The Effects of Manual Therapy on Balance and Falls: A Systematic Review

Holt, Kelly; Haavik, Heidi; Elley, C Raina

doi:10.1016/j.jmpt.2012.01.007

Cited by 28 publications

(11 citation statements)

References 30 publications

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“…Falling is a serious problem, particularly in middle aged and older adult populations [14]; in the United States, falls are the main cause of injury-related hospital admissions and death associated with aging [14]. The aging process results in reduced afferent sensory information, which is necessary for producing muscle force and maintaining postural balance.…”

Section: Introductionmentioning

confidence: 99%

Effects of Plantar Flexor Muscle Static Stretching Alone and Combined With Massage on Postural Balance

2016

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ObjectiveTo evaluate and compare the effects of stretching and combined therapy (stretching and massage) on postural balance in people aged 50 to 65 years.MethodsTwenty-three subjects participated in this nonrandomized clinical trial study. Each participant randomly received plantar flexor muscle stretching (3 cycles of 45 seconds with a 30-second recovery period between cycles) alone and in combination with deep stroking massage (an interval of at least 30 minutes separated the two interventions). The data were recorded with a force platform immediately after each condition with eyes open and closed. The center of pressure displacement and velocity along the mediolateral and anteroposterior axes were calculated under each condition. The data were analyzed with multiple-pair t-tests.ResultsThe center of pressure displacement and velocity along the mediolateral axis increased after both stretching and the combined intervention. There were significant differences in both values between participants in the stretching and combined interventions (p<0.05).ConclusionPlantar flexor muscle stretching (for 45 seconds) combined with deep stroking massage may have more detrimental effects on postural balance than stretching alone because each intervention can intensify the effects of the other.

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Section: Introductionmentioning

confidence: 99%

Effects of Plantar Flexor Muscle Static Stretching Alone and Combined With Massage on Postural Balance

2016

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“…This need has also been previously highlighted by chiropractic researchers in New Zealand [29]. Indeed, there is some preliminary evidence that manual therapy may be beneficial for improving balance and potentially reducing falls risk [30]. Future studies may consider investigating possible differences in the prevalence of falls or falls-risk between older people who routinely receive manual therapy (perhaps in addition to exercise) for their neck pain and those who do not.…”

Section: Discussionmentioning

confidence: 95%

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

et al. 2019

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BackgroundNeck pain is a leading cause of individual and societal burden worldwide, affecting an estimated 1 in 5 people aged 70 years and older. The nature and outcomes of chiropractic care for older adults with neck pain, particularly those with co-morbid headaches, remains poorly understood. Therefore, we sought to ascertain: What proportion of Australian chiropractors’ caseload comprises older adults with neck pain (with or without headache); How are these conditions treated; What are the reported outcomes?MethodsAn online survey examining practitioner and practice characteristics, clinical patient presentations, chiropractic treatment methods and outcomes, and other health service use, was distributed to a random nationally representative sample of 800 Australian chiropractors. Quantitative methods were used to analyze the data.ResultsTwo hundred eighty-eight chiropractors (response rate = 36%) completed the survey between August and November 2017. Approximately one-third (M 28.5%, SD 14.2) of the chiropractors’ patients were older adults (i.e. aged ≥65 years), of which 45.5% (SD 20.6) presented with neck pain and 31.3% (SD 20.3) had co-morbid headache. Chiropractors reported to combine a range of physical and manual therapy treatments, exercises and self-management practices in their care of these patients particularly: manipulation of the thoracic spine (82.0%); activator adjustment of the neck (77.3%); and massage of the neck (76.5%). The average number of visits required to resolve headache symptoms was reported to be highest among those with migraine (M 11.2, SD 8.8). The majority of chiropractors (57.3%) reported a moderate response to treatment in reported dizziness amongst older adults with neck pain. Approximately 82% of older adult patients were estimated to use at least one other health service concurrently to chiropractic care to manage their neck pain.ConclusionThis is the first known study to investigate chiropractic care of older adults living with neck pain. Chiropractors report using well-established conservative techniques to manage neck pain in older adults. Our findings also indicate that this target group of patients may frequently integrate chiropractic care with other health services in order to manage their neck pain. Further research should provide in-depth investigation of older patients’ experience and other patient-reported outcomes of chiropractic treatment.

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“…126 However, the recent increase in publications, presentations, and scientific investigation in the field of aging and chiropractic bodes well for an increasing role for chiropractic in our aging world. [127][128][129][130][131] WHAT IS THE ROLE OF ETHICS AND THE CONTRIBUTION OF THE CHIROPRACTIC PROFESSION TO PUBLIC HEALTH?…”

Section: What Opportunities Exist For Dcs To More Effectively Serve Tmentioning

confidence: 99%

Chiropractic Care and Public Health: Answering Difficult Questions About Safety, Care Through the Lifespan, and Community Action

Johnson

Rubinstein

Côté

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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The Effects of Manual Therapy on Balance and Falls: A Systematic Review

Cited by 28 publications

References 30 publications

Effects of Plantar Flexor Muscle Static Stretching Alone and Combined With Massage on Postural Balance

Effects of Plantar Flexor Muscle Static Stretching Alone and Combined With Massage on Postural Balance

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

Chiropractic Care and Public Health: Answering Difficult Questions About Safety, Care Through the Lifespan, and Community Action

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