tag:blogger.com,1999:blog-91543336476099081682023-11-16T08:32:55.738-08:00Manual Therapies BlogManual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.comBlogger28125tag:blogger.com,1999:blog-9154333647609908168.post-15205191884970863262020-03-25T00:45:00.002-07:002020-03-25T00:45:46.641-07:00Est-ce que la direction du thrust est importante? 🤔<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #666666; font-family: helvetica, sans-serif; font-size: 16px; outline: 0px; padding: 0px; text-align: justify; vertical-align: baseline;">
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Karas et al (2016) ont cherché à savoir si la direction d'un thrust sur les dorsales avaient un impact sur des patients cervicalgiques. </div>
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69 patients cervicalgiques ont été assignés au hasard entre 2 groupes:</div>
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1er groupe: La manipulation correspondait au mouvement restreint du rachis thoracique (si le patient avait une restriction en Flexion, le thrust était vers la Flexion...)</div>
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2e groupe: La manipulation se faisait dans le sens opposé à la restriction (si le patient avait une restriction en Flexion, le thrust était vers l'Extension...)</div>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: 0px 0px; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: 0px 0px; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Résultats: Les 2 groupes avaient une amélioration significative et similaire au niveau de la douleur, du Neck Disability Index et de l'amélioration globale.</span></span></div>
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<div style="background: 0px 0px; border: 0px; box-sizing: border-box; font-size: 12px; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
Références:</div>
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Karas, S., Olson Hunt, M. J., Temes, B., Thiel, M., Swoverland, T., & Windsor, B. (2016). The effect of direction specific thoracic spine manipulation on the cervical spine: a randomized controlled trial. Journal of Manual & Manipulative Therapy, 26(1), 3–10. doi:10.1080/10669817.2016.1260674 </div>
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<br /></div>
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<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
👉Si vous voulez enfin apprendre:</div>
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<br /></div>
<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
✅Comment manipuler sans contrainte et dans le confort</div>
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✅Comment intégrer les manipulations HVLA dans un plan de traitement (quand manipuler ou quand ne pas manipuler)</div>
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✅Comment avoir un examen clinique objectif , fiable et reproductible</div>
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✅Comment être plus précis et plus efficace dans les manipulations HVLA</div>
<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
✅Comment dialoguer avec les professionnels médicaux et para-médicaux</div>
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✅Pourquoi les manipulations sont actuellement bénéfiques pour les disques intervertébraux</div>
<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
✅Pourquoi il ne faut plus se baser sur les modèles de Fryette ou de Mitchell</div>
<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
✅Pourquoi les tests ostéopathiques classiques doivent être abandonnés</div>
<div style="background: 0px 0px; border: 0px; box-sizing: border-box; color: #364347; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
✅Pourquoi les manipulations HVLA diminuent la douleur et augmentent les amplitudes articulaires...</div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-78621497555056169162020-03-18T07:15:00.003-07:002020-03-18T07:15:57.682-07:00Est-ce qu'un diagnostic palpatoire est fiable? 🤔<h2>
<span style="color: #666666; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large; font-weight: normal;">Est-ce qu'un diagnostic palpatoire est fiable? 🤔</span></h2>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgMk3CF1wybL6vhDtMODLeR8T1dw3x-1PT_YXENGmiQE6OWuTBjI4SubZY3JzhKZpIH7PYi161E_4go1yV1PjvuCp7djbrtjT0KVEDmHASkO9Kz8ZEELfrA9sCmPjd4nuY8t_sC9HCytdc/s1600/89e225_9f3f338e930f4ff392379d94adbaed09-mv2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="667" data-original-width="1000" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgMk3CF1wybL6vhDtMODLeR8T1dw3x-1PT_YXENGmiQE6OWuTBjI4SubZY3JzhKZpIH7PYi161E_4go1yV1PjvuCp7djbrtjT0KVEDmHASkO9Kz8ZEELfrA9sCmPjd4nuY8t_sC9HCytdc/s320/89e225_9f3f338e930f4ff392379d94adbaed09-mv2.jpg" width="320" /></a></div>
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<span style="font-size: large;">En ostéopathie on nous parle souvent de la fiabilité de notre toucher. On nous apprend à avoir des "mains qui pensent, sentent et voient"... </span><br />
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<span style="font-size: large;">Mais qu'en est-il de la réalité? Est-on vraiment si précis et fiable que ça avec notre palpation lors de l'examen clinique? 🤔.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1dSV9Al61TUQugHs7zYhb1jLOP_4UXVvQC5Q4R3Pk-vWVZKtoR12wubXVzC8H9o4_IBoAw0oIqUnWQHY0kLItq5OH3a2pR6Huic9JZNapmYFLKmqF7ehp1D2w2daiBqJGTNledpCQNZI/s1600/Capture+d%2527e%25CC%2581cran+2016-12-05+23.26.13.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1dSV9Al61TUQugHs7zYhb1jLOP_4UXVvQC5Q4R3Pk-vWVZKtoR12wubXVzC8H9o4_IBoAw0oIqUnWQHY0kLItq5OH3a2pR6Huic9JZNapmYFLKmqF7ehp1D2w2daiBqJGTNledpCQNZI/s400/Capture+d%2527e%25CC%2581cran+2016-12-05+23.26.13.png" width="400" /></a></div>
<span style="font-size: large;">Le GROS problème dans l'apprentissage de l'examen clinique c'est que nous reproduisons des tests dont nous ne savons pas s'ils sont fiables et valides...</span><br />
<span style="font-size: large;">Nous ne savons pas assez si il y a une bonne reproductibilité des tests inter ou intra examinateur...</span><br />
<span style="font-size: large;">L'examen de l'appareil neuro-musculo-squelettique est la base de notre traitement manuel (notamment en techniques HVLA).</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQZwMVgs2AN78wpiBlcugWihtQE70Nxg_THinw1T6wFnfDyD5A8L4WcMGoBhyFgoH2Y73SCOv-34tNwj4hJcNjCzUzPB-KzWyHfmAqQ2qld1Dd94h5y-7JGL-KUFp-ZFz_-QSWpCLuwM4/s1600/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.11.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="612" data-original-width="942" height="207" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQZwMVgs2AN78wpiBlcugWihtQE70Nxg_THinw1T6wFnfDyD5A8L4WcMGoBhyFgoH2Y73SCOv-34tNwj4hJcNjCzUzPB-KzWyHfmAqQ2qld1Dd94h5y-7JGL-KUFp-ZFz_-QSWpCLuwM4/s320/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.11.png" width="320" /></a></div>
<span style="font-style: italic;"><span style="font-weight: bold;"><span style="text-decoration-line: underline;"><span style="font-size: large;">Exemple concret:</span></span></span></span><br />
<span style="font-size: large;">Sur cette photo, on voit un examinateur palper les repères osseux des ischions et "diagnostiquer" un iliaque upslip (3 points haut)... Un cliché radio est fait pour vérifier. L'opérateur est persuadé de "diagnostiquer" une dysfonction traumatique...</span><br />
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<span style="font-size: large;">Après "correction", l'opérateur reteste et constate une </span><br />
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<span style="font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSR1yEm2B75uDhVwzfCtv3nQtOkHvUcGgrXxUUlEvy1m_H9Xco9OESs58xIll6lGeSZuUQePyKmD9797PLs_e9qUNiX4bKOWI2OTIRfpDtXs4QOPTDWW8S26afvOe3ucn4nWcbW0yD6TI/s1600/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.24.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="686" data-original-width="1152" height="237" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSR1yEm2B75uDhVwzfCtv3nQtOkHvUcGgrXxUUlEvy1m_H9Xco9OESs58xIll6lGeSZuUQePyKmD9797PLs_e9qUNiX4bKOWI2OTIRfpDtXs4QOPTDWW8S26afvOe3ucn4nWcbW0yD6TI/s400/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.24.png" width="400" /></a></span></div>
<span style="font-size: large;">amélioration de la symétrie de hauteur des ischions. </span><br />
<span style="font-size: large;">Nous voyons très clairement qu'en fait il n'y a pas eu de changement...</span><br />
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<span style="text-decoration-line: underline;"><span style="font-size: x-large;"><b><i><u>L'illusion palpatoire existe...</u></i></b></span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOs8MSn29CEE3LzwOs7C2-QsideaxjmnEi7a8kHtCM-vc3Nq18E-dnJoXSVwst9WcfP8Pg5B2IhgFfsg3hVnnm4uAIoridKaPBPkQaNYbeVs8dMhwImIxSEXLXqgc4-9kpRzLnz9hUlZ0/s1600/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.38.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="688" data-original-width="530" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOs8MSn29CEE3LzwOs7C2-QsideaxjmnEi7a8kHtCM-vc3Nq18E-dnJoXSVwst9WcfP8Pg5B2IhgFfsg3hVnnm4uAIoridKaPBPkQaNYbeVs8dMhwImIxSEXLXqgc4-9kpRzLnz9hUlZ0/s320/Capture+d%2527e%25CC%2581cran+2020-03-18+14.22.38.png" width="246" /></a></div>
<span style="font-size: large;">Cet extrait du livre "Manipulative Therapy in Rehabilitation of the Locomotor System" (Karl LEWIT) met en lumière notre faiblesse à être aussi performant dans l'examen clinique que ce que l'on aimerait croire...</span><br />
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<span style="font-size: large;">Beaucoup d'autres études sont venues confirmer ces résultats.</span><br />
