Spinal Manipulation/Mobilization

Spinal Manipulation: What You Need To Know

What is spinal manipulation? Spinal manipulation is a technique where practitioners use their hands or a device to apply a controlled thrust to a joint of your spine. The amount of force can vary, but the thrust moves the joint more than it would on its own. Spinal manipulation is different from spinal mobilization, which doesn’t […]

Chiropractic spinal manipulation and likelihood of tramadol prescription in adults with radicular low back pain: a retrospective cohort study using US data

BMJ Open. 2024 May 1;14(5):e078105. doi: 10.1136/bmjopen-2023-078105. Robert James Trager PMID: 38692725 DOI: 10.1136/bmjopen-2023-078105 Abstract Objectives: Patients receiving chiropractic spinal manipulation (CSM) for low back pain (LBP) are less likely to receive any opioid prescription for subsequent pain management. However, the likelihood of specifically being prescribed tramadol, a less potent opioid, has not been explored. […]

Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis

Musculoskelet Sci Pract. 2024 Mar 11:71:102927. doi: 10.1016/j.msksp.2024.102927. Online ahead of print. Andoni Carrasco-Uribarren PMID: 38492291 DOI: 10.1016/j.msksp.2024.102927 Abstract Background: Cervical and thoracic thrust or non-thrust manipulations have shown to be effective in patients with neck pain, but there is a lack of studies comparing both interventions in patients with neck pain. Objective: To investigate […]

Chronic Low Back Pain in Adults: Evaluation and Management

Am Fam Physician. 2024 Mar;109(3):233-244. Chronic Low Back Pain in Adults: Evaluation and Management Donald Clinton Maharty PMID: 38574213 Abstract Chronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to […]

Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims

PLoS One. 2024 Jan 5;19(1):e0283252. doi: 10.1371/journal.pone.0283252. eCollection 2024. Brian R Anderson 1, James M Whedon 2, Patricia M Herman 3 PMID: 38181030 PMCID: PMC10769084 DOI: 10.1371/journal.pone.0283252 Abstract Objective: The objective of this study was to evaluate the relationship between three distinct spinal manipulative therapy dose groups and escalated spine care by analyzing insurance claims […]

Effects of Cervical Mobilization on Balance and Gait Parameters in Individuals With Stroke: A Randomized Controlled Trial

Percept Mot Skills. 2024 Jan 3:315125231226039. doi: 10.1177/00315125231226039. Online ahead of print. Aziz Dengiz Abstract Stroke is a significant health problem that may result in long-term functional deficits. Balance and walking problems are among the most common post-stroke deficits, and they may negatively affect quality of life. Our aim in this study was to investigate […]

Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial

Spine J. 2023 Dec 14:S1529-9430(23)03563-5. doi: 10.1016/j.spinee.2023.12.002. Online ahead of print. Ian Young Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multimodal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of […]

Spinal manipulation combined with exercise therapy could be more effective than exercise therapy alone for shoulder pain and disability: A systematic review and meta-analysis

International Journal of Osteopathic Medicine Volume 50, December 2023, 100688 International Journal of Osteopathic Medicine Francisco Fleury Uchoa Santos-Júnior Highlights • For pain intensity, spinal manipulation combined with shoulder exercises may be beneficial in two to six weeks. • The association of spinal manipulation and shoulder exercises could also improve disability within 6 weeks of […]

Spinal Manipulative Therapy for Non-Specific Low Back Pain – Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-Analysis

Journal of Orthopaedic & Sports Physical TherapyPublished Online: July 28, 2023 AbstractOBJECTIVE: To examine whether targeting spinal manipulative therapy (SMT), by applying the intervention to a specific vertebral level, produces superior clinical outcomes than a non-targeted approach in patients with non-specific low back pain. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE, EMBASE, CENTRAL, CINAHL, […]

A systematic review and meta-analysis of randomized controlled trials of manipulative therapy for patients with chronic neck pain

Complementary Therapies in Clinical Practice Volume 52, August 2023, 101751 Zhen Liu Abstract Background An increasing number of people suffer from chronic neck pain due to increased telecommuting. Manual therapy is considered a safe and less painful method and has been increasingly used to alleviate chronic neck pain. However, there is controversy about the effectiveness […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]