A Theoretical Basis for Maintenance Spinal Manipulative Therapy for the Chiropractic Profession

Overview

Journal J Chiropr Humanit

Publisher Elsevier

Date 2012 Jun 14

PMID 22693482

Citations 7

Authors

David N Taylor

Affiliations

Soon will be listed here.

Abstract

Object: The purpose of this article is to discuss a theoretical basis for wellness chiropractic manipulative care and to develop a hypothesis for further investigation.

Methods: A SEARCH OF PUBMED AND OF THE MANUAL, ALTERNATIVE, AND NATURAL THERAPY INDEX SYSTEM WAS PERFORMED WITH A COMBINATION OF KEY WORDS: chiropractic, maintenance and wellness care, maintenance manipulative care, preventive spinal manipulation, hypomobility, immobility, adhesions, joint degeneration, and neuronal degeneration. Articles were collected, and trends were identified.

Results: The search revealed surveys of doctors and patients, an initial clinical pilot study, randomized control trials, and laboratory studies that provided correlative information to provide a framework for development of a hypothesis for the basis of maintenance spinal manipulative therapy. Maintenance care optimizes the levels of function and provides a process of achieving the best possible health. It is proposed that this may be accomplished by including chiropractic manipulative therapy in addition to exercise therapy, diet and nutritional counseling, and lifestyle coaching.

Conclusions: It is hypothesized that because spinal manipulative therapy brings a joint to the end of the paraphysiological joint space to encourage normal range of motion, routine manipulation of asymptomatic patients may retard the progression of joint degeneration, neuronal changes, changes in muscular strength, and recruitment patterns, which may result in improved function, decreased episodes of injuries, and improved sense of well-being.

Citing Articles

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Long C, Salsbury S, Vining R, Lisi A, Corber L, Twist E Pilot Feasibility Stud. 2022; 8(1):54.

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Prevalence of Chiropractic-Specific Terminology on Chiropractors' Websites in the United Kingdom With Comparison to Australia: An Analysis of Samples.

Young K, Theroux J J Chiropr Humanit. 2022; 28:15-21.

PMID: 35002574 PMC: 8720836. DOI: 10.1016/j.echu.2021.10.001.

Potential mechanisms for lumbar spinal stiffness change following spinal manipulative therapy: a scoping review.

Jun P, Page I, Vette A, Kawchuk G Chiropr Man Therap. 2020; 28(1):15.

PMID: 32293493 PMC: 7087370. DOI: 10.1186/s12998-020-00304-x.

Words matter: the prevalence of chiropractic-specific terminology on Australian chiropractors' websites.

Young K Chiropr Man Therap. 2020; 28(1):18.

PMID: 32252798 PMC: 7137191. DOI: 10.1186/s12998-020-00306-9.

Efficacy of spinal chiropractic manipulative therapy for adjusting the relationship between cervical facet joints to treat headache caused by acute mountain sickness.

Wang Y, Xu M, Shi Y J Int Med Res. 2020; 48(1):300060519898005.

PMID: 31948301 PMC: 7113709. DOI: 10.1177/0300060519898005.

References

Fahim M . Rapid neuromuscular remodeling following limb immobilization. Anat Rec. 1989; 224(1):102-9. DOI: 10.1002/ar.1092240113. View

Sandnes K, Bjornstad C, Leboeuf-Yde C, Hestbaek L . The Nordic maintenance care program--time intervals between treatments of patients with low back pain: how close and who decides?. Chiropr Osteopat. 2010; 18:5. PMC: 2845592. DOI: 10.1186/1746-1340-18-5. View

Burton A, Tillotson K, Troup J . Variation in lumbar sagittal mobility with low-back trouble. Spine (Phila Pa 1976). 1989; 14(6):584-90. DOI: 10.1097/00007632-198906000-00007. View

Cramer G, Henderson C, Little J, Daley C, Grieve T . Zygapophyseal joint adhesions after induced hypomobility. J Manipulative Physiol Ther. 2010; 33(7):508-18. DOI: 10.1016/j.jmpt.2010.08.002. View

