back pain (LBP) with and without radiculopathy and to develop recommendations from high-quality clinical practice guidelines (CPGs) to inform the World Health Organization’s (WHO) Package of Interventions for […]

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Temporomandibular Disorder Treated With Chiropractic Therapy

Cureus. 2023 Mar; 15(3): e36377. Published online 2023 Mar 19. doi: 10.7759/cureus.36377 PMCID: PMC10025577 PMID: 36945237 Monitoring Editor: Alexander Muacevic and John R Adler Eric Chun-Pu Chu Abstract Temporomandibular disorders (TMDs) are common and affect the temporomandibular joint (TMJ) and surrounding musculoskeletal tissues. Although traditional rehabilitative treatments such as physiotherapy, occlusal splints, orthodontics, and electrotherapy […]

A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

Journal of Manipulative and Physiological Therapeutics VOLUME 46, ISSUE 3, P171-181, MARCH 2023 Ryan D. Muller, DC, MS Published: December 22, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.11.002 Abstract Objective The purpose of this study was to explore a systemwide process for assessing components of low back pain (LBP) care quality in Veterans Health Administration (VHA) chiropractic visits using electronic health […]

Magnetic Resonance Spectroscopy Displays the Structural and Biochemical Effects of Spinal Manipulative Therapy in Lumbar Discogenic Pain: a case report

SN Comprehensive Clinical Medicine https://doi.org/10.21203/rs.3.rs-2596102/v1 Jessica F Billham Abstract INTRODUCTION: We report utility of magnetic resonance spectroscopy (MRS) in identifying the intervertebral disc (IVD) as a pain generator, describe the contemporary pathophysiology underlying biochemical and structural components of discogenic low back pain (DLBP), and exhibit therapeutic responses to spinal manipulation. CLINICAL FEATURES: A 29-year old […]

Manual Therapy and Related Interventions for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis

Journal of Integrative and Complementary Medicine VOL. 28, NO. 12 | Jihang Du, Qiang Yuan, Xiao-Yan Wang, Jun-Hui Qian, Jie An, Qian Dai, Xiang-Yun Yan, Bojun Xu, Jian Luo, and Hao-Zhong Wang Published Online: 7 Dec 2022 https://doi.org/10.1089/jicm.2022.0542 Abstract Objective: Systematic review and meta-analysis to assess the efficacy of Manual therapy and related interventions in […]

Study Links Chiropractic Care to Lower Costs, Faster Return to Work

Claims Journal May 18, 2022 Chiropractors are involved in only a small fraction of workers’ compensation claims for low back pain in states where insurers or employers control the choice of medical provider, but a report released Tuesday suggests that skepticism about runaway costs may be unfounded. A study by the Workers’ Compensation Research Institute […]

Clinical observation of chiropractic manipulation in the treatment of degenerative scoliosis

Zhongguo Gu Shang. 2022 May 25;35(5):442-7. (China journal of orthopaedics and traumatology) doi: 10.12200/j.issn.1003-0034.2022.05.007. Lu-Guang Li 1, Jing-Hua Gao 1, Chun-Yu Gao 1, Wu Sun 1, Jie Luo 1, Ke-Xin Yang 1, Jie Yu 1, Jian-Guo Li 1, Bao-Jian Wang 1, Wei Yang 1, Ming-Hui Zhuang 1 PMID: 35535532 DOI: 10.12200/j.issn.1003-0034.2022.05.007 Abstract Objective: To observe […]

Effectiveness of Manual Therapy in the Treatment of Cervicogenic Headache

Published in Neurology Journal Scan / Review · April 17, 2022 TAKE-HOME MESSAGE This systematic review identified manual therapy options for cervicogenic headache and assessed their effectiveness. A total of 14 articles were ultimately included which investigated seven different manual therapy techniques as well as the use of home acupuncture pillows. Spinal manipulative therapy, which […]

Thoracic Manual Therapy Improves Pain and Disability in Individuals With Shoulder Impingement Syndrome Compared With Placebo: A Randomized Controlled Trial With 1-Year Follow-up