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<span style="font-size: large;">Pour autant, nous avons aujourd'hui des moyens de simplifier (gain de temps) et de rendre l'examen clinique encore plus fiable (gain d'efficacité).</span></div>
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<span style="font-size: large;">👉Si vous voulez enfin apprendre:</span></div>
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<span style="font-size: large;"> ✅Comment manipuler sans contrainte et dans le confort</span></div>
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<span style="font-size: large;"> ✅Comment intégrer les manipulations HVLA dans un plan de traitement (quand manipuler ou quand ne pas manipuler)</span></div>
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<span style="font-size: large;"> ✅Comment avoir un examen clinique objectif , fiable et reproductible</span></div>
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<span style="font-size: large;"> ✅Comment être plus précis et plus efficace dans les manipulations HVLA</span></div>
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<span style="font-size: large;"> ✅Comment dialoguer avec les professionnels médicaux et para-médicaux</span></div>
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<span style="font-size: large;"> ✅Pourquoi les manipulations sont actuellement bénéfiques pour les disques intervertébraux</span></div>
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<span style="font-size: large;"> ✅Pourquoi il ne faut plus se baser sur les modèles de Fryette ou de Mitchell</span></div>
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<span style="font-size: large;"> ✅Pourquoi les tests ostéopathiques classiques doivent être abandonnés</span></div>
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<span style="font-size: large;"> ✅Pourquoi les manipulations HVLA diminuent la douleur et augmentent les amplitudes articulaires...</span></div>
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<tr><td style="text-align: center;"><span style="margin-left: auto; margin-right: auto;"><a href="http://www.hvla2.com/" target="_blank"><img alt="" border="0" data-original-height="834" data-original-width="1600" height="332" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1SJuOlP-fcVoazaTBrz0dMmaGBmv65NwaM1lZo99zwQXuhGeO9iYDoIOjwa2cjq00gkmYp0TA-PIm5AREXFA3kKBbBqZ4fbTQtrE5LFxxmR3nLkhtyNlQ9fxOq0WTNO8jkH5ifd2LlVA/s640/HVLA2.jpg" title="Séminaires HVLA 2.0" width="640" /></a></span></td></tr>
<tr><td class="tr-caption" style="font-size: 12.8px;"><a href="http://www.hvla2.com/" target="_blank">Séminaires HVLA 2.0 </a></td></tr>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-22431613778516199162020-03-07T00:52:00.001-08:002020-03-07T00:52:11.133-08:00Manipulations et Disques Intervertébraux 🤔<span style="background-color: white; color: #666666; font-family: helvetica, sans-serif; text-align: center;"><span style="font-size: x-large;">Quels sont les changements discaux après une manipulation lombaire chez un lombalgique? </span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXlPcfSnurRmYAkQQT7Hq-4CHbmHUcFK_vKErUFqGRc-rnSIWTU6O8o8remwuwUfbyn2Jqdg9m_HXnkD0cNWX57K_ZaQlGgMpoL-sC89wd9g1K22bq48JjtVyMPN8Pe7m0pnO8hdV5f_U/s1600/Capture+d%2527e%25CC%2581cran+2020-03-04+18.49.35.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="928" data-original-width="782" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXlPcfSnurRmYAkQQT7Hq-4CHbmHUcFK_vKErUFqGRc-rnSIWTU6O8o8remwuwUfbyn2Jqdg9m_HXnkD0cNWX57K_ZaQlGgMpoL-sC89wd9g1K22bq48JjtVyMPN8Pe7m0pnO8hdV5f_U/s320/Capture+d%2527e%25CC%2581cran+2020-03-04+18.49.35.png" width="269" /></a></div>
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<span style="font-size: large;">On entend beaucoup de choses sur les manipulations et les disques intervertébraux...</span></div>
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<span style="font-size: large;">Délétères? Bénéfiques? Beattie et al (2014) ont voulu analyser les changements discaux à l'IRM juste après une manipulation lombaire HVLA.</span></div>
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<span style="font-size: large;">19 sujets lombalgiques (âgés de 20 à 45 ans) ont été sélectionnés. On leur a fait faire une IRM T2 ainsi qu'une mesure de la diffusion aqueuse (hydratation) juste avant et juste après une manipulation lombaire HVLA.</span></div>
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<span style="font-size: large;">Résultats: 12 patients ont eu une amélioration instantanée de leurs douleurs. Mais fait surprenant, les améliorations étaient corrélées à l'amélioration instantanée de la diffusion aqueuse aux niveaux L1-L2, L2-L3 et L5-S1.</span></div>
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<span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-style: italic; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: underline; vertical-align: baseline;"><span style="font-size: large;">Conclusion: Les manipulations HVLA améliorent rapidement les lombalgies et ce en corrélation avec l'amélioration de l'hydratation des disques intervertébraux L1-L2, L2-L3 et L5-S1.</span></span></span></span></span></div>
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<span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-style: italic; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: underline; vertical-align: baseline;"><span style="font-size: large;"><br /></span></span></span></span></span></div>
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Références:</div>
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<span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; font-style: italic; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: underline; vertical-align: baseline;"></span></span></span></span></div>
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<span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Beattie, P. F., Butts, R., Donley, J. W., & Liuzzo, D. M. (2014). The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1. Journal of Orthopaedic & Sports Physical Therapy, 44(1), 19–29. doi:10.2519/jospt.2014.4967</span></div>
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<span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><br /></span></div>
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<span style="font-size: large;"><br /></span></div>
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<span style="font-size: large;">👉Si vous voulez enfin apprendre:</span></div>
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<br /></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Comment manipuler sans contrainte et dans le confort</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Comment intégrer les manipulations HVLA dans un plan de traitement (quand manipuler ou quand ne pas manipuler)</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Comment avoir un examen clinique objectif , fiable et reproductible</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Comment être plus précis et plus efficace dans les manipulations HVLA</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Comment dialoguer avec les professionnels médicaux et para-médicaux</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Pourquoi les manipulations sont actuellement bénéfiques pour les disques intervertébraux</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Pourquoi il ne faut plus se baser sur les modèles de Fryette ou de Mitchell</span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Pourquoi les tests ostéopathiques classiques doivent être abandonnés</span></div>
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<span style="font-size: large;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"></span></span></div>
<div style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #364347; font-family: helvetica, sans-serif; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: large;"> ✅Pourquoi les manipulations HVLA diminuent la douleur et augmentent les amplitudes articulaires...</span></div>
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<span style="font-size: large;"><br /></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><span style="margin-left: auto; margin-right: auto;"><a href="http://www.hvla2.com/" target="_blank"><img alt="" border="0" data-original-height="834" data-original-width="1600" height="332" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1SJuOlP-fcVoazaTBrz0dMmaGBmv65NwaM1lZo99zwQXuhGeO9iYDoIOjwa2cjq00gkmYp0TA-PIm5AREXFA3kKBbBqZ4fbTQtrE5LFxxmR3nLkhtyNlQ9fxOq0WTNO8jkH5ifd2LlVA/s640/HVLA2.jpg" title="Séminaires HVLA 2.0" width="640" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><a href="http://www.hvla2.com/" target="_blank">Séminaires HVLA 2.0 </a></td></tr>
</tbody></table>
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<span style="font-size: large;"><br /></span></div>
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<span style="font-size: large;"><br /></span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-82017467134042946912019-11-27T06:04:00.000-08:002019-11-27T06:04:01.010-08:00MTO VLOG#6 FIND THE PAIN<div class="separator" style="clear: both; text-align: center;">
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-33316048896075666682019-11-24T06:03:00.000-08:002019-11-24T06:03:07.397-08:00MTO VLOG#5: KILL THE KINESIOPHOBIA<div class="separator" style="clear: both; text-align: center;">
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-84474842410880583222019-11-20T06:03:00.000-08:002019-11-20T06:03:06.918-08:00MTO VLOG#4: PREPARE YOUR MIND<div class="separator" style="clear: both; text-align: center;">
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-78783783229168901932019-11-13T06:01:00.000-08:002019-11-13T06:01:05.187-08:00MTO VLOG#3: PREPARE YOUR BODY<div class="separator" style="clear: both; text-align: center;">
