Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

Solecki, Thomas J.; Herbst, Elizabeth M.

doi:10.1016/j.jcm.2010.07.005

Cited by 11 publications

(10 citation statements)

References 16 publications

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“…10,47 Previous studies have found that GT can reduce anterior chest pain due to a pectoralis minor trigger point, 49 improve carpal tunnel syndrome, 14 increase posterior shoulder range of motion, 12,13 and decrease the amount of fibrotic adhesions and hypertonicity which increased range of motion, decreased pain and increased functionality in a post-operative ACL rupture. 50 GT has also been shown to be beneficial in other soft tissue restrictions and adhesions, tendinitis, musculoskeletal ailments and ROM restrictions. [15][16][17][18][19][20][21]51,52…”

Section: Instrument Assisted Soft Tissue Mobilizationmentioning

confidence: 99%

Manual Therapy Effects on Low Back Pain

Dale¹

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Low back pain (LBP) is a common complaint in the adult population. A study in 2002 found that the percentage of people reporting LBP over a 3-month period corresponded to over 54 million American adults. 1,2 Popular treatment methods for LBP include manual therapy, stretching and core stabilization. 3 Manual therapy is a form of conservative treatment with the aim to reduce pain and increase function through handson techniques by a clinician. 4 Manual therapy treatments include soft tissue massage, traction, stretching, joint mobilization, instrument assisted soft tissue mobilization (IASTM) and muscle energy techniques (MET). 5 One cause of LBP that can be treated with manual therapy occurs from a unilateral innominate rotation. A unilateral innominate rotation can occur when musculature of the abdomen, hip flexors, hip extensors, and back extensors are unbalanced. 6,7 If a patient presents with a unilateral anterior innominate rotation, the ipsilateral hip flexors are often tight and shortened, while the ipsilateral hip extensors are weak and lengthened. In a unilateral posterior innominate rotation, the ipsilateral hip flexors are weak and lengthened, while the ipsilateral hip extensors are tight and shortened. 8 For example, in a unilateral anterior innominate rotation, the ipsilateral rectus femoris and erector spinae are inflexible. 6

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Section: Instrument Assisted Soft Tissue Mobilizationmentioning

confidence: 99%

Manual Therapy Effects on Low Back Pain

Dale¹

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“…14 It is important to note that Astym treatment is different in goals and application from the Instrument-Assisted Soft Tissue Mobilization (IASTM) techniques, such as Graston Technique ® . IASTM uses tooled cross-friction massage to mechanically break apart tissue, 15,16 whereas Astym therapy engages the regenerative mechanisms of the body aiming to repair damaged tissue and resorb scar tissue.…”

Section: Astymmentioning

confidence: 99%

Astym Therapy Improves Function and Range of Motion Following Mastectomy

Davies

Brockopp²,

Moe³

2016

Archives of Physical Medicine and Rehabilitation

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Hypersensitive scar tissue formation along the incision line and drain site is a common side effect following mastectomy. If this scar tissue is not addressed, it can lead to decreased flexibility and function in the involved upper quadrant. Astym ® treatment is a new approach to soft tissue injuries, and is evidenced in animal studies to promote the healing and regeneration of soft tissues. It has also been found to reduce pain and increase function in people with soft tissue dysfunction. The aim of Astym treatment is to engage the regenerative mechanisms of the body in order to resorb scar tissue, stimulate tissue turnover, and regenerate soft tissues. Handheld instrumentation is applied topically to locate and treat the underlying dysfunctional soft tissue through specific protocols for the application of particular pressures and shear forces. The purpose of this study was to examine the effects of Astym treatment on activities of daily living in women who had undergone a mastectomy following a diagnosis of breast cancer. A quasi-experiment involving 40 women, following a mastectomy, evaluated five outcome measures pre-and post-Astym treatment. All five measurement scores: Disabilities of the Arm, Shoulder, and Hand Outcome Measure; a clothing questionnaire on their ability to wear a bra; Patient-Specific Functional Scale; active range of motion of shoulder flexion; and active range of motion of abduction were also measured and all demonstrated significant changes. In this study, Astym treatment improved active range of motion in the involved quadrant and also improved function in patients following a mastectomy.

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“…The application of mechanical stimulation is used to stimulate the extracellular matrix to re-Original Article generate fibroblasts, including collagen, elastin, cytokines, and growth factors [7]. The Graston technique is a mechanical stimulation method to assist the recovery of intertwined and adherent fibers in the muscles, to control the pain caused by MFP symptoms, to increase the range of motion, and to prevent chronicity of the disease [8,9].…”

Section: Introductionmentioning

confidence: 99%

Effects of mechanical intervention on cutaneous sensory change and pressure pain threshold in the same spinal segment of myofascial pain

Kim

Lee

2019

PTRS

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The purpose of this study was to identify whether cutaneous sensory (CS) changes induced by mechanical intervention (MI) increases the trigger point threshold of the same spinal segment as well as to investigate the relationship between the amounts of change in CS pressure pain thresholds (PPT). Design: Randomized controlled trial. Methods: Thirty-nine persons with myofacial pain (MFP) were recruited in this experiment. The subjects consisted of 20 men and 19 women (age 20-39). MI was applied on the subjects using the Graston technique for 5 minutes to induce CS changes. The CS changes were measured with sensory tests by using the Von Frey Filament, and PPT changes were estimated by using the pressure threshold meter. For the observation of sensory and PPT changes with time, the test was conducted for 15 minutes including a pre, post, and after intervention session. Results: CS threshold increased significantly when MI was applied (p<0.001). On the same spinal segment, changes in the right infraspinatus PPT was observed (p<0.001) but the PPT changes in other muscles were not significantly different. Furthermore, the control group CS and PPT were not significantly different. In addition, regression analysis showed that the CS changes have a larger impact on PPT in the same spinal segment (p<0.001). Conclusions: CS changes induced by MI make to change PPT on the same spinal segment. In other words, it is possible to identify PPT changes following CS changes except for the muscle which belongs to a different spinal segment. Therefore, application of MI is necessary for the CS changes in the same spinal segment. Furthermore, it can be useful in the clinical fields as a method of providing pain control and increasing the PPT.

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Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

Cited by 11 publications

References 16 publications

Manual Therapy Effects on Low Back Pain

Manual Therapy Effects on Low Back Pain

Astym Therapy Improves Function and Range of Motion Following Mastectomy

Effects of mechanical intervention on cutaneous sensory change and pressure pain threshold in the same spinal segment of myofascial pain

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