ORIGINAL RESEARCH| VOLUME 103, ISSUE 8, P1533-1543,ch AUGUST 01, 2022 Donald J. Hunter, M Ost Published: March 21, 2022 DOI:https://doi.org/10.1016/j.apmr.2022.03.003 Abstract Objective To investigate whether muscle energy technique (MET) to the thoracic spine decreases the pain and disability associated with shoulder impingement syndrome (SIS). Design Single-center, 3-arm, randomized controlled trial, single-blind, placebo control with concealed […]

Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain Among Older Medicare Beneficiaries

Whedon, James M. DC, MS SPINE: February 15, 2022 – Volume 47 – Issue 4 – p E142-E148 doi: 10.1097/BRS.0000000000004118 Study Design. We combined elements of cohort and crossover-cohort design. Objective. The objective of this study was to compare longterm outcomes for spinal manipulative therapy (SMT) and opioid analgesic therapy (OAT) regarding escalation of care […]

Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review – Full Text Article

Ammendolia C, Hofkirchner C, Plener J, et al. Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review. BMJ Open 2022;12:e057724. doi: 10.1136/bmjopen-2021-057724 Abstract Objectives Neurogenic claudication due to lumbar spinal stenosis (LSS) is a growing health problem in older adults. We updated our previous Cochrane review (2013) to determine the effectiveness […]

Non-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems

J Gen Intern Med. 2022 Jan 19;1-10. doi: 10.1007/s11606-021-07370-8. Zachary L Mannes Abstract Background: Consensus guidelines recommend multimodal chronic pain treatment with increased use of non-pharmacological treatment modalities (NPM), including as first-line therapies. However, with many barriers to NPM uptake in US healthcare systems, NPM use may vary across medical care settings. Military veterans are […]

Are manual therapy or booster sessions worthwhile in addition to exercise therapy for knee osteoarthritis: Economic evaluation and 2-year follow-up of a randomized controlled trial

Musculoskeletal Science and Practice Volume 56, December 2021, 102439 Original article Yana Pryymachenkoa https://doi.org/10.1016/j.msksp.2021.102439 Highlights •  Exercise therapy provides benefits for knee osteoarthritis. •  Manual therapy or booster sessions improve treatment effects and are cost-effective. •  More evidence is needed on the combination of manual therapy and booster sessions. Abstract Background Exercise therapy is known […]

Evidence for increased neuromuscular drive following spinal manipulation in individuals with subacromial pain syndrome

Clinical Biomechanics Volume 90, December 2021, 105485 Amy K. Hegarty Highlights •  Shoulder muscle activity is a key deficit in those individuals with shoulder pain. •  Spinal manipulation increased shoulder muscle activity in patients with shoulder pain. •  Shoulder muscle activity was related to improved shoulder pain and function. •  Neuromuscular drive mechanism may optimize […]

Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Journal of Clinical Medicine Volume 10 Issue 21 10.3390/jcm10215011 Published: 28 October 2021 by Aleksander Chaibi Abstract (1) Background: Acute neck pain is common and usually managed by medication and/or manual therapy. General practitioners (GPs) hesitate to refer to manual therapy due to uncertainty about the effectiveness and adverse events (AEs); (2) Method: To review […]

Effect of manual therapy with exercise in patients with chronic cervical radiculopathy: a randomized clinical trial

Trials. 2021 Oct 18;22(1):716. doi: 10.1186/s13063-021-05690-y. Ali M Alshami PMID: 34663421 PMCID: PMC8525034 DOI: 10.1186/s13063-021-05690-y Abstract Background: Research that has examined the effects of cervical spine mobilization on hypoesthesia and hypersensitivity characteristics in patients with cervical radiculopathy is scarce. The aim of this study was to examine the short-term effects of vertebral mobilization on the […]

High Velocity Low Amplitude Manipulation Techniques

Andrew LaPelusa; Bruno Bordoni. Last Update: October 1, 2021. Continuing Education Activity High-velocity low amplitude (HVLA) techniques employ a rapid use of force over a short duration, distance, and/or rotational area within the anatomical range of motion of a joint to engage the restrictive barrier in one or more planes of motion to elicit the […]