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-73268291861261866262019-11-06T06:00:00.000-08:002019-11-06T06:00:02.782-08:00MTO VLOG#2: BE PATIENT2ND VIDEO BLOG. TODAY'S EPISODE: BE PATIENT<br />
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-78565036393813233692019-11-03T05:59:00.002-08:002019-11-03T05:59:45.088-08:00MTO VLOG#1: BE CURIOUSHERE IS THE 1ST VIDEO BLOG ON MANUAL THERAPIES ONLINE.<br />
THE SUJECT IS: BE CURIOUS<br />
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<br />Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-19408701382547058092019-04-29T08:51:00.000-07:002019-04-29T08:51:55.496-07:00Effects of an 8-week physical exercise program on spinal manipulation biomechanical parameters in a group of 1st-year chiropractic students.<div>
<a href="https://www.ncbi.nlm.nih.gov/pubmed/30951379" target="_blank"><h3 style="background-color: white; color: #985735; display: inline; font-family: arial, helvetica, clean, sans-serif; font-size: 1.0769em; line-height: 1.2857; margin: 0px;">
Authors: </h3>
<span style="color: #660066; font-family: arial, helvetica, clean, sans-serif;"><span style="background-color: white; border-bottom-color: initial; border-bottom-style: initial; font-size: 11.999px;">Lardon A</span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.999px;">, </span><span style="color: #660066; font-family: arial, helvetica, clean, sans-serif;"><span style="background-color: white; border-bottom-color: initial; border-bottom-style: initial; font-size: 11.999px;">Pasquier M</span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.999px;">, </span><span style="color: #660066; font-family: arial, helvetica, clean, sans-serif;"><span style="background-color: white; border-bottom-color: initial; border-bottom-style: initial; font-size: 11.999px;">Audo Y</span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.999px;">, </span><span style="color: #660066; font-family: arial, helvetica, clean, sans-serif;"><span style="background-color: white; border-bottom-color: initial; border-bottom-style: initial; font-size: 11.999px;">Barbier-Cazorla F</span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.999px;">, </span><span style="color: #660066; font-family: arial, helvetica, clean, sans-serif;"><span style="background-color: white; border-bottom-color: initial; border-bottom-style: initial; font-size: 11.999px;">Descarreaux M</span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.999px;">.</span></a></div>
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<a href="https://www.ncbi.nlm.nih.gov/pubmed/30951379" target="_blank"><span style="background-color: white; color: #985735; font-family: arial, helvetica, clean, sans-serif; font-size: 17.2304px; font-weight: 700;">Published in: </span><span role="menubar" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045px;"><span style="color: #660066;"><span style="border-bottom-color: initial; border-bottom-style: initial;">J Chiropr Educ.</span></span></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045px;"> 2019 Apr 5. doi: 10.7899/JCE-18-15.</span></a></div>
<h3 style="background-color: white; color: #985735; display: inline; font-family: arial, helvetica, clean, sans-serif; font-size: 1.0769em; line-height: 1.2857; margin: 0px;">
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Abstract</h3>
<div class="" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px;">
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OBJECTIVE::</h4>
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To determine the effects of a physical exercise program on <span class="highlight">spinal manipulation</span> (SM) performance in 1st-year chiropractic students.</div>
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METHODS::</h4>
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One hundred and thirteen students from 2 chiropractic schools were assigned to 1 of 2 groups: exercise group (EG) for campus A students or control group (CG) (no training) for campus B students. All participated in 2 1-hour experimental training sessions that were added to the usual technique curriculum. At the beginning and at the end of each session, SM thrust duration and preload force release were recorded as dependent variables in 5 trials performed on a force-sensing table for a total of 10 recorded trials per session. The session consisted of several drills during which augmented feedback was provided to students to improve their skills. The EG performed physical exercises (push-ups, core stabilization, and speeder board exercises) 3 times per week for an 8-week period between the 2 training sessions.</div>
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RESULTS::</h4>
<div style="font-size: 1.04em; margin-bottom: 0.5em;">
The mean thrust duration increased between the 2 sessions [+0.8 ms (±15.6)]. No difference between groups was found using a t test for independent samples ( p = .94). The mean preload force release decreased between the 2 sessions (-6.1 N [±17.1]). Differences between groups were found using a t test for independent samples ( p = .03); the results showed a reduction of preload force release in the participants in the EG group compared to those in the CG group (-8.1 N [±16.9] vs -0.3 N [±16.5]).</div>
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CONCLUSION::</h4>
<div style="font-size: 1.04em; margin-bottom: 0.5em;">
A physical exercise program seems to be beneficial in the SM learning process; chiropractic students should therefore be encouraged to do home physical exercises to develop their physical capabilities and improve SM delivery.</div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-28284196867007925862019-04-29T08:33:00.000-07:002019-04-29T08:33:54.223-07:00The immediate effect of osteopathic cervical spine mobilization on median nerve mechanosensitivity<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.bodyworkmovementtherapies.com/article/S1360-8592(17)30109-2/abstract" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: Gary Whelan, M.Ost (Osteopath), Ross Johnston, M.Sc. B.Sc. (Hons) Ost Med, DO (Senior Lecturer), Charles Millward, ND DO (Lecturer), Darren J. Edwards, B.Sc. M.Sc. Ph.D. (Lecturer)</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.bodyworkmovementtherapies.com/article/S1360-8592(17)30109-2/abstract" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">J Bodyw Mov Ther.</u> 2018 Apr;22:252-260. doi: 10.1016/j.jbmt.2017.05.009. Epub 2017 May 18.</a></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">BACKGROUND:</span><br />
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Neurodynamics is a clinical medium for testing the mechanical sensitivity of peripheral nerves which innervate the tissues of both the upper and lower limb. Currently, there is paucity in the literature of neurodynamic testing in osteopathic research, and where there is research, these are often methodologically flawed, without the appropriate comparators, blinding and reliability testing.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">AIMS:</span><br />
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This study aimed to assess the physiological effects (measured through Range of Motion; ROM), of a commonly utilized cervicalmobilization treatment during a neurodynamic test, with the appropriate methodology, i.e., compared against a control and sham. Specifically, this was to test whether cervical mobilization could reduce upper limb neural mechanical sensitivity.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODOLOGY:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Thirty asymptomatic participants were assessed and randomly allocated to either a control, sham or mobilization group, where they were all given a neurodynamic test and ROM was assessed.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
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The results showed that the mobilization group had the greatest and most significant increase in ROM with Change-Left p < 0.05 and Change-Right p < 0.05 compared against the control group, and Change-Left p < 0.01 and Change-Right p < 0.05 compared against the sham group.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">This study has highlighted that, as expected, cervical mobilization has an effect at reducing upper limb neural mechanical sensitivity. However, there may be other factors interacting with neural mechanosensitivity outside of somatic influences such as psychological expectation bias. Further research could utilize the methodology employed here, but with other treatment areas to help develop neural tissue research. In addition to this, further exploration of psychological factors should be made such as utilizing complex top-down cognitive processing theories such as the neuromatrix or categorization theories to help further understand cognitive biases such as the placebo effect, which is commonly ignored in osteopathic research, as well as other areas of science, and which would further complete a holistic perspective.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-10056001573015028712019-04-29T08:29:00.000-07:002019-04-29T08:29:48.673-07:00Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review & Meta-Analysis<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/30973196" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: Pamela M. Rist ScD, Audrey Hernandez MS, Carolyn Bernstein MD, Matthew Kowalski DC, Kamila Osypiuk MS, Robert Vining DC, Cynthia R. Long PhD, Christine Goertz DC, PhD, Rhayun Song RN, PhD, Peter M. Wayne PhD</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/30973196" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Headache.</u> 2019 Apr;59 :532-542. doi: 10.1111/head.13501. Epub 2019 Mar 14.</a></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">BACKGROUND:</span><br />
