Abstract：
OBJECTIVE:This study evaluated the effects of spinal manipulation on spatiotemporal flexion-relaxation phenomenon parameters in individuals with chronic low back pain. METHODS:Twenty-seven adults with chronic low back pain participated in this study and first performed a block of 5 complete trunk flexion-extensions. The experimental group (n = 13) was then submitted to lumbar spine manipulation, whereas the control group (n = 14) was placed in a side-lying control position for 10 seconds. All study participants performed thereafter a second block of 5 trunk flexion-extensions. Trunk and pelvis angles and surface EMG of erector spinae at L2 and L5 were recorded during the flexion-extension tasks. Flexion angles corresponding to the onset and cessation of myoelectric silence, normalized EMG, and the extension-relaxation ratio were compared across experimental conditions. RESULTS:A significant reduction of EMG activity at full trunk flexion at the L2 erector spinae level was observed in the experimental group compared to the control group. No significant effect was seen at L5 in both groups. The experimental group presented a significantly increased postmanipulation FRR at L2, whereas the control group ratio did not vary after the "side-lying control position." No significant difference was seen at L5 in both groups. Flexion-relaxation phenomenon onset and cessation angle did not differ across groups or conditions. CONCLUSIONS:This study shows that lumbar spine manipulation can, at least for a brief period, modulate stabilizing neuromuscular responses of the lumbar spine in a group of patients with low back pain.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Lalanne K,Lafond D,Descarreaux Mdoi
10.1016/j.jmpt.2009.02.010subject
Has Abstractpub_date
2009-03-01 00:00:00pages
203-9issue
3eissn
0161-4754issn
1532-6586pii
S0161-4754(09)00056-6journal_volume
32pub_type
杂志文章abstract：OBJECTIVE:Sitting has been identified as a cause of mechanical low back pain. The purpose of this study was to use plain film x-rays to measure lumbar spine and pelvic posture differences between standing and sitting. METHODS:Eight male subjects were radiographed standing and sitting in an automobile seat. Measures of...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2009.11.008
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:Postural assessment through photography is a simple method that allows the acquisition of quantitative values to define the alignment of body segments. The purpose of this study was to quantitatively assess the postural alignment of several body segments in standing through anterior, posterior, and lateral vi...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2011.05.018
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:To determine the characteristics of Australian adults who seek care for low back pain (LBP), including the type of care they choose and any factors associated with making those choices. DESIGN:A population-based mailed survey. SUBJECTS:An age, gender, and state stratified random sample of 2768 Australian ad...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2004.04.006
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to investigate whether grade III passive lumbar rotational mobilization on L2-3 can improve hip flexor strength and performance in the single-leg triple-hop test in asymptomatic young adults. METHODS:Twenty-four participants (12 men, 12 women) aged from 19 to 26 years who were p...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmpt.2017.07.003
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the quality of research reports published in the chiropractic literature. Data Sources Original research articles, defined as those reporting studies that included primary data collection, published in the 13 Chiropractic Research Journal Editors Council member journals from January 1999 through F...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2004.02.001
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to measure the relative movements of vertebrae during manipulative thrusts to unembalmed post-rigor mortis human cadavers. SETTING:The investigation was conducted in the gross anatomy laboratory at the University of Calgary. SUBJECTS:Two 77-yr-old, unembalmed, post-rigor mortis...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to compare pericranial tenderness of females with episodic cervical headache vs matched asymptomatic controls. METHODS:Through a single-blind, cross-sectional study, pericranial tenderness was compared between 20 females with episodic cervical headaches (29.4 ± 13.2 years) and ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2017.11.005
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:The aims of this study were to determine (a) if the patients improved while under chiropractic care; (b) how many treatments were needed to reach improvement; and (c) which factors were associated with early improvement. DESIGN:Cohort, nonrandomized retrospective study. SETTING:Private chiropractic practice...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to compare the effectiveness of cryotherapy with mobilization (CM) vs cryotherapy with mobilization reinforced with home stretching exercises (CMS) on pain and disability. METHOD:A randomized clinical trial with 2-arm parallel design, concealed allocation, assessor blinding, an...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2018.11.030
更新日期：2020-01-01 00:00:00
abstract：:This article presents a critique of the concept of marginal role as applied to chiropractors by examining the area of structural role theory from which the concept has been drawn. It suggests that the concept role was itself a reified concept and that its "metaphorical extension" to cover chiropractors constitutes a d...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Measurement of cervical motion (CM) is probably the most commonly applied functional outcome measure in assessing the status of patients with cervical pathology. In general terms, CM refers to motion of the head relative to the trunk as well as conjunct motions within the cervical spine. SPECIAL FEATURES:Mu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/j.jmpt.2008.08.004
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:A radiographic study was undertaken to describe the relationship between the magnitude of coupled lumbar motion in lateral bending and the presence of low back pain: correlation between pain and motion, relationship between motion category and motion and symmetry of lumbar motion. DESIGN:Survey. SETTING:Chi...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：BACKGROUND:Force-displacement properties of spinal tissues assessed by blunt indentation are thought to have clinical relevance; however, numerous variables with respect to spinal indentation have yet to be identified or characterized completely. OBJECTIVE:To identify and quantify, where possible, previously unidentif...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 临床试验,杂志文章
