Performance based objective outcome measures and spinal manipulation

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

“…Findings from recent studies have provided evidence that the manipulation of dysfunctional segments improves range of motion in restricted joints and has an analgesic effect on both central and peripheral sites Passmore, Burke, Good, Lyons, & Dunn, 2010;Passmore & Descarreaux, 2012). Functional changes subsequent to spinal manipulation range from alteration in muscular activity to improvements in kinaesthetic performance (Haavik-Taylor & Murphy, 2007b;Heikkilä et al, 2000;).…”

“…Findings from recent studies suggest that spinal manipulation may have a number of analgesic (Bronfort et al, 2008), neuromodulatory (Pickar, 2002; and local functional effects (Passmore & Descarreaux, 2012;Sterling et al, 2001). The research surrounding the wider functional effects, and possible clinical applications of the technique however, is limited.…”

Musculoskeletal physical outcome measures in individuals with tension-type headache: A scoping review

“…Physiological outcome measures are commonly studied in individuals with low back or cervical pain (47,48) and have been used effectively to discriminate healthy subjects from symptomatic patients with these conditions (49)(50)(51). Such outcomes may provide relevant information regarding the clinical TTS: Total tenderness score of masseter, temporalis, frontalis, sternocleidomastoids (SCM), trapezius, suboccipital muscles, coronoid and mastoid processes; mean muscles: mean of frontalis, masseter, temporalis, pterygoid, sternocleidomastoids, trapezius and neck muscle insertions; RCP: rectus capitis posterior; HA: headache; CSA: cross sectional area; ROM: range of motion; PPT: pressure pain threshold.…”

Is performance in goal oriented head movements altered in patients with tension type headache?

“…Although pericranial tenderness is considered a facultative criterion to the diagnosis of TTH, there has been no objective physical outcome measure systematically proposed to help clinicians with the diagnosis. Physiological outcome measures are commonly studied in individuals with low back or cervical pain [8,9] and have been used effectively to discriminate healthy controls from symptomatic patients with these conditions [9-11]. Furthermore, a recent scoping review on musculoskeletal physical outcome measures in individuals with TTH has highlighted the scarce use of such data in clinical research [12].…”