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Several small studies have suggested that spinal manipulation may be an effective treatment for reducing migraine pain and disability. We performed a systematic review and meta-analysis of published randomized clinical trials (RCTs) to evaluate the evidence regarding spinal manipulation as an alternative or integrative therapy in reducing migraine pain and disability.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS:</span><br />
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PubMed and the Cochrane Library databases were searched for clinical trials that evaluated spinal manipulation and migraine-related outcomes through April 2017. Search terms included: migraine, spinal manipulation, manual therapy, chiropractic, and osteopathic. Meta-analytic methods were employed to estimate the effect sizes (Hedges' g) and heterogeneity (I2 ) for migraine days, pain, and disability. The methodological quality of retrieved studies was examined following the Cochrane Risk of Bias Tool.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
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Our search identified 6 RCTs (pooled n = 677; range of n = 42-218) eligible for meta-analysis. Intervention duration ranged from 2 to 6 months; outcomes included measures of migraine days (primary outcome), migraine pain/intensity, and migraine disability. Methodological quality varied across the studies. For example, some studies received high or unclear bias scores for methodological features such as compliance, blinding, and completeness of outcome data. Due to high levels of heterogeneity when all 6 studies were included in the meta-analysis, the 1 RCT performed only among chronic migraineurs was excluded. Heterogeneity across the remaining studies was low. We observed that spinal manipulation reduced migraine days with an overall small effect size (Hedges' g = -0.35, 95% CI: -0.53, -0.16, P < .001) as well as migraine pain/intensity.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Spinal manipulation may be an effective therapeutic technique to reduce migraine days and pain/intensity. However, given the limitations to studies included in this meta-analysis, we consider these results to be preliminary. Methodologically rigorous, large-scale RCTs are warranted to better inform the evidence base for spinal manipulation as a treatment for migraine.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-48626588516844457962019-04-29T08:27:00.000-07:002019-04-29T08:27:20.900-07:00Impact of Spinal Manipulation on Cortical Drive to Upper and Lower Limb Muscles.<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28025542" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Haavik H</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Niazi IK</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Jochumsen M</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Sherwin D</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Flavel S</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Türker KS</u>.</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28025542" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Brain Sci.</u> 2016 Dec 23;7(1). pii: E2. doi: 10.3390/brainsci7010002.</a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_86e38ccd715d42d987bdfcee2fe330fc~mv2.png/v1/fit/w_300,h_300,al_c,q_5/file.png" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 740px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_86e38ccd715d42d987bdfcee2fe330fc~mv2.png/v1/fit/w_1280,h_720,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/impact-of-spinal-manipulation-on-cortical-drive-to-upper-and-lower-limb-muscles" src="https://static.wixstatic.com/media/89e225_86e38ccd715d42d987bdfcee2fe330fc~mv2.png/v1/fill/w_1280,h_720,al_c,q_90/89e225_86e38ccd715d42d987bdfcee2fe330fc~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 740px; z-index: 0;" /></div>
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<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></div>
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This study investigates whether spinal manipulation leads to changes in motor control by measuring the recruitment pattern of motor units in both an upper and lower limb muscle and to see whether such changes may at least in part occur at the cortical level by recording movement related cortical potential (MRCP) amplitudes. In experiment one, transcranial magnetic stimulation input-output (TMS I/O) curves for an upper limb muscle (abductor pollicus brevis; APB) were recorded, along with F waves before and after either spinal manipulation or a control intervention for the same subjects on two different days. During two separate days, lower limb TMS I/O curves and MRCPs were recorded from tibialis anterior muscle (TA) pre and post spinal manipulation. Dependent measures were compared with repeated measures analysis of variance, with <em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">p</em> set at 0.05. Spinal manipulation resulted in a 54.5% ± 93.1% increase in maximum motor evoked potential (MEPmax) for APB and a 44.6% ± 69.6% increase in MEPmax for TA. For the MRCP data following spinal manipulation there were significant difference for amplitude of early bereitschafts-potential (EBP), late bereitschafts potential (LBP) and also for peak negativity (PN). The results of this study show that spinal manipulation leads to changes in cortical excitability, as measured by significantly larger MEPmax for TMS induced input-output curves for both an upper and lower limb muscle, and with larger amplitudes of MRCP component post manipulation. No changes in spinal measures (i.e., F wave amplitudes or persistence) were observed, and no changes were shown following the control condition. </div>
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<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">These results are consistent with previous findings that have suggested increases in strength following spinal manipulation were due to descending cortical drive and could not be explained by changes at the level of the spinal cord. Spinal manipulation may therefore be indicated for the patients who have lost tonus of their muscle and/or are recovering from muscle degrading dysfunctions such as stroke or orthopaedic operations and/or may also be of interest to sports performers. These findings should be followed up in the relevant populations.</span></div>
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<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><br /></span></div>
<iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="441" src="https://www.youtube.com/embed/k8pb3IXvMOo" width="740"></iframe>Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-64099565390855941902019-04-29T08:24:00.000-07:002019-04-29T08:24:11.397-07:00Sacroiliac Stretching Improves GH Int R° Deficit of the Opposite Shoulder in Baseball players (RCT)<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/30656251" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Romano V</u>1, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Romano J</u>1, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Gilbert GE</u>1.</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/30656251" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">J Am Acad Orthop Surg Glob Res Rev.</u> 2018 Oct 8;2(10):e060. doi: 10.5435/JAAOSGlobal-D-18-00060. eCollection 2018 Oct.</a></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">INTRODUCTION:</span><br />
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Glenohumeral internal rotation deficit (GIRD) is a well-documented finding in throwing athletes.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">PURPOSE:</span><br />
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To investigate whether stretching the contralateral sacroiliac (SI) joint can improve GIRD in baseball players.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHOD:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
After internal shoulder rotation was measured in 23 minor league baseball players, the players randomly were assigned to either a control (ie, sleeper stretch of the dominant shoulder) or experimental (ie, SI joint stretch contralateral to the dominant shoulder) group. Afterward, internal rotation (IR) of their dominant shoulders was remeasured.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
The mean initial end-range IR was 68.6° (SD = 7.9°) in the sleeper stretch group (n = 8) and 64.5° (SD = 5.1°) in the SI joint stretch group (n = 15). After stretching, the sleeper stretch group's mean end-range IR was 72.1° (SD = 7.2°), a 3.5° improvement (<em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">P</em> = 0.1058), whereas the contralateral SI joint stretch group's mean end-range IR was 71.9° (SD = 6.6°), a 7.4° improvement (<em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">P</em> = 0.0041).</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Stretching the contralateral SI joint improved GIRD more than the sleeper's stretch.</span></div>
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<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color ujPQ6 uitCk _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; text-align: center !important; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">5 BEST SIJ STRETCHES </em></span></div>
