Development of a Linked Segment Model to Derive Patient Low Back Reaction Forces and Moments During High-Velocity Low-Amplitude Spinal Manipulation

BACKGROUND Back pain is one of the most frequently seen health problems, affecting 9 out of 10 people in a population at some point during their lives. The lower back is the region most commonly affected. Low-back pain can be debilitating, and it is often challenging to treat Low Back Pain. OBJECTIVE The objective of this review is to evaluate the efficacy of High-Velocity Low-Amplitude (HVLA) Spinal Manipulative Therapy (SMT) for Non Specific Low Back Pain (NSLBP). STUDY DESIGN Systemic review METHODS Only articles that had adult (18 years and above) participants were included in this review and studies that classified the intervention as HVLA spinal manipulation were included. Studies that included spinal manipulation other than HVLA or studies of spinal manipulation under anesthesia were excluded. RESULTS Eight full text papers and three systemic reviews justifying the inclusion criteria are reviewed which revealed that high velocity low amplitude spinal manipulative therapy have significant effect in alleviating low back pain. CONCLUSION Spinal manipulation therapy is a distinctive approach that considerably decreases nonspecific low back pain however there is need of further clinical trials into this subject focusing solely on high velocity low amplitude spinal manipulation.

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Procedure Selection and Patient Positioning Influence Spine Kinematics During High-Velocity, Low-Amplitude Spinal Manipulation Applied to the Low Back

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2016.10.014 ◽

2017 ◽

Vol 40 (3) ◽

pp. 147-155 ◽

Cited By ~ 1

Author(s):

Spencer Bell ◽

Kevin D’Angelo ◽

Gregory N. Kawchuk ◽

John J. Triano ◽

Samuel J. Howarth

Keyword(s):

High Velocity ◽

Spinal Manipulation ◽

Patient Positioning ◽

Low Back ◽

Procedure Selection ◽

Spine Kinematics ◽

Low Amplitude

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EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.1.1/004 ◽

2012 ◽

Vol 1 (1) ◽

pp. 23-27

Author(s):

Syed Abid Mehdi Kazmi ◽

Nabiha Mujahid Faruq ◽

Sumaira Imran Farooqui ◽

Jharna Devi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

High Velocity ◽

Low Back ◽

Before And After ◽

History Of ◽

Group A ◽

Group B ◽

Low Amplitude ◽

Stretching Exercises

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching

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