Abstract：
OBJECTIVE:The aim of the study was to examine the effects of a high-velocity, low-amplitude (HVLA) manipulation to the lumbosacral joint on corticospinal excitability, as measured by motor evoked potentials (MEPs) using transcranial magnetic stimulation, and spinal reflex excitability, as measured by the Hoffman reflex (H-reflex). METHODS:In a randomized, controlled, crossover design, 14 asymptomatic volunteers (mean age, 23 ± 5.4 years; 10 men; 4 women) were measured for MEPs and H-reflexes immediately before and after a randomly allocated intervention. The interventions consisted of HVLA applied bilaterally to the lumbosacral joint and a control intervention. Participants returned a week later, and the same procedures were performed using the other intervention. Data for H-reflex and MEP amplitudes were normalized to the M-wave maximum amplitude and analyzed using 2-way analysis of variance with repeated measures. RESULTS:A significant interaction of treatment by time was found for MEP (F(1,13) = 4.87, P = .04), and post hoc analyses showed that the MEP/M-wave maximum ratio decreased significantly in the HVLA treatment (P = .02; effect size, 0.68). For H-reflex, there was a significant effect of time (F(1,13) = 8.186, P = .01) and treatment and time interaction (F(1,13) = 9.05, P = .01), with post hoc analyses showing that H-reflexes were significantly reduced after the HVLA manipulation (P = .004; effect size, 0.94). There were no significant changes in MEP latency or silent period duration. CONCLUSION:An HVLA manipulation applied to the lumbosacral joint produced a significant decrease in corticospinal and spinal reflex excitability, and no significant change occurred after the control intervention. The changes in H-reflexes were larger than those in MEPs, suggesting a greater degree of inhibition at the level of the spinal cord.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Fryer G,Pearce AJdoi
10.1016/j.jmpt.2011.09.010subject
Has Abstractpub_date
2012-02-01 00:00:00pages
86-93issue
2eissn
0161-4754issn
1532-6586pii
S0161-4754(11)00228-4journal_volume
35pub_type
杂志文章,随机对照试验abstract：:In this study, 58 subjects with myofascial low back pain and 26 asymptomatic controls were evaluated according to a protocol of biomechanical analysis involving the plumbline, lateral bending dynamic roentgenograms, sacro-iliac motion palpation, lumbar motion palpation and straight-leg-raising. The outcomes of each te...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1982-12-01 00:00:00
abstract：OBJECTIVE:The purpose of this review is to examine the evidence implicating poor nutrition as a causative factor in the etiology of idiopathic scoliosis. Interactions between nutrition and genetics and biochemistry are considered. DATA SOURCES:Articles published in American or European journals or conference proceedin...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVES:The purpose of this study is to review the recent literature on the association between obesity and low back pain, in an effort to determine whether weight control can be considered an appropriate treatment for low back pain, and whether obesity can be considered a primary etiology of low back pain. DATA SO...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:To present the diagnosis and differential diagnosis of diabetic polyneuropathy and report a case in which a patient with this disorder was successfully managed utilizing chiropractic procedures. CLINICAL FEATURES:An 80-year-old man with a history of diabetes mellitus complained of low back pain along with bu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:To discuss the management of a patient suffering from an anterior sternoclavicular joint dislocation secondary to blunt trauma from a motor vehicle accident. CLINICAL FEATURES:A 75-yr-old woman suffered from difficulty in swallowing and chest pain after release from a foreign medical facility. Anteroposterio...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVE:To discuss an unusual presentation of spina bifida occulta (SBO) mimicking an aggressive bone lesion. CLINICAL FEATURES:A 59-yr-old man suffered from intermittent neck pain. The plain film radiographs revealed rarefaction of the C6 spinous process that mimicked an aggressive bone lesion. Computed tomography ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVE:The purpose of this preliminary study was to demonstrate the feasibility of a study that measures the short-term effects of a course of manual therapy (MT) and exercise (Ex) in people with moderate chronic obstructive pulmonary disease (COPD). METHODS:Fifteen participants (9 males; mean age, 56.1 years), wit...