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<iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="441" src="https://www.youtube.com/embed/zCc7aMy6254" width="740"></iframe>Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-38323148817110813142019-04-29T08:15:00.000-07:002019-04-29T08:15:58.377-07:00Changes in biochemical markers following spinal manipulation-a systematic review and meta-analysis.<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28399479" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Kovanur-Sampath K</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Mani R</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Cotter J</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Gisselman AS</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Tumilty S</u>.</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28399479" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Musculoskelet Sci Pract.</u> 2017 Jun;29:120-131. doi: 10.1016/j.msksp.2017.04.004. Epub 2017 Apr 5.</a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_fe1f9a9395bb43a9bb4a2d00f538002e~mv2.png/v1/fit/w_300,h_300,al_c,q_5/file.png" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 740px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_fe1f9a9395bb43a9bb4a2d00f538002e~mv2.png/v1/fit/w_1280,h_720,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/changes-in-biochemical-markers-following-spinal-manipulation-a-systematic-review-and-meta-analysis" src="https://static.wixstatic.com/media/89e225_fe1f9a9395bb43a9bb4a2d00f538002e~mv2.png/v1/fill/w_1280,h_720,al_c,q_90/89e225_fe1f9a9395bb43a9bb4a2d00f538002e~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 740px; z-index: 0;" /></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
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The aim of this meta-analysis was to determine the effectiveness of spinal manipulation in influencing various biochemical markers in healthy and or symptomatic population. Electronic databases (n = 10) were searched (from inception till September 2016) and eight trials (325 participants) that met the inclusion criteria were included in the meta-analysis. Two authors independently extracted and assessed the risk of bias in included studies. Standardised mean differences for outcome measures were used to calculate effect sizes. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) tool was used for assessing the quality of the body of evidence for each outcome of interest. There was moderate quality evidence that spinal manipulation influenced biochemical markers. There was moderate quality evidence of significant difference that spinal manipulation is better (SMD -0.46, 95% CI - 0.93 to 0) than control in eliciting changes in cortisol levels immediately after intervention. There was also a low quality evidence that spinal manipulation is better than control at post-intervention in increasing substance-P (SMD -0.48,95%CI-0.87 to -0.1), neurotensin (SMD -1.8,95%CI-2.56 to -1.04) and oxytocin levels (SMD -2.61,95%CI-3.5to-1.72). However, low quality evidence indicated that spinal manipulation did not influence epinephrine (SMD 0.1,95%CI- 0.56to0.75) or nor-epinephrine levels (SMD -0.06,95%CI-0.71to0.6). </div>
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<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; margin-bottom: 8px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">The current review found that spinal manipulation can increase substance-p, neurotensin, oxytocin and interleukin levels and may influence cortisol levels post-intervention. However, future trials targeting symptomatic populations are required to understand the clinical importance of such changes.</span></div>
Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-42451649844713763022019-04-29T08:11:00.000-07:002019-04-29T08:11:49.249-07:00The Immediate Effects of Upper Thoracic SMT on Cervical Pain and ROM : a RCT<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565124/" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: John Krauss, PT, PhD, OCS, FAAOMPT, Doug Creighton, DPT, OCS, FAAOMPT, Jonathan D. Ely, PT, MS, FAAOMPT, and Joanna Podlewska-Ely, PT, MS, FAAOMPT</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565124/" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: J Man Manip Ther. 2008; 16(2): 93–99. doi: 10.1179/106698108790818530</a></div>
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Abstract</h2>
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Background</h3>
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This study examined the effect of translatoric spinal manipulation (TSM) on cervical pain and cervical active motion restriction when applied to upper thoracic (T1-T4) segments. Active cervical rotation range of motion was measured re- and post-intervention with a cervical inclinometer (CROM), and cervical pain status was monitored before and after manipulation with a Faces Pain Scale. </div>
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Methods</h3>
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Study participants included a sample of convenience that included 32 patients referred to physical therapy with complaints of pain in the mid-cervical region and restricted active cervical rotation. Twenty-two patients were randomly assigned to the experimental group and ten were assigned to the control group. Pre- and post-intervention cervical range of motion and pain scale measurements were taken by a physical therapist assistant who was blinded to group assignment. The experimental group received TSM to hypomobile upper thoracic segments. The control group received no intervention. Paired t-tests were used to analyze within-group changes in cervical rotation and pain, and a 2-way repeated-measure ANOVA was used to analyze between-group differences in cervical rotation and pain. Significance was accepted at p = 0.05. </div>
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Results</h3>
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Significant changes that exceeded the MDC95 were detected for cervical rotation both within group and between groups with the TSM group demonstrating increased mean (SD) in right rotation of 8.23° (7.41°) and left rotation of 7.09° (5.83°). Pain levels perceived during post-intervention cervical rotation showed significant improvement during right rotation for patients experiencing pain during bilateral rotation only (p=.05). </div>
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Conclusions</h3>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">This study supports the hypothesis that spinal manipulation applied to the upper thoracic spine (T1-T4 motion segments) significantly increases cervical rotation ROM and may reduce cervical pain at end range rotation for patients experiencing pain during bilateral cervical rotation.</span></div>
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<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><br /></span></div>
<iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="441" src="https://www.youtube.com/embed/RlMxjZfpKjw" width="740"></iframe>Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-63399749359496324272019-04-29T08:06:00.000-07:002019-04-29T08:06:41.513-07:00Does cervical lordosis change after spinal manipulation for non-specific neck pain?<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671213/" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Authors: Michael Shilton, Jonathan Branney, Bas Penning de Vries, and Alan C. Breen</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671213/" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: Chiropr Man Therap. 2015; 23: 33. Published online 2015 Dec 7. doi: 10.1186/s12998-015-0078-3</a></div>
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Abstract</h2>
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Background</h3>
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The association between cervical lordosis (sagittal alignment) and neck pain is controversial. Further, it is unclear whether spinal manipulative therapy can change cervical lordosis. This study aimed to determine whether cervical lordosis changes after a course of spinal manipulation for non-specific neck pain.</div>
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Methods</h3>
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Posterior tangents of C2 and C6 were drawn on the lateral cervical fluoroscopic images of 29 patients with subacute/chronic non-specific neck pain and 30 healthy volunteers matched for age and gender, recruited August 2011 to April 2013. The resultant angle was measured using ‘Image J’ digital geometric software. The intra-observer repeatability (measurement error and reliability) and intra-subject repeatability (minimum detectable change (MDC) over 4 weeks) were determined in healthy volunteers. A comparison of cervical lordosis was made between patients and healthy volunteers at baseline. Change in lordosis between baseline and 4-week follow-up was determined in patients receiving spinal manipulation.</div>
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Results</h3>
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Intra-observer measurement error for cervical lordosis was acceptable (SEM 3.6°) and reliability was substantial ICC 0.98, 95 % CI 0.962–0991). The intra-subject MDC however, was large (13.5°). There was no significant difference between lordotic angles in patients and healthy volunteers (<em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">p</em> = 0.16). The mean cervical lordotic increase over 4 weeks in patients was 2.1° (9.2) which was not significant (<em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">p</em> = 0.12).</div>
