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 [...]
What is ‘manipulation’? A reappraisal
Due primarily to its colloquial function, ‘manipulation’ is a poor term for distinguishing one healthcare intervention from another. With reports continuing to associate serious adverse events with manipulation, particularly relating to its use in the cervical spine, it is essential that the term be used appropriately and in accordance with a valid definition. The purpose [...]
A randomised, placebo-controlled, clinical trial for the short-term effectiveness of manipulative therapy and acupuncture on pain caused by mechanical thoracic spine dysfunction.
This study was a randomised, assessor-blinded, placebo-controlled trial was used to compare the short-term effectiveness of manipulative therapy and acupuncture on the pain caused by mechanical thoracic spine dysfunction and on the pressure pain threshold. The research sample consisted of 114 female patients aged 20-60 years. The primary complaint of these subjects had been pain [...]
Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial.
The purpose of this study was to compare the efficacy of two doses of SMT and two doses of light massage (LM) for CGH. Eighty patients with chronic CGH were randomized to either 8 or 16 treatment sessions with either SMT or a minimal LM control. Patients were treated once or twice per week for [...]
Manipulation or mobilisation for neck pain.
The objective of this study 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. 27 trials (1522 participants) were included. Cervical Manipulation for subacute/chronic neck pain : Moderate quality evidence suggested [...]
Effect of spinal manipulative therapy with stretching compared with stretching alone on full-swing performance of golf players: a randomized pilot trial
This study evaluates the effect of SMT by chiropractors on the performance of golf players. 43 participants were randomized to 1 of 2 groups: Group I received a stretch program, and group II received a stretch program in addition to SMT. Participants in both groups performed the same standardized stretching program. Spinal manipulative therapy to [...]
Which subgroups of patients with non-specific neck pain are more likely to benefit from spinal manipulation therapy, physiotherapy, or usual care?
The objective of this study is to identify subgroups of patients with non-specific neck pain who are more likely to benefit from either physiotherapy, spinal manipulation therapy, or usual care, on the short- and long-term. Data of three recently finished randomised controlled trials, with similar design and setting, were combined. The combined study population consisted [...]
Cyriax Physiotherapy Versus Phonophoresis with Supervised Exercise in Subjects with Lateral Epicondylalgia: A Randomized Clinical Trial
AMIT V. NAGRALE, CHRISTOPHER R. HERD, SHYAM GANVIR, GOPICHAND RAMTEKE, The purpose of this RCT was to compare the effectiveness of deep transverse friction massage with Mill's manipulation versus phonophoresis with supervised exercise in managing lateral epicondylalgia. Sixty patients age 30-60, presenting with the teno- periosteal variety of lateral epicondylalgia with symptom duration received either [...]
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