Highlighting of intervertebral movements and variations of intradiskal pressure during lumbar spine manipulation: A feasibility study

Maigne, Jean-Yves; Guillon, François

doi:10.1067/mmt.2000.109679

Cited by 37 publications

(32 citation statements)

References 10 publications

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“…Le reste est transmis au rachis [4]. La manipulation mobilise les vertèbres les unes par rapport aux autres comme l'ont montré des études cadavériques soit à l'aide d'aiguilles plantées dans des vertèbres thoraciques [5], soit à l'aide d'accéléromètres solidaires des vertèbres lombaires [6]. Il s'écoule un à cinq dixièmes de seconde entre l'impulsion et l'amplitude maximale du mouvement [4].…”

Section: Introductionunclassified

Mode d’action des manipulations vertébrales

Maigne

2011

Lett Med Phys Readapt

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Les manipulations vertébrales agissent sur les différents composants de l'unité fonctionnelle vertébrale. Elles séparent les surfaces articulaires des articulations zygapophysaires, ce mouvement étant accéléré lors de la survenue du bruit de craquement. Elles semblent diminuer brièvement la pression intradiscale. Elles étirent en force les muscles paravertébraux, ce qui favorise leur relaxation par des méca-nismes encore mal explorés. Enfin, elles ont probablement un effet antalgique propre indépendant de la lésion en cause. Ces actions sont bénéfiques dans le cadre du traitement des douleurs vertébrales, mais elles sont toutes de courte durée. Un effet thérapeutique prolongé ne peut être expliqué que par une action réflexe telle que la rupture d'un cercle vicieux de type douleur-spasme-douleur ou par l'existence d'une lésion spécifique, dite lésion manipulable, non prouvée. Pour citer cette revue : Lett. Méd. Phys. Réadapt. 27 (2011). Mots clés Manipulation vertébrale · Lombalgie · Médecine manuelle · Chiropractie · OstéopathieAbstract Spinal thrust manipulations act on the different constituent elements of the vertebral motion segment. They separate the facet joint surfaces, with faster separation accompanied by a cracking noise. They appear to briefly lower the intradiscal pressure. They forcefully stretch the paraspinal muscles, thereby relaxing these muscles via an as yet poorly understood mechanism. They are also likely to have an inherent analgesic effect that is independent of the nature of the pain-causing lesion. While these actions are beneficial in the treatment of pain of vertebral origin, they are short-lived. A long-term therapeutic effect could be accounted for only in terms of a reflex phenomenon, such as the breaking of a vicious cycle of pain-spasmpain, or by the existence of a specific "manipulable" lesion, for which, however, no proof has been furnished to date. To cite this journal: Lett. Méd. Phys. Réadapt. 27 (2011).

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Section: Introductionunclassified

Mode d’action des manipulations vertébrales

Maigne

2011

Lett Med Phys Readapt

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“…Although not yet applied to SMT input kinematics, accelerometers have been used to objectively measure the resultant spinal kinematics, although most of these studies are based on animal models (Gal et al, 1995;Maigne & Guillon, 2000;Keller et al, 2003;Colloca et al, 2003;Colloca et al, 2006;Keller et al, 2006b;Colloca et al, 2007;Gal et al, 1997a).…”

Section: Hand Kinematicsmentioning

confidence: 99%

“…Spinal manipulative therapy (SMT) is a widely administered treatment for acute and chronic conditions involving the spine and is often described as a high velocity, low amplitude (HVLA) movement (Maigne & Guillon, 2000;Rogers & Triano, 2003;Sran et al, 2004;Symons et al, 2002). Although most commonly associated with the chiropractic profession, an increasing number of allied health care providers such as physicians, physiotherapists, osteopaths and orthopedic specialists are also incorporating SMT into their practices (Symons et al, 2002;Tsung et al, 2005;Pickar et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Studies have examined such aspects as the spinal loads (Kawchuk et al, 1992;Herzog et al, 1993a;Kirstukas & Backman, 1999;Triano, 2001;Sran et al, 2004;Tsung et al, 2005;Kawchuk et al, 2006), intradiscal pressure (Maigne & Guillon, 2000), spinal movements and the resulting physiologic responses Lee et al, 2005;Ianuzzi & Khalsa, 2005b;Fernandez-de-las-Penas et al, 2007;Colloca et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Although research directed towards understanding the mechanisms of SMT has increased dramatically, the most fundamental biomechanical aspects of this intervention are still poorly understood (Maigne & Guillon, 2000;Keller et al, 2003;Maigne & Guillon, 2000;Cramer et al, 2006;Herzog et al, 1993a). …”

Section: Introductionmentioning

confidence: 99%

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Acceleration of clinician hand movements during spinal manipulative therapy

Gelley¹,

Passmore

MacNeil

2015

Manual Therapy

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The primary objective of this study was to determine the acceleration characteristics of spinal manipulative therapy (SMT) and whether patient anthropometric parameters correlated with the SMT kinematic parameters. For this, a wireless tri-axial accelerometer was taped to the dorsum of a clinician's hand to record the accelerations generated during clinical treatment of 95 symptomatic patients. Peak acceleration magnitudes differed significantly between spinal levels (p<0.0001; lumbar > cervical > thoracic = sacroiliac). The latencies of these peaks were also significantly different (p<0.0001; lumbar < cervical = thoracic < sacroiliac). Within a given spinal level, acceleration amplitudes varied over a wide range with temporal parameters remaining relatively constant. Overall, anthropometric parameters were poorly correlated with SMT parameters. In summary, distinct acceleration amplitudes were observed across spinal levels with relatively constant temporal factors. Thus, clinicians appear to vary the magnitude rather than the duration of the SMT thrust.ii Acknowledgements

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Manipolazioni vertebrali e terapie manuali

Medicina Fisica E Riabilitativa Nei Disturbi Di Equilibrio

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Highlighting of intervertebral movements and variations of intradiskal pressure during lumbar spine manipulation: A feasibility study

Cited by 37 publications

References 10 publications

Mode d’action des manipulations vertébrales

Mode d’action des manipulations vertébrales

Acceleration of clinician hand movements during spinal manipulative therapy

Manipolazioni vertebrali e terapie manuali

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