Axen I, B Jensen I, Eklund A, Halasz L, Jorgensen K, Lange F . The Nordic Maintenance Care Program: when do chiropractors recommend secondary and tertiary preventive care for low back pain?. Chiropr Osteopat. 2009; 17:1. PMC: 2633010. DOI: 10.1186/1746-1340-17-1. View

Rupert R, Manello D, Sandefur R . Maintenance care: health promotion services administered to US chiropractic patients aged 65 and older, part II. J Manipulative Physiol Ther. 2000; 23(1):10-9. View

Sarnat R, Winterstein J . Clinical and cost outcomes of an integrative medicine IPA. J Manipulative Physiol Ther. 2004; 27(5):336-47. DOI: 10.1016/j.jmpt.2004.04.007. View

Lundbye-Jensen J, Nielsen J . Immobilization induces changes in presynaptic control of group Ia afferents in healthy humans. J Physiol. 2008; 586(17):4121-35. PMC: 2652189. DOI: 10.1113/jphysiol.2008.156547. View

Triano J . What constitutes evidence for best practice?. J Manipulative Physiol Ther. 2008; 31(9):637-43. DOI: 10.1016/j.jmpt.2008.10.009. View

10.

Booth A . "Brimful of STARLITE": toward standards for reporting literature searches. J Med Libr Assoc. 2006; 94(4):421-9, e205. PMC: 1629442. View

11.

Cramer G, Tuck Jr N, Knudsen J, Fonda S, Schliesser J, Fournier J . Effects of side-posture positioning and side-posture adjusting on the lumbar zygapophysial joints as evaluated by magnetic resonance imaging: a before and after study with randomization. J Manipulative Physiol Ther. 2000; 23(6):380-94. DOI: 10.1067/mmt.2000.108145. View

12.

Descarreaux M, Blouin J, Drolet M, Papadimitriou S, Teasdale N . Efficacy of preventive spinal manipulation for chronic low-back pain and related disabilities: a preliminary study. J Manipulative Physiol Ther. 2004; 27(8):509-14. DOI: 10.1016/j.jmpt.2004.08.003. View

13.

Moller L, Hansen M, Leboeuf-Yde C . The Nordic Maintenance Care Program--an interview study on the use of maintenance care in a selected group of Danish chiropractors. Chiropr Osteopat. 2009; 17:5. PMC: 2704232. DOI: 10.1186/1746-1340-17-5. View

14.

Senna M, Machaly S . Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?. Spine (Phila Pa 1976). 2011; 36(18):1427-37. DOI: 10.1097/BRS.0b013e3181f5dfe0. View

15.

Leboeuf-Yde C, Hestbaek L . Maintenance care in chiropractic--what do we know?. Chiropr Osteopat. 2008; 16:3. PMC: 2396648. DOI: 10.1186/1746-1340-16-3. View

16.

Martel J, Dugas C, Dubois J, Descarreaux M . A randomised controlled trial of preventive spinal manipulation with and without a home exercise program for patients with chronic neck pain. BMC Musculoskelet Disord. 2011; 12:41. PMC: 3045999. DOI: 10.1186/1471-2474-12-41. View

17.

Cramer G, Fournier J, Henderson C, Wolcott C . Degenerative changes following spinal fixation in a small animal model. J Manipulative Physiol Ther. 2004; 27(3):141-54. DOI: 10.1016/j.jmpt.2003.12.025. View

18.

He X, Dishman V . Spinal motor neuronal degeneration after knee joint immobilization in the guinea pig. J Manipulative Physiol Ther. 2010; 33(5):328-37. DOI: 10.1016/j.jmpt.2010.05.001. View

19.

Farabaugh R, Dehen M, Hawk C . Management of chronic spine-related conditions: consensus recommendations of a multidisciplinary panel. J Manipulative Physiol Ther. 2010; 33(7):484-92. DOI: 10.1016/j.jmpt.2010.07.002. View

20.

Lundbye-Jensen J, Nielsen J . Central nervous adaptations following 1 wk of wrist and hand immobilization. J Appl Physiol (1985). 2008; 105(1):139-51. DOI: 10.1152/japplphysiol.00687.2007. View