Abstract:
OBJECTIVE:The purpose of this study was to evaluate differences in muscle activity in participants with and without low back pain during a side-lying lumbar diversified spinal manipulation. METHODS:Surface and indwelling electromyography at eight muscle locations were recorded during lumbar side-lying manipulations in 20 asymptomatic participants and 20 participants with low back pain. The number of muscle responses and muscle activity onset delays in relation to the manipulation impulse were compared in the 2 pain groups using mixed linear regressions. Effect sizes for all comparisons were calculated using Cohen's d. RESULTS:Muscle responses occurred in 61.6% ± 23.6% of the EMG locations in the asymptomatic group and 52.8% ± 26.3% of the symptomatic group. The difference was not statistically significant but there was a small effect of pain (d = 0.350). Muscle activity onset delays were longer for the symptomatic group at every EMG location except the right side indwelling L5 electrode, and a small effect of pain was present at the left L2, quadratus lumborum and trapezius surface electrodes (d = 0.311, 0.278, and 0.265) respectively. The indwelling electrodes demonstrated greater muscle responses (P ≤ .01) and shorter muscle activity onset delays (P < .01) than the surface electrodes. CONCLUSIONS:The results revealed trends that indicate participants with low back pain have less muscle responses, and when muscle responses are present they occur with longer onset delays following the onset of a manipulation impulse.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Currie SJ,Myers CA,Durso C,Enebo BA,Davidson BSdoi
10.1016/j.jmpt.2016.02.011subject
Has Abstractpub_date
2016-05-01 00:00:00pages
288-93issue
4eissn
0161-4754issn
1532-6586pii
S0161-4754(16)00058-0journal_volume
39pub_type
杂志文章abstract:OBJECTIVE:To evaluate the short-term effects of Mulligan's mobilization with movement (MWM) on pain, physical function, emotional aspects, and proprioceptive acuity after a 2-week treatment period and throughout a 3-week follow-up period. METHODS:A single group of 30 participants (60.96 ± 5.16 years) with symptomatic ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2019.04.011
更新日期:2020-06-01 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::This review of the clinical management and health care for spinal disorders focuses on nonspecific low back pain. It is set against the historical background and epidemiology of low back pain and current health care in both the United States and the United Kingdom. Recent U.S. and U.K. Clinical Guidelines for low back...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract::The effectiveness of spinal manipulative therapy for low back pain is compared between two groups of patients: a small group (25) of patients with lumbar spondylolisthesis and a larger group (260) of patients without spondylolisthesis. This data, which was collected from a previously published study on the effectivene...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVE:This study compared the effects of high-force versus low-force lumbar traction in the treatment of acute lumbar sciatica secondary to disc herniation. METHODS:A randomized double blind trial was performed, and 17 subjects with acute lumbar sciatica secondary to disc herniation were assigned to high-force tra...
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.2016.09.006
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of positive chiropractic test results in relation to low back pain status and to determine the sensitivity, specificity, and predictive (positive and negative) values of these tests. DESIGN:Study subjects were examined by a chiropractor who was unaware of their low back pain statu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/s0161-4754(00)90245-8
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to compare transcutaneous electrical nerve stimulation (TENS) and stabilization exercises in an attempt to prevent fatigue and improve muscle activation in patients with lumbar disk herniation associated with low back pain. METHODS:This study involved 29 patients (age range 25-5...
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.2017.10.010
更新日期:2018-05-01 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:OBJECTIVE:The purpose of this study was to determine the prevalence of musculoskeletal disorders among Iranian physical therapists. METHODS:A cross-sectional study was carried out. An online survey was completed by Iranian physiotherapists from June 2017 to August 2017. A total of 333 online questionnaires were sent, ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2018.02.003
更新日期:2018-01-01 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:To investigate patient response to multiple impulse therapy provided by the PulStarFRAS (Sense Technology, Inc, Murrysville, Pa) for a variety of musculoskeletal symptoms encountered in clinical practice. METHODS:A retrospective analysis of patient files was used to determine symptomatic improvement over the...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.11.007
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Full recoil golf swings have been implicated in back pain and injury in golfers. Evidence suggests that a restricted backswing may reduce the potential for injury without compromising performance. OBJECTIVE:To examine both golf swing performance and selected muscular actions of the trunk and shoulder during...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2001.118982
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability...
