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Relationship between Biomechanical Characteristics of Spinal Manipulation and Neural Responses in an Animal Model: Effect of Linear Control of Thrust Displacement versus Force, Thrust Amplitude, Thrust Duration, and Thrust Rate
Evidence-Based Complementary and Alternative Medicine
High velocity low amplitude spinal manipulation (HVLA-SM) is used frequently to treat musculoskeletal complaints. Little is known about the intervention’s biomechanical characteristics that determine its clinical benefit. Using an animal preparation, the researchers determined how neural activity from lumbar muscle spindles during a lumbar HVLA-SM is affected by the type of thrust control and by the thrust's amplitude, duration, and rate ... MORE
Abdominal Visceral Manipulation Prevents and Reduces Peritoneal Adhesions
The Journal of the American Osteopathic Association
One of the major complications of abdominal surgery is abdominal adhesions, which can negatively impact a patient's quality of life. Unfortunately, the only intervention currently available is further abdominal surgery — adhesiolysis. Diamond et al noted, "Adhesions are a major healthcare burden, and their reduction is a significant unmet need in surgical therapeutics." Additionally, there are limited options for preventing adhesion formation, and none are consistently reliable. However, one relatively unexplored option is visceral manual manipulation ... MORE
The Biopsychosocial model: Redefining osteopathic philosophy?
International Journal of Osteopathic Medicine
The Biopsychosocial model (BPS), first proposed by Engel in 1980, can be considered as both a philosophy of clinical care, and a practical guide to individual patient management. The BPS model also has the benefit of extensive supportive literature. Osteopathic philosophy, however, remains poorly defined and suffers from both a lack of published corroborating evidence of effectiveness, and a universally accepted definition of practice ... ABSTRACT
Referrals to chiropractors and osteopaths: a survey of general practitioners in rural and regional New South Wales, Australia
Chiropractic & Manual Therapies
Chiropractic and osteopathy form a significant part of the healthcare setting in rural and regional Australia, with national registration of practitioners, public subsidies for services and high utilization by the Australian public. However, despite their significant role in rural and regional Australia, there has been little exploration of the interface between chiropractic and osteopathy and conventional primary healthcare practitioners in this area. The study aim was to examine the referral practices and factors that underlie referral to chiropractors and osteopaths by rural and regional Australian general practitioners, by drawing on a sample of GPs in rural and regional New South Wales ... MORE
Long-term effects of osteopathic treatment of chronic prostatitis with chronic pelvic pain syndrome: A 5-year follow-up of a randomized controlled trial and considerations on the pathophysiological context.
Der Urologe
The etiology of chronic prostatitis chronic pelvic pain syndrome (CP/CPPS) is still unclear. As no pathological findings exist the diagnosis of CP/CPPS is essentially a diagnosis by exclusion and functional disorders, so-called somatoform disorders play a more important role. Osteopathy treats functional disorders of the musculoskeletal system including all associated internal organs but little attention has so far been paid to this treatment method. Therefore, the 5-year follow-up period was intended to show that this is a sustainable form of therapy using exclusively manual and gentle techniques and simple treatment procedures resulting in manageable costs ... ABSTRACT
The suitability of sham treatments for use as placebo controls in trials of spinal manipulative therapy: A pilot study
Journal of Bodywork and Movement Therapies
Despite the augmented use and dependence on manual therapy, there are still calls from both within and outside the MT professions to provide robust evidence that spinal manipulative therapy induces therapeutic effects beyond placebo. To facilitate this, placebo or "sham" treatments, the development of which is notoriously difficult, must be used in rigorously controlled trials. The aim of this study was to investigate the suitability of different shams as controls in SMT trials ... ABSTRACT
The automatic pelvic floor muscle response to the active straight leg raise in cases with pelvic girdle pain and matched controls
Manual Therapy
The active straight leg raise test has been proposed as a clinical test for the assessment of pelvic girdle pain. Little is known about the activation of the pelvic floor muscles during ASLR. The main aim of this study was to examine the automatic PFM contraction during ASLR ... ABSTRACT
Management of Falls and Balance Disorders in the Elderly
The Journal of the American Osteopathic Association
A limited number of case studies and clinical trials involve the management of falls, gait disturbances, and balance disorders in the elderly. The author surveys the literature relating to the use of manipulative therapy, especially osteopathic manipulative treatment, for this emerging area of clinical research ... MORE
Pain drawings in somatoform-functional pain
BMC Musculoskeletal Disorders
Pain drawings are widely used to record subjective pain symptoms. In addition to good history taking, physical examinations, and results of biomedical tests, they can support to differentiate several types of local pain syndromes, such as chronic low back pain, chronic shoulder pain, neurogenic pain and headaches. The authors hypothesized that somatoform-functional pain, is mirrored in distinctive graphic patterns of pain drawings. Aim of this study was to identify the most sensitive and specific graphic criteria as a tool to help identifying somatoform-functional pain ... MORE
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