Abstract：
:Spinal manipulative therapy (SMT) acts on the various components of the vertebral motion segment. SMT distracts the facet joints, with faster separation when a cracking sound is heard. Intradiscal pressure may decrease briefly. Forceful stretching of the paraspinal muscles occurs, which induces relaxation via mechanisms that remain to be fully elucidated. Finally, SMT probably has an inherent analgesic effect independent from effects on the spinal lesion. These changes induced by SMT are beneficial in the treatment of spinal pain but short-lived. To explain a long-term therapeutic effect, one must postulate a reflex mechanism, for instance the disruption of a pain-spasm-pain cycle or improvement of a specific manipulation-sensitive lesion, whose existence has not been established to date.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Maigne JY,Vautravers Pdoi
10.1016/s1297-319x(03)00074-5subject
Has Abstractpub_date
2003-09-01 00:00:00pages
336-41issue
5eissn
1297-319Xissn
1778-7254pii
S1297319X03000745journal_volume
70pub_type
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