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Conclusions</h3>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">This study found no difference in cervical lordosis (sagittal alignment) between patients with mild non-specific neck pain and matched healthy volunteers. Furthermore, there was no significant change in cervical lordosis in patients after 4 weeks of cervical spinal manipulation.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-22264290180014423382019-04-29T08:04:00.000-07:002019-04-29T08:04:12.221-07:00Motor Neuron Excitability Attenuation as a Sequel to L5-S1 Manipulation<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/29997032" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_top"><u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Authors: Dishman JD</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Burke JR</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Dougherty P</u>.</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/29997032" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_top">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">J Manipulative Physiol Ther.</u> 2018 Jun;41(5):363-371. doi: 10.1016/j.jmpt.2017.10.015. Epub 2018 Jul 9.</a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_abc02eea4e634420bac92e9119676c1a~mv2.jpg/v1/fit/w_300,h_300,al_c,q_5/file.jpg" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_abc02eea4e634420bac92e9119676c1a~mv2.jpg/v1/fit/w_400,h_247,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/motor-neuron-excitability-attenuation-as-a-sequel-to-l5-s1-manipulation" src="https://static.wixstatic.com/media/89e225_abc02eea4e634420bac92e9119676c1a~mv2.jpg/v1/fill/w_560,h_346,al_c,lg_1,q_90/89e225_abc02eea4e634420bac92e9119676c1a~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px; z-index: 0;" /></div>
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The H-Reflex </div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<a class="_2CvYQ q2uC4 i8Flr _1MOUB _3DS3- _3DS3- _3Q43X _26shW _26shW" href="https://www.google.com/url?sa=i&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjGuc-htcfgAhUlA2MBHcJKCK8QjRx6BAgBEAU&url=https%3A%2F%2Fwww.ptonthenet.com%2Farticles%2FThe-Hoffmann-Reflex-H-reflex-2670&psig=AOvVaw0ROIZuNc5t7LMELF6rEgaG&ust=1550652579773622" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; display: block; float: right; font-family: Helvetica; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 2px 0px 2px 40px; min-width: 360px; padding: 0px; position: relative; text-decoration-line: none; vertical-align: baseline; white-space: pre-wrap; width: 350px; z-index: 1;" target="_blank"></a><span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">OBJECTIVE:</span><br />
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The purpose of the study was to compare a time series of tibial nerve H-reflex trials between patients with subacute low back pain (LBP) and asymptomatic adults using pre and post high-velocity, low-amplitude (HVLA) spinal manipulation (SM) and control procedures.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS:</span><br />
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Asymptomatic adults (n = 66) and patients with subacute LBP (n = 45) were randomized into 3 lumbosacral procedures: side-posture positioning, joint preloading with no thrust, and HVLA SM. A time series of 40 Hmax/Mmax ratios at a rate of 0.1 Hz were recorded in blocks of 10 trials at baseline and after the lumbosacral procedures at time points corresponding to immediately after, 5 minutes after, and 10 minutes after the procedure. Descriptive time series analysis techniques included time plots, outlier detection, and autocorrelation functions. A mixed analysis of variance model (group × procedure × time) was used to compare the effects of lumbosacral procedures on Hmax/Mmaxratios between the patients with subacute LBP and asymptomatic participants.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
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The time series analysis and the significant lumbosacral × time interaction term (P < .05) indicated that inhibition of the Hmax/Mmax ratios at the 10-second postlumbosacral procedure time point was greatest after the HVLA SM procedure. The effects of lumbosacral procedures on Hmax/Mmax ratios were similar between patients with subacute LBP and asymptomatic participants.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Although nonspecific effects of movement or position artifacts on the Hmax/Mmax ratio were present, a reliable and valid attenuation of the Hmax/Mmax ratio occurred as a specific aspect of HVLA SM in both asymptomatic adults and patients with subacute LBP.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-48802581820601975822019-04-29T08:01:00.000-07:002019-04-29T08:01:11.207-07:00Effect of Toggle Recoil of Upper Cervical Vertebrae on Blood Pressure: Pilot Sham-Controlled Trial.<br />
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/27157678" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-align: left !important; text-decoration: none; vertical-align: baseline;" target="_blank">Authors: Goertz CM, Salsbury SA, Vining RD, Long CR, Pohlman KA, Weeks WB, Lamas GA.</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/27157678" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-align: left !important; text-decoration: none; vertical-align: baseline;" target="_blank">Published in: J Manipulative Physiol Ther. 2016 Jun;39(5):369-80. doi: 10.1016/j.jmpt.2016.04.002. Epub 2016 May 9.</a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_3dc38334c2e9419099423b200b42e9f0~mv2.png/v1/fit/w_300,h_300,al_c,q_5/file.png" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_3dc38334c2e9419099423b200b42e9f0~mv2.png/v1/fit/w_1280,h_720,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/effect-of-toggle-recoil-of-upper-cervical-vertebrae-on-blood-pressure-pilot-sham-controlled-trial" src="https://static.wixstatic.com/media/89e225_3dc38334c2e9419099423b200b42e9f0~mv2.png/v1/fill/w_720,h_405,al_c,q_90,usm_0.66_1.00_0.01/89e225_3dc38334c2e9419099423b200b42e9f0~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px; z-index: 0;" /></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; text-align: left; vertical-align: baseline;">
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; text-align: left !important; vertical-align: baseline;">Abstract</strong></h3>
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">OBJECTIVE:</strong><div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.5; margin: 0px; padding: 0px; text-align: left !important; vertical-align: baseline;">
The purpose of this pilot sham-controlled clinical trial was to estimate the treatment effect and safety of toggle recoil spinal manipulation for blood pressure management.</div>
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">METHODS:</strong><div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.5; margin: 0px; padding: 0px; text-align: left !important; vertical-align: baseline;">
Fifty-one participants with prehypertension or stage 1 hypertension (systolic blood pressure ranging from 135 to 159 mm Hg or diastolic blood pressure ranging from 85 to 99 mm Hg) were allocated by an adaptive design to 2 treatments: toggle recoil spinal manipulation or a sham procedure. Participants were seen by a doctor of chiropractic twice weekly for 6 weeks and remained on their antihypertensive medications, as prescribed, throughout the trial. Blood pressure was assessed at baseline and after study visits 1, 6 (week 3), and 12 (week 6), with the primary end point at week 6. Analysis of covariance was used to compare mean blood pressure changes from baseline between groups at each end point, controlling for sex, age, body mass index, and baseline blood pressure.</div>
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">RESULTS:</strong><div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.5; margin: 0px; padding: 0px; text-align: left !important; vertical-align: baseline;">
Adjusted mean change from baseline to week 6 was greater in the sham group (systolic, -4.2 mm Hg; diastolic, -1.6 mm Hg) than in the spinal manipulation group (systolic, 0.6 mm Hg; diastolic, 0.7 mm Hg), but the difference was not statistically significant. No serious and few adverse events were noted.</div>
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">CONCLUSIONS:</strong><div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.5; margin: 0px 0px 8px; padding: 0px; text-align: left !important; vertical-align: baseline;">
<strong style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; text-align: left !important; vertical-align: baseline;">Six weeks of toggle recoil spinal manipulation did not lower systolic or diastolic blood pressure when compared with a sham procedure. No serious adverse events from either treatment were reported. Our results do not support a larger clinical trial. Further research to understand the potential mechanisms of action involving upper cervical manipulation on blood pressure is warranted before additional clinical investigations are conducted.</strong></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-75121886502252157202019-04-29T07:57:00.000-07:002019-04-29T07:57:24.645-07:00Short-term effects of Manipulation VS Mobilization at the T-Spine in patients with neck pain: RCT<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/17341509" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_top"><u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Authors: Cleland JA</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Glynn P</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Whitman JM</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Eberhart SL</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">MacDonald C</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Childs JD</u>.
