Examination of a Clinical Prediction Rule to Identify Patients With Neck Pain Likely to Benefit From Thoracic Spine Thrust Manipulation and a General Cervical Range of Motion Exercise: Multi-Center Randomized Clinical Trial
A clinical prediction rule (CPR) purported to identify patients with neck pain who are likely to respond to thoracic spine thrust manipulation has recently been developed, but has yet to be validated. The purpose of this study was to examine the validity of this CPR. One hundred forty patients with a primary report of neck [...]
Manipulative therapy in addition to usual medical care accelerates recovery of shoulder complaints at higher costs: economic outcomes of a randomized trial
Shoulder complaints are common in primary care and have an unfavourable long term prognosis. The objective was to evaluate the clinical effectiveness of manipulative therapy of the cervicothoracic spine and the adjacent ribs in addition to usual medical care (UMC) by the general practitioner in the treatment of shoulder complaints. This economic evaluation was conducted [...]
The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain – A randomized controlled trial
The aim of our study was to assess the effectiveness of thoracic manipulation (TM) on patients with chronic neck pain. 120 patients aged between 18 and 55 were randomly allocated into two groups: an experimental group which received TM and a control group without the manipulative procedure. Both groups received infrared radiation therapy (IRR) and [...]
Manipulative therapy in addition to usual care for patients with shoulder complaints: results of physical examination outcomes in a randomized controlled trial.
The purpose of this study was to examine the effect of manipulative therapy on the shoulder girdle, in addition to usual care provided by the general practitioner, on the outcomes of physical examination tests for the treatment of shoulder complaints. This was a randomized controlled trial in a primary care setting in the Netherlands. A [...]
The relationship of the audible pop to hypoalgesia associated with high-velocity, low-amplitude thrust manipulation: a secondary analysis of an experimental study in pain-free participants.
High-velocity, low-amplitude (HVLA) manipulation is an effective treatment of low back pain (LBP); however, the corresponding mechanisms are undetermined. Hypoalgesia is associated with HVLA manipulation and suggests specific mechanisms of action. An audible pop (AP) is also associated with HVLA manipulation; however, the influence of the AP on the hypoalgesia associated with HVLA manipulation is [...]
The temporal effects of a single session of high-velocity, low-amplitude thrust manipulation on subjects with spinal pain
The purpose of this review is to summarize the literature on the temporal neurophysiological effects of a single HVLAT in patients with spinal pain. A systematic search of English articles was conducted. Of the 478 articles identified, five articles ultimately met inclusion criteria into this review. These studies were of moderate to high quality. In [...]
Manipulation or mobilisation for neck pain.
The objective of this review was to assess if manipulation or mobilisation improves pain, function/disability, patient satisfaction, quality of life, and global perceived effect in adults with acute/subacute/chronic neck pain with or without cervicogenic headache or radicular findings. 7 trials (1522 participants) were included. Cervical Manipulation for subacute/chronic neck pain : Moderate quality evidence suggested [...]
Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: a randomized trial with one-year follow-up.
The objective of this study was to compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. 210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 years underwent back school and individual physiotherapy scheduled 15 1-hour-sessions for 3 weeks. Back school included: group exercise, [...]
Why do spinal manipulation techniques take the form they do? Towards a general model of spinal manipulation
For centuries, techniques used to manipulate joints in the spine have been passed down from one generation of manipulators to the next. Today, spinal manipulation is in the curious position that positive clinical effects have now been demonstrated, yet the theoretical base underpinning every aspect of its use is still underdeveloped. An important question is [...]
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