Abstract:
STUDY DESIGN:Systematic review. OBJECTIVE:To summarize the evidence of neurophysiological effects of spinal manipulative therapy (SMT) with a high velocity low amplitude thrust (HVLA-SMT) in asymptomatic and symptomatic humans. SUMMARY OF BACKGROUND DATA:HVLA-SMT is effective in reducing back pain, but its mode of action is not fully understood. METHODS:A systematic literature search (until July 2018) was conducted by a professional librarian in seven databases (Medline (OvidSP), Premedline (PubMed), EMBASE, Cochrane, CINAHL, PEDro, and Scopus). Two authors selected the studies according to the a priori described criteria and scored study quality. Only controlled studies of at least moderate quality were included. Effects of HVLA-SMT on a particular outcome measure were defined as more than one study showing a significantly greater effect of HVLA-SMT compared with the control intervention. RESULTS:From the 18 studies included (932 participants in total), there was evidence only for an association between HVLA-SMT and changes in the autonomic nervous system, reflected in changes in heart rate variability and skin conductance. Most studies focused on healthy volunteers and none related neurophysiologic changes to pain reduction. CONCLUSION:This systematic review points to HVLA-SMT affecting the autonomic nervous system. The effects seem to depend on the spinal level of HVLA-SMT application and might differ between healthy volunteers and pain patients. There is a need for high-quality studies that include patients, well characterized for pain duration and outcome measure baseline values, and address the relation between changes in neurophysiology and pain. LEVEL OF EVIDENCE:2.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Wirth B,Gassner A,de Bruin ED,Axén I,Swanenburg J,Humphreys BK,Schweinhardt Pdoi
10.1097/BRS.0000000000003013subject
Has Abstractpub_date
2019-08-01 00:00:00pages
E914-E926issue
15eissn
0362-2436issn
1528-1159pii
00007632-201908010-00015journal_volume
44pub_type
杂志文章,meta分析相关文献
SPINE文献大全abstract:STUDY DESIGN:In vitro accuracy assessment of a novel virtual fluoroscopy system. OBJECTIVES:To investigate a new technology combining image-guided surgery with C-arm fluoroscopy. SUMMARY OF BACKGROUND DATA:Fluoroscopy is a useful and familiar technology to all musculoskeletal surgeons. Its limitations include radiati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200102150-00009
更新日期:2001-02-15 00:00:00
abstract:STUDY DESIGN:Prospective registry of spine surgery. OBJECTIVE:To identify variation in utilization, processes of care, and outcomes in spine surgery to improve statewide quality and safety. SUMMARY OF BACKGROUND DATA:Variability in the utilization and outcomes of elective spine surgery across different regions in the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000750
更新日期:2015-03-01 00:00:00
abstract:STUDY DESIGN:Of 28 patients with dystrophic spinal deformity resulting from neurofibromatosis who were treated surgically since 1968, 25 were studied regarding the outcome of spinal deformity at a mean follow-up of 9.7 years after surgery (mean age at follow-up, 21.5 years). OBJECTIVES:This study sought factors that c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199405310-00013
更新日期:1994-06-01 00:00:00
abstract:STUDY DESIGN:Case-control study. OBJECTIVE:To identify laboratory markers for surgical site infection (SSI) in posterior lumbar decompression surgery, which are not affected by operative factors, and to determine the diagnostic cutoffs of these markers. SUMMARY OF BACKGROUND DATA:Numerous laboratory markers are used ...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000002617
更新日期:2018-09-15 00:00:00
abstract::Four cases of patients with normal magnetic resonance (MR) studies of the lumbar spine and abnormal discography are presented to illustrate that normal lumbar disc signal intensity does not necessarily rule out disc degeneration. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198912000-00014
更新日期:1989-12-01 00:00:00
abstract:STUDY DESIGN:The sensitivity of plain radiographs for diagnosing traumatic atlanto-occipital dislocation and its association with craniocervical junction subarachnoid hemorrhage was examined in a retrospective review of seven patients. OBJECTIVE:The purpose of this study was to demonstrate the frequency of nondiagnost...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199608010-00009
更新日期:1996-08-01 00:00:00
