China
Africa
Explore chapters and articles related to this topic
Migraine
Published in Charles Theisler, Adjuvant Medical Care, 2023
Spinal Manipulative Therapy (SMT): Manipulative treatment is effective in reducing the frequency of migraines, severity of pain, disability, and the amount of drugs used to treat migraines. SMT is also effective in improving quality life in migraine patients.25
The medical counterculture
Published in Lois N. Magner, Oliver J. Kim, A History of Medicine, 2017
Outside the chiropractic community, the safety, as well as the effectiveness of spinal manipulative therapy remains controversial. Critics warn of increased risk of stroke, bleeding, blood clots, fractures, nerve damage, muscle strains, sprains, spasms, and the risks of postponing conventional treatment for life-threatening diseases. Skeptics note that chiropractors are unlikely to win support from scientists and physicians when they insist that even cancer is caused by nerve blockage, or that manipulation affects the flow of the “life forces” and that germ theory is wrong or irrelevant. The Internet made it possible for chiropractors to reach an international audience via their websites and YouTube videos. In 2016, an Australian chiropractor used these outlets to call attention to his treatment of a four-day-old baby. Australian doctors were shocked to see evidence that infants were subjected to spinal manipulation for problems such as colic, acid reflux, and excessive crying.
Low Back Pain and Sciatica: Pathogenesis, Diagnosis and Nonoperative Treatment
Published in Gary W. Jay, Practical Guide to Chronic Pain Syndromes, 2016
Manual therapy includes passive stretching, soft-tissue mobilization, myofascial release, manual traction, muscle energy techniques, joint mobilization, and manipulation. Joint mobilization is a low-velocity passive stretch applied to a joint within or at the limit of its range. Manipulation uses a high-velocity thrust maneuver beyond a joint’s restricted range of motion (71, 72). More controlled trials have been carried out to evaluate manipulation than any other nonoperative treatment measures (73). However, it is difficult to interpret these studies because of a variety of methodological issues. Manipulative therapy may vary due to the variable skill levels and techniques among different practitioners, that is, physiotherapists, osteopaths, physicians, and chiropractors. A recent systematic review showed evidence of a modest beneficial effect of spinal manipulation on cLBP when compared to sham interventions judged to have no efficacy; however, this effect was not greater than other usually applied therapies (74). Spinal manipulation is probably most beneficial for the treatment of acute axial spinal pain, without radiculopathy or neurological impairment (73).
Efficacy of physical therapy interventions for chronic lateral elbow tendinopathy: a systematic review
Published in Physical Therapy Reviews, 2020
Beshoy Girgis, José Alberto Duarte
LET continues to be a condition difficult to properly manage, after more than a century of research and investigation [72,73], and an optimal treatment is yet undefined [74,75]. More than 40 treatment modalities have been described in literature for LET, including ultrasound therapy (US), transcutaneous electrical nerve stimulation (TENS), extracorporeal shockwave therapy (ESWT), low-level laser therapy (LLLT), manipulative therapy and elbow brace. However, none of these treatments has been determined to be better than any of the others [40,76–79]. The lack of head-to-head studies between different modalities may, however, contribute to this dilemma. Therefore, in the light of experts’ recommendations to use pain-free grip strength (PFGS) and patient-rated tennis elbow evaluation (PRTEE) questionnaire as better outcome measures, reevaluation of literature for the effectiveness of physical therapy interventions in treating chronic LET is necessary.
Tool to assess causality of direct and indirect adverse events associated with therapeutic interventions
Published in Current Medical Research and Opinion, 2018
Liliane Zorzela, Silvano Mior, Heather Boon, Anita Gross, Jeromy Yager, Rose Carter, Sunita Vohra
As part of an active surveillance strategy, our team partnered with the Canadian Pediatric Surveillance Program (CPSP) to identify serious adverse events associated with pediatric complementary therapy use10. The CPSP sent a monthly questionnaire to their members seeking report on rare conditions collecting data from a nationally representative sample of 2500 pediatricians and pediatric subspecialists who provide care to more than seven million children11. CPSP members also received an enquiry if they had seen any serious adverse events related to complementary therapy use during the month. As complementary therapies are heterogeneous in nature (e.g. massage therapy, manipulative therapy, natural health products) and sometimes multiple therapies are used simultaneously (including in conjunction with conventional care), an assessment tool was required to account for such complexity. The serious events could be “direct” (i.e. caused by the therapy itself), or ‘indirect’ (i.e. the therapy caused a delay in diagnosis or treatment of a serious medical condition). Causality assessment allows for the identification of contributing factors, potentially allowing for mitigation or prevention of similar adverse events12. Since direct and indirect adverse events may have different contributing factors, they were assessed separately. Details of the surveillance study and its results have been previously published10.
An ICF-based assessment schedule to facilitate the assessment and reporting of functioning in manual medicine – low back pain as a case in point
Published in Disability and Rehabilitation, 2022
Melissa Selb, Richard Nicol, Jan Hartvigsen, Wolfgang Segerer, Pierre Côté
Manual medicine (alternatively referred to as manual therapy) is a non-pharmacological therapy comprising of spinal manipulation and mobilization [2–4]. Not only is it a popular therapeutic approach for LBP, LBP is the most common reason for seeking care from manual medicine practitioners [5,6]. Manual medicine is not profession-specific but is delivered worldwide by health professionals of diverse disciplines, including physio/physical therapists, chiropractors, physicians, osteopaths, and naprapaths [3,5,7,8]. Manual medicine, and specifically spinal manipulative therapy, is recommended as a stand-alone or part of multi-modal therapy for treating LBP in many international guidelines [9].