doi：10.1067/mmt.2001.112566
更新日期：2001-02-01 00:00:00
abstract：OBJECTIVE:To investigate whether a more sophisticated and detailed analysis of both simple and complex tasks may yield more information regarding the short-term influence of an adjustment on spine biomechanics. METHODS:The study used a single-subject, before-after design. Three-dimensional spine kinematics and trunk m...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70017-5
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:To describe the clinical management with spinal manipulation of a male patient with risk factors for lumbar disk herniation initially suffering from what appeared to be mechanical low back pain that evolved into radiculopathy; also to review issues pertinent to chiropractic/manipulative management of disk her...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/s0161-4754(99)70050-3
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:Few studies have addressed the practice of chiropractic care of children in Europe. No systematic classification of conditions currently exists in chiropractic pediatrics. The objective of this study was to investigate characteristics of clinical chiropractic practice, including the age of pediatric patients,...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2012.04.008
更新日期：2012-06-01 00:00:00
abstract：:Functional nocturnal enuresis is a common problem which causes a great deal of stress to the suffering children and their families. Some chiropractors advocate chiropractic care as a mode of therapy for this complaint. One hundred and seventy-one enuretic children, aged 4 to 15, were treated with chiropractic adjustme...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1991-02-01 00:00:00
abstract：:A review of meditation techniques indicates that the suppression of inner speech by the use of a "mental devise" may be a key factor in generating the relaxation response of this procedure. It is hypothesized that the suppression of inner speech would release the diaphragm, temporomandibular joint muscles, and hyoid m...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1983-09-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to develop and validate a multivariate prediction model, guided by palpation and personal information, for locating the seventh cervical spinous process (C7SP). METHODS:A single-blinded, cross-sectional study at a primary to tertiary health care center was conducted for model develo...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2016.10.012
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To demonstrate the concept of integrated dental orthopedic and cranio-chiropractic care for treating structural disorders of the jaw, neck and spine. CLINICAL FEATURES:A 33-yr-old woman sought chiropractic care for centralized lumbosacral pain that had persisted for 3 months. She exhibited pain on lumbopelvi...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：BACKGROUND:There are conflicting views about whether expectation plays a role in patient satisfaction. No studies regarding the importance of patient expectations have been done in the chiropractic field. OBJECTIVE:To investigate the expectations of new patients consulting a chiropractor and to evaluate differences an...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.124422
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to use scientific evidence to develop a practical diagnostic checklist and corresponding clinical exam for patients presenting with low back pain (LBP). METHODS:An iterative process was conducted to develop a diagnostic checklist and clinical exam for LBP using evidence-based di...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2019.08.003
更新日期：2019-11-01 00:00:00
abstract：PURPOSE:To investigate differences in cervical spine posture and range of motion and self-reported neck pain and headache between patients with nontoxic goiter compared with a matched control group. DESIGN:An observational, controlled, blinded study. SETTING:The ambulatory outpatient facility of a university hospital...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To assess the effect of a personalized newsletter compared with a standard newsletter on patient recruitment in physiotherapy research. METHODS:We performed a cluster-randomized trial including 120 physiotherapists who recruited patients for a prospective cohort and were randomly assigned to either receiving...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2019.12.002
更新日期：2020-06-01 00:00:00
abstract：:A pilot study was conducted to examine enzymatic and metabolic alterations in end organs as a consequence of neuropathy. Silastic pellets were implanted transverse to the sciatic nerve of rats. Neurobehavioral evaluations based on hind limb gait were conducted at 2 and 4 weeks postoperatively. Four-week values demonst...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1987-10-01 00:00:00
abstract：BACKGROUND:There is a need for radiology educational outcome measures that evaluate clinical competency. This is the first of two articles introducing a clinical competency examination in radiology. This first article describes the evolution and structure of the examination. The second article presents the results of t...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70109-0
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVE:A managed care organization (MCO) examined differences in allowed cost for managing low back pain by medical providers vs chiropractors in an integrated care environment. The purpose of this study is to provide a retrospective cost analysis of administrative data of chiropractic vs medical management of low b...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2009.10.001
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVES:The aim of this preliminary study was to investigate the immediate effects on pain and pressure pain threshold (PPT) of a scapular repositioning technique in patients with acute spasmodic torticollis. METHODS:A randomized, single blind pilot study was conducted. The subjects were 23 individuals (age 20-40 y...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmpt.2013.05.020
更新日期：2013-09-01 00:00:00
abstract：:Radiation dosages to sensitive organs in full spine radiography have in recent years been a concern of physicians as well as the general public. The spine is the prime target for exposure in scoliosis radiography, though the exposure usually necessitates irradiation of several radio-sensitive organs. In recent studies...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：OBJECTIVE:To investigate the recovery pattern in chiropractic patients being treated for long-lasting or recurrent low back pain; in particular, to identify the minimum number of required treatments and the minimum number of days from the beginning of treatment to the occurrence of improvement. DESIGN:Prospective, unc...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,多中心研究
doi：10.1067/mmt.2001.114362
更新日期：2001-05-01 00:00:00
