Talk:Spinal adjustment

message: There seems to be an excessive amount of comparison between spinal manipulation and spinal adjustment. I believe this is from the lack of the actual technical distinctions between the HVLA thrust and its corresponding components when utilized by DCs vs PTs/MDs and most DOs. The introduction of the concepts of long and short lever thrusting techniques is central to this distinction. Both produce the desired joint cavitation/gapping but attain this by different means.
The short lever move is done with the contact hand as close as possible to the segment to be thrusted upon. Typically the practitioner's thrusting hand contacts the spinous or transverse process of a vertebra. Thus the thrust is delivered directly to the desired vertebra with the intent of affecting one or more of the facet joints. These moves typically require extensive practice to produce meager results. The short lever move is also typically performed in the more or less loose pack position of the joint.
The long lever move is done by rotating portions of the body opposite one another in order to produce tension across multiple vertebral levels. The HVLA thrust is delivered when the joint slack has been removed, and the tissues are at tension. This causes cavitation of multiple facets, and is not as specific in nature as the short lever move. These moves generally require less practice to produce cavitation at a vertebral level when compared to their short lever alternative. 
This is present in the literature and is central to many chiropractic techniques. 
The article  "Chiropractic: Origins, Controversies, and Contributions" presents this distinction as an important pillar of chiropractic technique:
"The vertebrae can be moved by direct contact—the "short-lever" technique—or through a distant linkage, or the "long-lever" method. The latter method is used, for example, when a dynamic thrust of the thigh moves a vertebra in the lower spine. "Amplitude" refers to the depth or distance traveled by a practitioner's thrust. When joints are less accessible or when a long lever is involved, the amplitude increases. The degree of force applied is yet another variable."
Also the initial statement in this section is the opinion of two people. However legitimate this opinion may be, it does not explain the technical distinctions. So the reader is still unaware that spinal manipulation and adjustment are both HVLA techniques that differ in their finer points. 
Pacmann117 (talk) 06:15, 29 August 2014 (UTC)
thread_title:  simplifying the adjustment/manipulation section 

message: Review finds spinal manipulation no more effective than exercise for chronic low back pain
: An analysis of studies that compared spinal manipulation and prescribed exercise for patients diagnosed with chronic low back pain has concluded that no conclusive evidence favors one over the other. Only three randomized controlled trials met the inclusion criteria of the review. One favored manipulation, one favored exercise, and the third study judged them equal. The authors called for more studies to determine which intervention is more effective. 
: Merepeza A. Effects of spinal manipulation versus therapeutic exercise on adults with chronic low back pain: a literature review. Journal of the Canadian Chiropractic Association 58:456-466, 2014
Definitely a MEDRS compliant source about chiropractic spinal manipulation. -- Brangifer (talk) 15:42, 19 January 2015 (UTC)
thread_title:  Review finds spinal manipulation no more effective than exercise for chronic low back pain 

message: The page used an 18 year old paper for many of the citations. Can we update this?--Akrasia25 (talk) 02:50, 8 January 2019 (UTC)
thread_title: Old study used as source

message: Example:
"
The mechanisms that are claimed to alter nervous system function and affect overall health are seen as speculative in nature, however, clinical trials have been conducted that include “placebo-controlled comparisons [and] comparisons with other treatments”. (p. 220)[2] The American Chiropractic Association promotes chiropractic care of infants and children under the theory that “poor posture and physical injury, including birth trauma, may be common primary causes of illness in children and can have a direct and significant impact not only on spinal mechanics, but on other bodily functions”.[10]
"
If no one else has made any changes in a few days I'll make an account and work on it.  
The Musculoskeletal disorders "effects" section doesn't reflect the medical consensus of efficacy and seems to rely too much on a single source. It also has some needless fluff.
As far as I can tell, it's at the same level as massage, exercise, or physical therapy for short term relief of lower back pain, that's it.
66.41.165.13 (talk) 01:56, 27 May 2024 (UTC)
thread_title:  NPOV