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.2013.05.028
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:To identify what has been theorized and/or written about the manual techniques generically classified as manual force, mechanically assisted articular chiropractic technique that utilize either short-lever contacts or a combination of short- and long-lever contacts. DATA SOURCES:A search of the Medline bibli...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 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：:The Euler buckling theory has been presented as evidence that spinal curves increase the spine's axial load carrying capacity. The Euler theory is however, derived for an initially straight beam or column and as such cannot be applied to initially curved structures, such as the human spine. ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1983-06-01 00:00:00
abstract：OBJECTIVE:Reports of complications after chiropractic adjustments were administered to the lumbar spine and/or pelvis are rare. This case report provides the events associated with a sacral fracture that was not identified before a side-posture sacroiliac adjustment. CLINICAL FEATURES:The patient suffered from blunt, ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVE:To investigate (1) whether thoracolumbar posteroanterior (PA) stiffness differs between 2 conditions of ribcage movement: unconstrained and constrained, and (2) whether the effect of ribcage constraint on PA stiffness varies according to where the PA force is applied. DESIGN:Two-factor within-subjects design...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/S0161-4754(02)54131-2
更新日期：2003-03-01 00:00:00
abstract：BACKGROUND:Lumbar pathologies may cause the perception of leg pain, but the character of this pain has not been described. Diagnosis is often based on dermatomal charts, but observations reveal that the pain is not typically perceived on the skin. OBJECTIVE:To document the incidence of superficial versus deep pain loc...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2004.12.011
更新日期：2005-01-01 00:00:00
abstract：:The paper describes the history, symptoms and clinical findings of a typical spinal segmental strain with joint blocking. Also provided are an overview and discussion of joint blocking theories. A mechanism is hypothesized whereby joint blocking may be viewed as an actively maintained, reversible, biomechanical phenom...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1985-03-01 00:00:00
abstract：BACKGROUND:Edge light pupil cycle time (ELPCT) is one of the eye's light reflexes. Studies have shown ELPCT to be a measurable constant, unaffected by visual acuity, refractive error, eye color, pupil size, or sex. Control of this reflex occurs through the autonomic nervous system. Various authors suggest that spinal m...
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：10.1067/mmt.2000.108820
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVES:The objectives of this study were to review the demographic characteristics of Veterans Affairs (VA) chiropractic patients and to determine the level of appropriateness of chiropractic consultation requests within a VA chiropractic clinic. Information regarding the volume of requests and wait times for appoi...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2006.06.002
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:Alterations in the normal force-displacement (FD) properties of spinal tissues have been associated with specific forms of pathology, such as degenerative disk disease. Unfortunately, few current procedures exist that assess spinal FD properties in an accurate, reliable, and noninvasive manner. Consequently,...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine the accuracy in measuring the pelvic orientations of a phantom model using the PosturePrint method. METHODS:In the Université du Québec à Trois-Rivières biomechanics laboratory, Trois-Rivières, Quebec, Canada, a mannequin was fixed on a rotating platform. For a set of 3 p...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2007.12.009
更新日期：2008-02-01 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
abstract：BACKGROUND:In the literature of manual medicine the sacroiliac joint is widely accepted as a potential source of low back pain. On the other hand, some investigations have detected sacroiliac joint dysfunction without concomitant low back pain. The prevalence of sacroiliac dysfunction in the population has been noted i...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/S0161-4754(99)70125-9
更新日期：1999-03-01 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:There has been much discussion about the role of chiropractic care in the evaluation, management, and treatment of pediatric patients. To date, no specific guidelines have been adopted that address this issue from an evidence based perspective. Previous systematic reviews of the chiropractic literature conclu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2009.08.018
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Most of the studies of physical examinations of the cervical spine have shown poor reliability. PURPOSE:To assess the interexaminer reliability in physical examinations of the cervical spine. SUBJECTS:Forty-eight subjects, age range 18 to 63 years. METHODS:Two physiotherapists independently evaluated a nu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70002-3
更新日期：1999-10-01 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：OBJECTIVE:To date, there have been no reports of ethics board approval or informed consent within the chiropractic literature or within chiropractic research. The purpose of this study was to assess the reporting of ethics approval and informed consent in articles published during the 2008 volume year of 3 chiropractic...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2011.02.008
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To describe the components of the Alberta Registered Massage Therapists Society (ARMTS) examination and their psychometric properties. METHODS:All 3 components of the ARMTS examination (knowledge, clinical judgement, and clinical skills) were administered to 112 candidates. The examination consisted of 2 wri...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.121413
更新日期：2002-02-01 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:The purpose of this study was to propose questions that may be helpful to educate patients considering treatment approaches to manage low back pain (LBP) and to determine if the information currently presented in informed consent (IC) documents at chiropractic colleges is sufficient to help a patient consider...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jmpt.2012.01.004
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to measure effects of connective tissue massage (CTM) on the autonomic nervous system using thermography and physiological measurements. METHODS:A repeated-measures design was used. The setting was a university laboratory. Skin temperature at the site of massage, blood pressure,...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2011.05.012
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To investigate the primary care, health promotion activities associated with what has historically been called "maintenance care" (MC) as used in the practice of chiropractic in the United States. This includes issues such as investigating the purpose of MC, what conditions and patient populations it best ser...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(00)90107-6
更新日期：2000-01-01 00:00:00