Published : <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Phys Ther.</u> 2007 Apr;87(4):431-40. Epub 2007 Mar 6.</a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_c9394e29692d44f3ba9e3dfde3c8978f~mv2.png/v1/fit/w_300,h_300,al_c,q_5/file.png" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_c9394e29692d44f3ba9e3dfde3c8978f~mv2.png/v1/fit/w_1280,h_720,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/short-term-effects-of-manipulation-vs-mobilization-at-the-t-spine-in-patients-with-neck-pain-rct" height="225" src="https://static.wixstatic.com/media/89e225_c9394e29692d44f3ba9e3dfde3c8978f~mv2.png/v1/fill/w_720,h_405,al_c,q_90,usm_0.66_1.00_0.01/89e225_c9394e29692d44f3ba9e3dfde3c8978f~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px; z-index: 0;" width="400" /></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">BACKGROUND AND PURPOSE:</span><br />
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Evidence supports the use of manual physical therapy interventions directed at the thoracic spine in patients with neck pain. The purpose of this study was to compare the effectiveness of thoracic spine thrust mobilization/manipulation with that of nonthrust mobilization/manipulation in patients with a primary complaint of mechanical neck pain. The authors also sought to compare the frequencies, durations, and types of side effects between the groups.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">SUBJECTS:</span><br />
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The subjects in this study were 60 patients who were 18 to 60 years of age and had a primary complaint of neck pain.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS:</span><br />
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For all subjects, a standardized history and a physical examination were obtained. Self-report outcome measures included the Neck Disability Index (NDI), a pain diagram, the Numeric Pain Rating Scale (NPRS), and the Fear-Avoidance Beliefs Questionnaire. After the baseline evaluation, the subjects were randomly assigned to receive either thoracic spine thrust or nonthrust mobilization/manipulation. The subjects were reexamined 2 to 4 days after the initial examination, and they again completed the NDI and the NPRS, as well as the Global Rating of Change (GROC) Scale. The primary aim was examined with a 2-way repeated-measures analysis of variance (ANOVA), with intervention group (thrust versus nonthrust mobilization/manipulation) as the between-subjects variable and time (baseline and 48 hours) as the within-subject variable. Separate ANOVAs were performed for each dependent variable: disability (NDI) and pain (NPRS). For each ANOVA, the hypothesis of interest was the 2-way group x time interaction.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
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Sixty patients with a mean age of 43.3 years (SD=12.7) (55% female) satisfied the eligibility criteria and agreed to participate in the study. Subjects who received thrust mobilization/manipulation experienced greater reductions in disability, with a between-group difference of 10% (95% confidence interval [CI]=5.3-14.7), and in pain, with a between-group difference of 2.0 (95% CI=1.4-2.7). Subjects in the thrust mobilization/manipulation group exhibited significantly higher scores on the GROC Scale at the time of follow-up. No differences in the frequencies, durations, and types of side effects existed between the groups.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">DISCUSSION AND CONCLUSION:</span></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">The results suggest that thoracic spine thrust mobilization/manipulation results in significantly greater short-term reductions in pain and disability than does thoracic nonthrust mobilization/manipulation in people with neck pain.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-22640741260858738942019-04-29T07:54:00.000-07:002019-04-29T07:54:06.356-07:00Effect of CSvsTS manipulation on peripheral neural features and grip strength : RCT<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28215058" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Author: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Bautista-Aguirre F</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Oliva-Pascual-Vaca Á</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Heredia-Rizo AM</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Boscá-Gandía JJ</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Ricard</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Rodriguez-Blanco</u></a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28215058" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Eur J Phys Rehabil Med.</u> 2017 Jun;53(3):333-341.</a></div>
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<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Abstract</span></h3>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">BACKGROUND:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Cervical and thoracic spinal manipulative therapy has shown positive impact for relief of pain and improve function in non-speci</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
fic 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 non-thrust techniques.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">AIM:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
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.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">DESIGN:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Randomized, single-blinded, controlled clinical trial.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">SETTING:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Private physiotherapy clinical consultancy.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">POPULATION:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Eighty-eight subjects (32.09±6.05 years; 72.7% females) suffering neck pain (grades I or II) of at least 12 weeks of duration.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Participants were distributed into three groups: 1) cervical group (N.=28); 2) thoracic group (N.=30); and 3) control group (N.=30). One treatment session consisting of applying a high-velocity low-amplitude spinal thrust technique over the lower cervical spine (C7) or the upper thoracic spine (T3) was performed, while the control group received a sham-manual contact. Measurements were taken at baseline and after intervention of the pressure pain threshold over the median, ulnar and radial nerves. Secondary measures included assessing free-pain grip strength with a hydraulic dynamometer.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
No statistically significant differences were observed when comparing between-groups in any of the outcome measures (P>0.05). Those who received thrust techniques, regardless of the manipulated area, reported an immediate increase in mechanosensitivity over the radial (both sides) and left ulnar nerve trunks (P<0.05), and grip strength (P<0.001). For those in the control group, right hand grip strength and pain perception over the radial nerve also improved (P≤0.025).</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Low-cervical and upper-thoracic thrust manipulation is no more effective than placebo to induce immediate changes on mechanosensitivity of upper limb nerve trunks and grip strength in patients with chronic non-specific mechanical neck pain.</span></div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CLINICAL REHABILITATION IMPACT:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">A single treatment session using cervical or thoracic thrust techniques is not enough to achieve clinically relevant changes on neural mechanosensitivity and grip strength in chronic non-specific mechanical neck pain.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-76977700563480560852019-04-29T07:49:00.000-07:002019-04-29T07:49:36.599-07:00Effects of joint mobilization on chronic ankle instability: a randomized controlled trial.<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/24989067" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Author: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Cruz-Díaz D</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Lomas Vega R</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Osuna-Pérez MC</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Hita-Contreras F</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Martínez-Amat A</u>.</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/24989067" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Disabil Rehabil.</u> 2015;37(7):601-10. doi: 10.3109/09638288.2014.935877. Epub 2014 Jul 3.</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<br /></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">PURPOSE:</span></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
To evaluate the effects of joint mobilization, in which movement is applied to the ankle's dorsiflexion range of motion, on dynamic postural control and on the self-reported instability of patients with chronic ankle instability (CAI).</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">METHODS:</span></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
A double-blind, placebo-controlled, randomized trial with repeated measures and a follow-up period. Ninety patients with a history of recurrent ankle sprain, self-reported instability, and a limited dorsiflexion range of motion, were randomly assigned to either the intervention group (Joint Mobilizations, 3 weeks, two sessions per week) the placebo group (Sham Mobilizations, same duration as joint mobilization) or the control group, with a 6 months follow-up. Dorsiflexion Range of Motion (DFROM), Star Excursion Balance Test (SEBT) and CAI Tool (CAIT) were outcome measures. A separate 3 × 4 mixed model analysis of variance was performed to examine the effect of treatment conditions and time, and intention-to-treat (ITT) analysis was applied to evaluate the effect of the independent variable.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">RESULTS:</span></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
The application of joint mobilization resulted in better scores of DFROM, CAIT, and SEBTs in the intervention group when compared with the placebo or the control groups (p < 0.001). The effect sizes of group-by-time interaction, measured with eta-squared, oscillated between 0.954 for DFROM and 0.288 for SEBT posteromedial distance. In within-group analysis, the manipulation group showed an improvement at 6 months follow-up in CAIT [mean = 5.23, CI 95% (4.63-5.84)], DFROM [mean = 6.77, CI 95% (6.45-7.08)], anterior SEBT [mean = 7.35, CI 95% (6.59-8.12)], posteromedial SEBT [mean = 3.32, CI 95% (0.95-5.69)], and posterolateral SEBT [mean = 2.55, CI 95% (2.20-2.89)].</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">CONCLUSION:</span></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Joint mobilization techniques applied to subjects suffering from CAI were able to improve ankle DFROM, postural control, and self-reported instability. These results suggest that joint mobilization could be applied to patients with recurrent ankle sprain to help restore their functional stability. Implications for Rehabilitation Functional instability is a very common sequela in patients with CAI, resulting in reduced quality of living due to the limitations it imposes on daily life activities. The mobilization with movement technique presented by Mulligan, and based on the joint mobilization accompanied by active movement, appears as a valuable tool to be employed by physical therapists to restore ankle function after a recurrent ankle sprain history. ROM restriction, subjective feeling of instability and dynamic postural control are benefiting from the joint mobilization application.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-70328427207181832722019-04-29T02:53:00.000-07:002019-04-29T02:53:31.334-07:00Manipulation does not alter the position of the sacroiliac joint.<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/9615363" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Author: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Tullberg T</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Blomberg S</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Branth B</u>, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Johnsson R</u>. </a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/9615363" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Spine (Phila Pa 1976).</u> 1998 May 15;23(10):1124-8; discussion 1129. </a></div>