abstract::Between July 1983 and November 1986, 29 patients with thoracolumbar burst fractures underwent a one-stage operation consisting of anterior decompression by subtotal vertebrectomy, reduction, and stabilization with the Slot-Zielke device. The mean follow-up was 3.1 years. Most patients with incomplete neurologic lesion...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199101000-00013
更新日期:1991-01-01 00:00:00
abstract:STUDY DESIGN:Repeated cross-sectional analysis using national Medicare data from the Dartmouth Atlas Project. OBJECTIVE:To describe recent trends and geographic variation in population-based rates of lumbar fusion spine surgery. SUMMARY OF BACKGROUND DATA:Lumbar fusion rates have increased dramatically during the 198...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000248132.15231.fe
更新日期:2006-11-01 00:00:00
abstract:STUDY DESIGN:Three experimental groups and one control group of chickens underwent different surgical procedures to determine the effects of pineal gland transplantation on the development of scoliosis. OBJECTIVE:To determine whether transplantation of the pineal gland to the body wall musculature maintains serum mela...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200105010-00007
更新日期:2001-05-01 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d45f
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To define the geographic variation in costs of anterior cervical discectomy and fusion (ACDF) and posterolateral fusion (PLF). SUMMARY OF BACKGROUND DATA:ACDF and lumbar PLF are common procedures that are used in the treatment of spinal pathologies. To optimize value, both...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001022
更新日期:2015-09-01 00:00:00
abstract:STUDY DESIGN:The effect of degenerative spondylolisthesis on functional performance and self reported quality of life in patients with lumbar spinal stenosis was compared to patients with lumbar spinal stenosis and no degenerative spondylolisthesis. OBJECTIVE:To define the relationship degenerative spondylolisthesis s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b4836e
更新日期:2009-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective observational cohort study. OBJECTIVE:To determine change in pelvic incidence (PI) and loss of correction after long fusion with iliac screws, the effect of iliac screw loosening, and global alignment according to postoperative PI. SUMMARY OF BACKGROUND DATA:Posterior long fixation and fusi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002775
更新日期:2019-02-01 00:00:00
abstract:STUDY DESIGN:This case report shows primary natural killer (NK)/T-cell lymphoma originating in the spine as the first case of successful treatment with autologous stem cell transplantation, along with case presentation and literature review. OBJECTIVE:For the proper treatment of this spinal tumor, the pathologic confi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182407b0b
更新日期:2012-05-01 00:00:00
abstract:STUDY DESIGN:In vitro biotribological investigation. OBJECTIVE:To evaluate the wear resistance and long-term biodurability of NUBAC, a PEEK-on-PEEK articulating nucleus replacement device, using a series of wear tests with different motion profiles, test frequencies, and environmental conditions. SUMMARY OF BACKGROUN...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d59e45
更新日期:2010-07-15 00:00:00
abstract:STUDY DESIGN:An in vivo study to measure rat spinal cord blood flow in real-time at the site of compression using a newly developed device. OBJECTIVES:To evaluate the change in thoracic spinal cord blood flow by compression force and to clarify the association between blood flow recovery and motor deficiency after a s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181316310
更新日期:2007-08-15 00:00:00
abstract:STUDY DESIGN:We conducted a retrospective, case control study on patients undergoing surgery for spinal tumors. OBJECTIVE.: Our aim was to determine the incidence and to identify risk factors for surgical site infections (SSIs) in patients undergoing surgery for spinal tumors. SUMMARY OF BACKGROUND DATA:SSIs after spi...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181f48fa9
更新日期:2011-08-01 00:00:00
abstract:STUDY DESIGN:Biomechanical spine model. Comparison of stress in the implant and the adjacent cranial segment was done with conventional rigid versus dynamic stabilization system (DS) fixation. OBJECTIVE:The aim of this study was to study stress at the proximal end of spinal fixation with a novel DS. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003862
更新日期:2020-12-08 00:00:00
abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008150-00013
更新日期:2000-08-15 00:00:00
abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To determine, in pediatric patients with neuromuscular deformity undergoing vertebral column resection (VCR), the (1) characteristics of the surgery performed; (2) amount of pelvic obliquity restoration, and coronal and sagittal correction achieved; (3) associated blood l...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318244460d
更新日期:2012-05-15 00:00:00
abstract:STUDY DESIGN:This study compared isokinetic and non-dynamometric tests for their correlation with subjective low back pain symptoms. METHODS:A total of 185 patients with chronic low back pain were examined. RESULTS:The repetitive arch-up and sit-up tests correlated significantly with pain and disability (Million inde...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409000-00017
更新日期:1994-09-01 00:00:00
abstract:STUDY DESIGN:A cadaveric study OBJECTIVE.: The aim of this study was to analyze the in situ macro- and microscopic configuration of the type II cyst and its anatomic relationship with surrounding structures. SUMMARY OF BACKGROUND DATA:The lack of consensus of surgical strategy to manage symptomatic type II meningeal c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001587
更新日期:2016-10-15 00:00:00
abstract:STUDY DESIGN:The biomechanical, histopathologic, and histomorphometric characteristics of cervical disc replacement were assessed in a caprine animal model. OBJECTIVE:To investigate the biomechanical, porous ingrowth, and histopathologic characteristics of the Porous Coated Motion (PCM) Cervical Disc replacement (Cerv...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000224537.79234.21
更新日期:2006-07-01 00:00:00
abstract:STUDY DESIGN:Comparative 3-dimensional biomechanical testing. OBJECTIVE:To compare 5 fixation techniques, 3 using screws or screw and plates and 2 spinal, used for stabilization of complete unilateral sacroiliac dislocation in composite models. SUMMARY OF BACKGROUND DATA:Harrington compression rods have been used for...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000247951.10364.c2
更新日期:2006-12-01 00:00:00
abstract::This paper describes the clinical sign of anterior tenderness of the lumbar spine in patients with low-back pain, the method of examination recommended, and the possible significance of such tenderness. The precise mechanism of this tenderness is not clear because of a lack of knowledge of the neuroanatomy of the ante...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract::Mobility of hips and lumbar spine were measured in 301 men and 175 women who were in employment but suffered from chronic or recurrent low-back pain. The degree of low-back pain (LBP) was assessed with a questionnaire. Hip flexion, extension, internal rotation, and hamstring flexibility in the men, and hip flexion and...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey of occupational recovery after surgery with patients who had ossification of the posterior longitudinal ligament. OBJECTIVES:To evaluate occupational recovery after open-door type laminoplasty for patients with ossification of the posterior longitudinal ligament. SUMMARY OF BACKG...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000083206.24176.C8
更新日期:2003-08-15 00:00:00
abstract::Harrington rod treatment for spinal trauma has become the gold standard against which other treatment modalities are judged. A review of the results of Harrington rod treatment is essential to establish a baseline level of efficiency in terms of rehabilitation time, correction of deformity, canal decompression, motion...
journal_title:Spine
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-15 00:00:00
abstract:STUDY DESIGN:Antimicrobial effect of a novel silver-impregnated pedicle screw in rabbits. OBJECTIVE:A novel spine implant model was designed to study the antimicrobial effect of a modified Titanium (Ti) pedicle screws with methicillin-resistant Staphylococcus aureus (MRSA) in multiple surgical sites in the lumbar spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001223
更新日期:2016-03-01 00:00:00
abstract::Biopsy or subtotal resection followed by radiation for intramedullary astrocytomas of the spinal cord offer palliation but not cure. A treatment modality using an ultrasonic suction device has revolutionized the treatment of these tumors and has been extended to include the treatment of intramedullary tumors involving...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198710000-00006
更新日期:1987-10-01 00:00:00