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.2015.06.013
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Minor side effects associated with chiropractic are common. However, little is known about their predictors or the effects of reactions on satisfaction and clinical outcomes. OBJECTIVE:The objectives of this study are to compare the relative effects of cervical spine manipulation and mobilization on adverse...
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:10.1016/j.jmpt.2003.11.002
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:This case report discusses the treatment of 2 patients with cervicogenic headache (CHA) attending the Outpatient Clinic of the Hungarian National Institute for Rheumatology and Physiotherapy (Budapest, Hungary) and reviews the pathophysiology, therapeutic strategy, and problems associated with the treatment o...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2009.08.006
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:To quantify the projection errors caused by the combining of selected x-axis translations with selected y-axis rotations as seen on plain film anteroposterior (AP) radiographs. STUDY DESIGN:A computer was used to model the projection of the lamina junction and points on the lateral body margins of a 2-dimen...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2001.118206
更新日期:2001-10-01 00:00:00
abstract::Many patients with low back pain demonstrate pelvic symptomatology attributable to lower sacral nerve root compression. Lower sacral nerve root compression has been identified as a cause of pelvic pain and pelvic organ dysfunction. Pelvic symptomatology secondary to lower sacral nerve root compression is given. Lower ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1987-06-01 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:OBJECTIVE:To determine whether a newly developed disability scale for patients with neck pain demonstrated acceptable reliability and validity. METHODS:Testing was conducted using three different samples of patients with neck pain (n = 162). Test-retest reliability of the scale was carried out on the same day with one...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To identify an analog waveform characteristic of smokers by Doppler sonography, which reflects their atherogenic state, and to determine if the presence of this aberrant waveform will increase the sensitivity of the ankle pressure index (API) peripheral Doppler examination. Also, to examine the relationship b...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:Our aim was to report changes in neck pain at rest, active cervical range of motion, and neck pain at end-range of cervical motion after a single thoracic spine manipulation in a case series of patients with mechanical neck pain. METHODS:Seven patients with mechanical neck pain (2 men, 5 women), 20 to 33 yea...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2007.03.007
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To present a case of cervical radiculopathy, caused by an MRI documented herniated cervical disc, which was treated with conservative care including chiropractic manipulative therapy. CLINICAL FEATURES:A 60-yr-old woman was treated by a chiropractor for symptoms including a deep, constant, burning ache in th...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to identify differences in the diagnosis and treatment of nonspecific low back pain among 3 professional groups in the Netherlands: orthomanual physicians, manual therapists, and chiropractors. METHODS:Information was obtained from training materials from professional groups, literat...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.01.008
更新日期:2005-02-01 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:OBJECTIVES:(1) To describe the low back pain (LBP) pattern at baseline; (2) to describe the long-term outcome pattern; (3) to investigate the presence of distinct subgroups in relation to outcome; (4) to establish whether short-term outcome is a predictor of long-term outcome. METHODS:A 3- to 6- and 12- to 18-month, m...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jmpt.2005.07.003
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Few studies exist on the prognostic value of demographic, clinical, or psychosocial factors on long-term outcomes for patients with chronic low back pain. OBJECTIVE:This study reports on long-term pain and disability outcomes for patients with chronic low back pain, evaluates predictors of long-term outcome...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To assess the intraexaminer and interexaminer reliability of clinicians trained in flexion-distraction technique to determine the need for chiropractic adjustment of each segment of the lumbar spine. DESIGN:This was an intraexaminer and interexaminer reliability study of commonly used chiropractic assessment...
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:10.1016/s0161-4754(99)70083-7
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to develop, assess the reliability of, and validate prediction equations that estimate the sagittal curves of the spine from the skin surface. METHODS:Forty digital panoramic radiographs were used to develop the prediction equation, and 59 radiographs were used to assess reliabi...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.06.015
更新日期:2017-01-01 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:BACKGROUND:Cervical spine manipulation is most often performed to affect relief of musculoskeletal complaints of the head and neck. Performed typically without complication, this modality is thought to be a potential cause of cerebrovascular injury, although a cause-effect relation has yet to be established. To explore...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2004.10.005
更新日期:2004-11-01 00:00:00