Skip to main content
 

 

 

Neuromuscular Response to High-Velocity, Low-Amplitude Spinal Manipulation-An Overview

Author name : Murdi Sawan S Alanazi
Publication Date : 2025-01-22
Journal Name : Medicina

Abstract

The clinical use of spinal manipulation to treat musculoskeletal conditions has nearly tripled in the United States since 1980, and it is currently recommended by most global clinical guidelines as a conservative treatment for musculoskeletal pain despite a lack of knowledge concerning its mechanisms of action. This overview highlights evidence of direct neuromuscular responses to high-velocity low amplitude spinal manipulation (HVLA-SM) as delivered by chiropractic, osteopathic, and physical therapy clinicians with an intent to foster greater interprofessional dialogue and collaborative research to better address current gaps in mechanistic knowledge involving neuromuscular response to HVLA-SM. Three databases (PubMED, CINAHL Ultimate (EBSCO), EMBASE (Elsevier)) were searched from 2000 to December 2024 with specific search terms related to thrust HVLA-SM and neuromuscular response. To focus strictly on neuromuscular responses related to HVLA-SM, this literature overview excluded articles using non-HVLA-SM manual therapy techniques (i.e. massage, non-thrust joint mobilization, and/or combined HVLA-SM with other forms of treatment such as exercise or non-thrust joint mobilization), and studies in which patient-centered outcomes (i.e. pain scores) were the primary outcome of the HVLA-SM intervention. Pediatric studies, animal studies and studies in languages other than English were also excluded. One-hundred thirty six articles were identified and included in this overview. Neuromuscular findings related to HVLA-SM in the areas of electromyography (EMG), muscle thickness, muscle strength, reflexes, electroencephalogram (EEG), and evoked potentials were often mixed; however evidence is beginning to accumulate either in favor or opposed to particular neuromuscular responses to HVLA-SM as larger and more scientifically rigorous studies are being performed. Recurrent limitations of many HVLA-SM related studies are small sample sizes leading to lack of generalizability and the non-standardization of HVLA-SM delivery which has hindered arriving at definitive conclusions regarding neuromuscular responses to HVLA-SM. Discussions of future neuromuscular research needs as related to HVLA-SM are included for clinicians and researchers inside and outside the field of manual therapy to advance the field.

Keywords

Manual Therapy; Neuromuscular; High-Velocity, Low-Amplitude Spinal Manipulation; Spinal Manipulation, Electromyography

Publication Link

https://doi.org/10.3390/medicina61020187

Block_researches_list_suggestions

Suggestions to read

“Synthesis and Characterization study of SnO2/α-Fe2O3, In2O3/α-Fe2O3 and ZnO/α-Fe2O3 thin films and its application as transparent conducting electrode in silicon heterojunction solar cell”
Asma Arfaoui
Oral cancer stem cells: A comprehensive review of key drivers of treatment resistance and tumor recurrence
DR KALADHAR REDDY AILENI
Modeling the Social Factors Affecting Students Satisfaction with Online Learning: A Structural Equation Modeling Approach
ABDULHAMEED RAKAN ALENEZI
Photocurrent and electrical properties of SiGe Nanocrystals grown on insulator via Solid-state dewetting of Ge/SOI for Photodetection and Solar cells Applications
MOHAMMED OMAR MOHAMMEDAHMED IBRAHIM
Contact