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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 […]

CNS changes with Spinal Manipulation

This investigates the effects of Spinal Manipulation on blood biochemistry and neurophysiology. PET scan demonstrated changes in CNS activity including physiological relaxation and reduced sympathetic nervous activity. This is a desirable effect in certain sub-groups of our patients. See what you think! Glucose changes after Spinal Manipulation I Inami et al, 2016 Abstract: Objective To investigate changes […]

Manipulation Optimal Dosage

This addresses the question “How many treatments do I need.” My interpretation is that manipulation improved pain and health status. However, it reinforces my personal opinion that prolonged treatment yields little improvement and hence is often not indicated. See what you think! Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a […]

Cervical Manipulation and Exercises

So; this article compliments the one we looked at last week. This reinforces manipulation’s importance in the treatment of spinal symptoms, and the concept that in a multifactorial presentation a multidimensional approach to treatment still has to be considered. Yes manipulate, but don’t forget the rehab! A very clinically applicable read. A Randomized Clinical Trial of […]

Manipulation Acupuncture Meds

So; Spinal Manipulation is better a treating spinal dysfunction when compared to acupuncture and medications. My interpretation is that this reinforces manipulation’s importance in the treatment of spinal symptoms, but that in a multifactorial presentation a multidimensional approach to treatment still has to be considered. A very clinically applicable read. Chronic Spinal Pain: A Randomized Clinical […]

Clinical Prediction Models

This article highlights the clinical findings that suggest spinal manipulation will improve a patient. It’s a good read and reinforces the idea that the individual examination of patients and their subsequent subgrouping improves clinical outcomes. Well worth a read. A Clinical Prediction Rule for Classifying Patients with Low Back Pain Who Demonstrate Short-Term Improvement With Spinal Manipulation […]

K Taping

We are running a K taping course before Christmas. So with that in mind we’ve been updating our databases. This is a research article for clinicians. It discusses the potential effects of taping, and demonstrates that it improved ROM at the shoulder but not pain or strength. The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized, […]

Spinal Manipulation

This is a review article for clinicians. It discusses the potential effects of spinal manipulation. A very good clinical read. The biomechanics of spinal manipulation W, Herzog, 2010 Abstract: The Biomechanical forces used during high speed manipulations and their physiological responses are described. The forces varied greatly and produced distal responses to proximal manipulation. Cavitation was […]