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Examining Static Posture

This is thought provoking for the “back to basics” approach. The article discusses the relationship between static coronal plane mal-alignment and L-S and hip pathology. Enjoy the read! Association of mild leg length discrepancy and degenerative changes in the hip joint and lumbar spine Murray, K et al, 2017 Abstract: Objective To evaluate the relationship between mild […]

Examination of the pelvic-hip region

This article discusses the evidence based examination of the pelvic-hip stabilisers. The role of clinical examination and investigations are discussed. Grimaldi’s paper complements previous articles on the “Kinematic Chain” concept of Butler (2003) Wainner’s “Regional Interdependance” (2007).  Enjoy the read! Assessing lateral stability of the hip and pelvis   Grimaldi, A, 2010 Abstract: Proper function of the […]

Spinal Manipulation-Biomech-Physiology link

This review found that spinal manipulation changed biomechanics and physiology. This article offers a potential model upon which to develop hypotheses for the effects of manipulation and clinical reasoning.  Enjoy the read! Neurophysiological effects of spinal manipulation Pickar, J, 2002 Abstract: Despite clinical evidence for the benefits of spinal manipulation there is relatively limited evidence for the […]

CNS activity changes in similar tasks

Grip style appeared to change CNS activity in this study. So, when interpreting this, we know CNS controls movement and that changes in CNS are associated with movement disorders. But my interpretation is that this really highlights that specific movements are associated with specific areas of the CNS. Hence as clinicians we may see loss of […]

Emotion and Neural Response on MRI

Emotion appeared to change CNS activity in this study. As clinicians we frequently see changes in pain syndromes and movements patterns. We also know that movement is controlled by CNS activity. This study may help use reason why emotion may change the movements we see in clinic. Furthermore, of possible clinical importance is that the negative […]

Manual Therapy and MRI Changes

Manual therapy techniques appeared to change CNS activity in this study. PA pressures generated different changes compared to placebo pressures. It might therefore be interesting to see if complementary studies establish if these CNS changes are linked to clinical changes in the patient or if different techniques generate different CNS activity. Enjoy the read! Neural response of […]

Spinal Manipulation and Pain

Spinal Manipulation appeared to reduce pain on palpation in this study. In common with previous studies it concludes that manipulation produces reduced pain levels in the short term. Further complementary studies would help establish if these clinical improvements were maintained in the long term. Enjoy the read! Immediate Effects on Pressure Pain Threshold Following a Single Cervical  […]

Traditional Chinese Manipulation

These techniques are not commonly used in the west. But they are similar to many manual therapy techniques. The study investigated their effect on pain felt in the abdomen. In common with previous studies it concludes that manipulation is more effective than medications. Whilst this data is specific to this subgroup of the general population […]

Manipulation Risks

This paper reviews the risks of manipulation. Primary risks are the familiar ones; stroke and vertebral artery. When you consider that 1:100 patients develop significant side effects from NSAIDs this study demonstrated that risk from manipulation is low – 1:20,000 to 1:250,000,000. So, subgroup, screen and applied effectively the evidence supports it as a suitable treatment […]

Tips for learning to manipulate

This study investigated how using feedback improved the techniques of the students when learning to manipulate. Reassuringly it demonstrates that students were able to generate repeatable force levels when manipulating. Whilst the article does not expand on this further, this suggests improved technique efficacy and medical safety for the patients being manipulated. Practice makes perfect […]