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The effect of spinal manipulation on deep experimental muscle pain in healthy volunteers

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5 October 2015

The effect of spinal manipulation on deep experimental muscle pain in healthy volunteers

High-velocity low-amplitude (HVLA) spinal manipulation is commonly used in the treatment of spinal pain syndromes. The mechanisms by which HVLA-manipulation might reduce spinal pain are not well understood, but often assumed to relate to the reduction of biomechanical dysfunction. It is also possible however, that HVLA-manipulation involves a segmental or generalized inhibitory effect on nociception, irrespective of biomechanical function. In the current study it was investigated whether a local analgesic effect of HVLA-manipulation on deep muscle pain could be detected, in healthy individuals … MORE

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Safety of thrust joint manipulation in the thoracic spine: a systematic review

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5 October 2015

Safety of thrust joint manipulation in the thoracic spine: a systematic review

There appears to be very little in the research literature on the safety of thrust joint manipulation (TJM) when applied to the thoracic spine. The purpose of this study was to retrospectively analyze all available documented case reports in the literature describing patients who had experienced severe adverse events after receiving TJM to their thoracic spine … ABSTRACT

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Do Participants With Low Back Pain Who Respond to Spinal Manipulative Therapy Differ Biomechanically From Nonresponders, Untreated Controls or Asymptomatic Controls?

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11 September 2015

Do Participants With Low Back Pain Who Respond to Spinal Manipulative Therapy Differ Biomechanically From Nonresponders, Untreated Controls or Asymptomatic Controls?

The objective of this study was to determine whether patients with low back pain (LBP) who respond to spinal manipulative therapy (SMT) differ biomechanically from nonresponders, untreated controls or asymptomatic controls … MORE

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Variations of high frequency parameter of heart rate variability following osteopathic manipulative treatment in healthy subjects compared to control group and sham therapy: randomized controlled trial

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11 September 2015

Variations of high frequency parameter of heart rate variability following osteopathic manipulative treatment in healthy subjects compared to control group and sham therapy: randomized controlled trial

Heart Rate Variability (HRV) indicates how heart rate changes in response to inner and external stimuli. HRV is linked to health status and it is an indirect marker of the autonomic nervous system (ANS) function. The objective of this study was to investigate the influence of osteopathic manipulative treatment (OMT) on cardiac autonomic modulation in healthy subjects, compared with sham therapy and control group … ABSTRACT

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Effects of pressure applied during standardized spinal mobilizations on peripheral skin blood flow: A randomized cross-over study

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7 September 2015

Effects of pressure applied during standardized spinal mobilizations on peripheral skin blood flow: A randomized cross-over study

This study is the first to describe bilateral peripheral skin blood flow changes occurring during and 5 min after application of standardized spinal mobilizations. The main findings were (1) an equal and significant bilateral vasodilation occurring during unilateral application of sham, low-pressure, and high-pressure spinal mobilizations and (2) the bilateral post-mobilization significant vasodilation persisted only after high-pressure spinal mobilizations … ABSTRACT

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The immediate effect of atlanto-axial high velocity thrust techniques on blood flow in the vertebral artery: A randomized controlled trial

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7 September 2015

The immediate effect of atlanto-axial high velocity thrust techniques on blood flow in the vertebral artery: A randomized controlled trial

High velocity thrust (HVT) cervical techniques have been associated with serious vertebral artery (VA) trauma. Despite numerous studies, the nature of this association is uncertain. Previous studies have failed to demonstrate haemodynamic effects on the VA in simulated pre-thrust positions. No study has investigated haemodynamic affects during or immediately following HVT, nor sufficiently controlled for the influence of the thrust. The objectives of this study were to investigate the immediate effects of HVT of the atlanto-axial joint upon haemodynamics in the sub-occipital portion of the vertebral artery (VA3) … ABSTRACT

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Head-Trunk Kinematics During High-Velocity–Low-Amplitude Manipulation of the Cervical Spine in Asymptomatic Subjects: Helical Axis Computation and Anatomic Motion Modeling

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24 August 2015

Head-Trunk Kinematics During High-Velocity–Low-Amplitude Manipulation of the Cervical Spine in Asymptomatic Subjects: Helical Axis Computation and Anatomic Motion Modeling

This study aimed to analyze the in vivo 3-dimensional kinematics of the head during cervical manipulation including helical axis (HA) computation and anatomic motion representation … ABSTRACT

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The simulated early learning of cervical spine manipulation technique utilising mannequins

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24 August 2015

The simulated early learning of cervical spine manipulation technique utilising mannequins

Trivial pain or minor soreness commonly follows neck manipulation and has been estimated at one in three treatments. In addition, rare catastrophic events can occur. Some of these incidents have been ascribed to poor technique where the neck is rotated too far. The aims of this study were to design an instrument to measure competency of neck manipulation in beginning students when using a simulation mannequin, and then examine the suitability of using a simulation mannequin to teach the early psychomotor skills for neck chiropractic manipulative therapy … MORE

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Conditioned Placebo Analgesia Persists When Subjects Know They Are Receiving a Placebo

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24 August 2015

Conditioned Placebo Analgesia Persists When Subjects Know They Are Receiving a Placebo

This article demonstrates a form of placebo analgesia that relies on prior conditioning rather than current expected pain relief. This highlights the importance of prior experience on pain relief and offers insight into the variability of placebo effects across individuals … MORE

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Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations

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24 August 2015

Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations

A key osteopathic tenet involves the body’s ability to self-heal. Osteopathic manipulative treatment (OMT) has been evolved to improve this healing capacity. The authors’ in vitro work has focused on modeling 2 common OMT modalities: myofascial release (MFR) and counterstrain. Their studies have evaluated the effects of these modalities on wound healing, cytokine secretion, and muscle repair. The key components of the host response to mechanical forces are fibroblasts, which are the main fascial cells that respond to different types of strain by secreting anti-inflammatory chemicals and growth factors, thus improving wound healing and muscle repair processes. The purpose of this review is to discuss the cellular and molecular mechanisms by which MFR and other OMT modalities work, in particular, the role of strained fibroblasts in inflammation, wound healing, and muscle repair and regeneration … MORE

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