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<img class="_1Fjtc _2E02D" src="https://static.wixstatic.com/media/89e225_2a80060d335d40f4ad3c0b9efe78e97d~mv2.png/v1/fit/w_300,h_300,al_c,q_5/file.png" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; filter: blur(8px); font: inherit; margin: 0px; opacity: 0; padding: 0px; position: relative; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px;" /><img class="_1Fjtc _2lDdg" data-pin-media="https://static.wixstatic.com/media/89e225_2a80060d335d40f4ad3c0b9efe78e97d~mv2.png/v1/fit/w_1920,h_1080,al_c,q_80/file.png" data-pin-url="https://www.manualtherapiesonline.com/manual-therapy-blog/manipulation-does-not-alter-the-position-of-the-sacroiliac-joint" src="https://static.wixstatic.com/media/89e225_2a80060d335d40f4ad3c0b9efe78e97d~mv2.png/v1/fill/w_720,h_405,al_c,q_90,usm_0.66_1.00_0.01/89e225_2a80060d335d40f4ad3c0b9efe78e97d~mv2.webp" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; display: block; font: inherit; left: 0px; margin: 0px; opacity: 1; padding: 0px; position: absolute; top: 0px; transition: opacity 0.8s ease 0s; vertical-align: baseline; width: 360px; z-index: 0;" /></div>
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<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">STUDY DESIGN:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
A roentgen stereophotogrammetric analysis study of patients with sacroiliac joint dysfunction.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">OBJECTIVES:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
To investigate whether manipulation can influence the position between the ilium and the sacrum, and whether positional tests for the sacroiliac joint are valid.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">SUMMARY OF BACKGROUND DATA:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Sacroiliac joint dysfunction is a subject of controversy. The validity of different sacroiliac joint tests is unknown. Long-standing therapeutic tr</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
adition is to manipulate supposed dysfunctions of the sacroiliac joint. Many manual therapists claim that their good clinical results are a consequence of a reduction of subluxation.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Ten patients with symptoms and sacroiliac joint tests results indicating unilateral sacroiliac joint dysfunction were recruited. Twelve sacroiliac joint tests were chosen. The results of most of these tests were required to be positive before manipulation and normalized after manipulation. Roentgen stereophotogrammetric analysis was performed with the patient in the standing position, before and after treatment.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
In none of the 10 patients did manipulation alter the position of the sacrum in relation to the ilium, defined by roentgen stereophotogrammetric analysis. Positional test results changed from positive before manipulation to normal after.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">CONCLUSIONS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Manipulation of the sacroiliac joint normalized different types of clinical test results but was not accompanied by altered position of the sacroiliac joint, according to roentgen stereophotogrammetric analysis. Therefore, the positional test results were not valid. However, the current results neither disprove nor prove possible beneficial clinical effects achieved by manipulation of the sacroiliac joint. Because the supposed positive effects are not a result of a reduction of subluxation, further studies of the effects of manipulation should focus on the soft tissue response.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-30043036347237915432019-04-29T02:48:00.001-07:002019-04-29T02:49:41.222-07:00Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific LBP: A Double-Blinded RCT<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://journals.lww.com/spinejournal/Abstract/2013/04010/Spinal_High_Velocity_Low_Amplitude_Manipulation_in.3.aspx" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Author: von Heymann, Wolfgang J., Dr. Med; Schloemer, Patrick, Dipl. Math†; Timm, Juergen, Dr. RER, NAT, PhD†; Muehlbauer, Bernd, Dr. Med</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://journals.lww.com/spinejournal/Abstract/2013/04010/Spinal_High_Velocity_Low_Amplitude_Manipulation_in.3.aspx" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Published in: Spine: April 01, 2013 - Volume 38 - Issue 7 - p 540–548</a></div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://journals.lww.com/spinejournal/Abstract/2013/04010/Spinal_High_Velocity_Low_Amplitude_Manipulation_in.3.aspx" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">doi: 10.1097/BRS.0b013e318275d09c</a></div>
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<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://journals.lww.com/spinejournal/Abstract/2013/04010/Spinal_High_Velocity_Low_Amplitude_Manipulation_in.3.aspx" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">Randomized Trial</a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHhDGunzEUa_EiAoOlJ_n4p0UY8wnsSu8uF06gJNI78MK6UYIeJavPNegDgW-EweF234Lk1cLRh_5tp_IUEzz_pGt5aJ96dYzFJfy1u128ndBjoQ8TH7RRKCq51s_5fZgSwcsOJy7siGQ/s1600/SMT+VS+DICLOFENAC.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHhDGunzEUa_EiAoOlJ_n4p0UY8wnsSu8uF06gJNI78MK6UYIeJavPNegDgW-EweF234Lk1cLRh_5tp_IUEzz_pGt5aJ96dYzFJfy1u128ndBjoQ8TH7RRKCq51s_5fZgSwcsOJy7siGQ/s400/SMT+VS+DICLOFENAC.jpg" width="400" /></a></div>
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<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Study Design. </span>A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Objective. </span>To investigate in acute nonspecific low back pain (LBP) the effectiveness of spinal high-velocity low-amplitude (HVLA) manipulation compared with the nonsteroidal anti-inflammatory drug diclofenac and with placebo.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Summary of Background Data. </span>LBP is an important economical factor in all industrialized countries. Few studies have evaluated the effectiveness of spinal manipulation in comparison to nonsteroidal anti-inflammatory drugs or placebo regarding satisfaction and function of the patient, off-work time, and rescue medication.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Methods. </span>A total of 101 patients with acute LBP (for <48 hr) were recruited from 5 outpatient practices, exclusion criteria were numerous and strict. The subjects were randomized to 3 groups: (1) spinal manipulation and placebo-diclofenac; (2) sham manipulation and diclofenac; (3) sham manipulation and placebo-diclofenac. Outcomes registered by a second and blinded investigator included self-rated physical disability, function (SF-12), off-work time, and rescue medication between baseline and 12 weeks after randomization.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Results. </span>Thirty-seven subjects received spinal manipulation, 38 diclofenac, and 25 no active treatment. The placebo group with a high number of dropouts for unsustainable pain was closed praecox. Comparing the 2 active arms with the placebo group the intervention groups were significantly superior to the control group. Ninety subjects were analyzed in the collective intention to treat. Comparing the 2 intervention groups, the manipulation group was significantly better than the diclofenac group (Mann-Whitney test: <em style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">P</em> = 0.0134). No adverse effects or harm was registered.</div>
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Conclusion. In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.</span></div>
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Manual Therapies Bloghttp://www.blogger.com/profile/05346407097803242257noreply@blogger.com0tag:blogger.com,1999:blog-9154333647609908168.post-70991054179779725152019-04-29T02:43:00.000-07:002019-04-29T02:43:02.642-07:00Effects of Cervical HVLA on ROM, Strength Performance, and Cardiovascular Outcomes: A Review.<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28731832" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_top">Authors: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Galindez-Ibarbengoetxea X</u>1, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Setuain I</u>2,3, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Andersen LL</u>4,5, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Ramírez-Velez R</u>6, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">González-Izal M</u>2, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Jauregi A</u>1,7, <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Izquierdo M</u>2. </a></h3>
<h3 class="_3tkn1 _208Ie blog-post-title-font _2l-2w _2J4pr css-1pq57dj _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: soho-w01-thin-condensed, soho-w02-thin-condensed, serif; font-size: 22px !important; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.5; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<a class="_2qJYG blog-link-hashtag-color y_1_u" href="https://www.ncbi.nlm.nih.gov/pubmed/28731832" rel="noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; color: #38af2d; font: inherit; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_top">Published in: <u style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); border: 0px; box-sizing: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">J Altern Complement Med.</u> 2017 Sep;23(9):667-675. doi: 10.1089/acm.2017.0002. Epub 2017 Jul 21. </a></h3>
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<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">BACKGROUND:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
Cervical high-velocity low-amplitude (HVLA) manipulation technique is among the oldest and most frequently used chiropractic manual therapy, but the physiologic and biomechanics effects were not completely clear.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">OBJECTIVE:</span><br />
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This review aims to describe the effects of cervical HVLA manipulation techniques on range of motion, strength, and cardiovascular performance.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">METHODS/DESIGN:</span><br />
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A systematic search was conducted of the electronic databases from January 2000 to August 2016: PubMed (n = 131), ScienceDirect (n = 101), Scopus (n = 991), PEDro (n = 33), CINAHL (n = 884), and SciELO (n = 5). Two independent reviewers conducted the screening process to determine article eligibility. The intervention that included randomized controlled trials was thrust, or HVLA, manipulative therapy directed to the cervical spine. Methodological quality was assessed using the Cochrane risk-of-bias tool. The initial search rendered 2145 articles. After screening titles and abstracts, 11 articles remained for full-text review.</div>
<span style="background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans" , sans-serif; font-size: 18px; font-stretch: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">RESULTS:</span><br />
<div class="XzvDs _208Ie _3_7DB blog-post-text-font blog-post-text-color _2p1aK _158eo _3_7DB" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); background-color: white; border: 0px; box-sizing: inherit; color: #221b23; font-family: "open sans", sans-serif; font-size: 18px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.5; padding: 0px; vertical-align: baseline; white-space: pre-wrap;">
<span style="border: 0px; box-sizing: inherit; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">The review shows that cervical HVLA manipulation treatment results in a large effect size (d > 0.80) on increasing cervical range of motion and mouth opening. In patients with lateral epicondylalgia, cervical HVLA manipulation resulted in increased pain-free handgrip strength, with large effect sizes (1.44 and 0.78, respectively). Finally, in subjects with hypertension the blood pressure seemed to decrease after cervical HVLA manipulation. Higher quality studies are needed to develop a stronger evidence-based foundation for HVLA manipulation techniques as a treatment for cervical conditions.</span></div>
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