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Institut des Hautes Etudes Ostéopathiques
Orvault, France |
Vertebral artery strains during high-speed, low amplitude cervical spinal manipulation
Journal of Electromyography and Kinesiology
Spinal manipulative therapy (SMT) has been recognized as an effective treatment modality for many back, neck and musculoskeletal problems. One of the major issues of the use of SMT is its safety, especially with regards to neck manipulation and the risk of stroke. The vast majority of these accidents involve the vertebro-basilar system, specifically the vertebral artery (VA) between C2/C1. However, the mechanics of this region of the VA during SMT are unexplored. This study presents first ever data on the mechanics of this region during cervical SMT performed by clinicians.
Abstract avaible here.
Assessing the risk of stroke from neck manipulation: a systematic review
The International Journal of Clinical Practice
Strokes, typically involving vertebral artery dissection, can follow cervical spinal manipulative therapy, and these types of stroke occur rarely. There is disagreement about whether a strong association between neck manipulation and stroke exists. An earlier systematic review found two relevant studies of association that used controls, which also discussed the limitations of the two papers. This systematic review updates the earlier review, and aims to determine whether conclusive evidence of a strong association exists.
Full Article avaible here.
An investigation into the kinematics of 2 cervical manipulation techniques
Journal of Manipulative and Physiological Therapeutics
The purpose of this study was to quantify the kinematics of the premanipulative position, the angular displacement, and velocity of thrust of 2 commonly used cervical spine manipulative procedures using inertial sensor technology.
Abstract avaible here.
Strain—counterstrain to treat restrictions of the mobility of the cervical spine in patients with neck pain
Complementary Therapies in Medicine
Strain–counterstrain is an osteopathic technique which is widely used for treating mobility restrictions in the neck. We aimed to investigate whether a single strain–counterstrain intervention is more effective than a sham intervention in improving restricted cervical range of motion in patients with neck pain.
Abstract avaible here.
A comparative study of cervical hysteresis characteristics after various osteopathic manipulative treatment modalities
Journal of Bodywork and Movement Therapies
Few objective measures have been used to document change in myofascial tissues after osteopathic manipulative treatment. The hypothesis of this study states that paraspinal tissues associated with cervical somatic dysfunction will demonstrate quantifiable change in myofascial hysteresis characteristics after a given OMT technique but not after a Sham intervention.
Abstract avaible here.
Establishing the content validity of palpatory examination for the assessment of the lumbar spine using ultrasonography
The Journal of the American Osteopathic Association
An objective means to identify somatic dysfunction has long eluded manipulative medicine. The authors continue the search for a standardized, reliable, and reproducible way to meet evidence-based criteria. In this pilot study, ultrasonography was used to assess the validity of palpatory examinations, testing whether noninvasive imaging technology will accomplish what electromyography, kinematic analyses, myoelectric data and thermography have not.
Abstract avaible here.
The use of pMRI to validate the identification of palpated bony landmarks
Manual Therapy
Accurate palpation of lumbar spinous processes is a key component of spinal assessment. It is also vital for the accurate measurement of spinal motion when using external skin marker-based measurement systems, which are being increasingly used to understand low back disorders and their management. The aim of this study was to assess the accuracy of lumbar spinous process palpation using positional magnetic resonance imagery (MRI) (pMRI).
Abstract avaible here.
State-of-the-art office evaluation and treatment options for symptoms of an overactive bladder
Osteopathic Family Physician
The defining symptom of an overactive bladder is urgency. OAB is a condition that 16% of Americans suffer from ... As osteopathic physicians, we have the unique ability to focus our evaluations by fully understanding the neurologic and muscular physiology for this condition. The osteopathic physician has an advantage when applying a complete musculoskeletal examination as part of the physical. We can potentially uncover other contributing conditions that are perhaps easier to treat. As our research and the osteopathic profession expand, perhaps we can formulate newer treatment opportunities using manipulative medicine.
Abstract avaible here.
Patients' appraisals of public and private healthcare: A qualitative study of physiotherapy and osteopathy
Journal of Health Psychology
Patients have previously reported differences in their experiences of treatments received in the public and private sectors; it remains unclear whether such perceived differences are particular to or shared across different interventions. This study explored whether patients' appraisals of public and private treatments are similar when appraising a complementary therapy (osteopathy) compared to a mainstream therapy (physiotherapy).
Abstract avaible here.
An historical perspective on principles of osteopathy
International Journal of Osteopathic Medicine
Inconsistencies and other differences between existing sets of osteopathic principles — and the resulting difficulties in comparing and contrasting these principles and in developing new principles — necessitate the creation and preservation of an historical record of their development. Using a timeline framework, as outlined by Philip Latey, DO, the author discusses three subdivisions of osteopathic principle development: original, traditional and modern.
Abstract avaible here.
Spinal manipulation, medication or home exercise with advice for acute and subacute neck pain
Annals of Internal Medicine
Mechanical neck pain is a common condition that affects an estimated 70 percent of persons at some point in their lives. Little research exists to guide the choice of therapy for acute and subacute neck pain. The objective of this trial was to determine the relative efficacy of spinal manipulation therapy, medication and home exercise with advice for acute and subacute neck pain in both the short and long term.
Full Article avaible here.
More Articles...
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