Category: Uncategorized

Spinal Manipulation

The course for June in Carlisle is now full, we’ve added a new date in September. See the Spinal Manipulation course page for details.

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 […]

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 […]

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 […]

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 […]

Risk Factors for Hip OA: Obesity, Hip Injury, and Physical Activity

This article investigates the predisposing factors for hip OA. It found that one factor is previous sports injury. This forms the link between sport in younger life and OA changes later. The clinical inference could be that more optimal treatment of sports injuries may reduce the cost and morbidity of hip OA in later life. […]

Hip Abductor Weakness in Distance Runners with ITB Syndrome

This article compliments Dierks study. It develops kinetic chian theory helps clinicians understand the relationship between pain site and pain source. It highlights the role of the hip in ITB syndrome. An emergent theme shows that hip dysfunction is a consistant patterns in the ITB poulation. Hip Abductor Weakness in Distance Runners with Iliotibial Band Syndrome Fredericson, Michael et al, […]