Postgraduate Orthopedic Manual Physical Therapy Residentsʼ Physical Responses to Peer Practice of Cervical Spine Manipulation

Immediate Effects of Upper Cervical Translatoric Mobilization on Cervical Mobility and Pressure Pain Threshold in Patients With Cervicogenic Headache: A Randomized Controlled Trial

“…The UC-TSM group reduced their current headache intensity 0.58 (SD=1.99), from 1.31 (SD=2.25) to 0.72 (SD=1. 19), with a moderate pre-post effect size (d=0.57) (Table 4). In contrast, the control group increased 0.45 (SD=0.72), from 1.58 (SD=2.13) to 2.02 (SD=2.40) (Table 4).…”

“…Translatoric Spinal Mobilization (TSM) is defined as a system of manual techniques using straight-line forces delivered in a parallel or perpendicular direction to an individual vertebral joint or motion segment. 14 An increasing body of evidence supporting the clinical effectiveness [15][16][17][18] and safety 19,20 of TSM in the management of patients with cervical impairments has appeared during the last years. Nevertheless, to the best of the authors' knowledge, no study to date has investigated the immediate effects of UC-TSM in patients with CEH.…”

A structured review of spinal stiffness as a kinesiological outcome of manipulation: Its measurement and utility in diagnosis, prognosis and treatment decision-making

“…Two studies using practitioner-judged stiffness reported stiffness decreased over time in asymptomatic subjects (Maher et al, 2010) and patients with low back pain (Ferreira et al, 2009), but there was no difference between manipulation (including thrust and non-thrust at practitioner discretion) and exercise interventions in the patients. Other studies investigated asymptomatic persons and reported no significant changes in spinal stiffness immediately following the application of either thrust or nonthrust interventions (Table 7).…”

“…However, the two studies reporting stiffness changes over time (Ferreira et al, 2009;Maher et al, 2010) did not include a 'no intervention' control group, so it is unknown whether the stiffness changes would have occurred despite intervention. This raises questions about the mechanisms by which stiffness changes.…”

Effects of upper cervical translatoric mobilization on headache, quality of life, cervical mobility and pressure pain threshold in patients with cervicogenic headache: A randomized controlled trial.

“…Translatoric Spinal Mobilization (TSM) is defined as a system of manual techniques using straight-line forces delivered in a parallel or perpendicular direction to an individual vertebral joint or motion segment (Krauss et al, 2006). An increasing body of evidence supporting the clinical effectiveness (Creighton et al, 2005;Kondratek et al, 2006;Krauss et al, 2008) and safety (Kondratek et al, 2006;Maher et al, 2010;Creighton et al, 2011) of TSM in the management of patients with cervical impairments has appeared during the last years. Nevertheless, to the best of the authors' knowledge, no study to date has investigated the long-term effects of UC-TSM in patients with CEH.…”