Variance in Manual Treatment of Nonspecific Low Back Pain Between Orthomanual Physicians, Manual Therapists, and Chiropractors

Abstract

Diagnostic techniques and treatment methods of the 3 professional groups differ considerably. For more accurate reporting of the efficacy of manipulative and mobilizing therapies, the characteristics of treatments should be described in more detail when reported in studies such as randomized clinical trials.

Comparison of the Effectiveness of Three Manual Physical Therapy Techniques in a Subgroup of Patients With Low Back Pain Who Satisfy a Clinical Prediction Rule

“…3 Various forms of manual therapy are used by several professional groups in the management of LBP. 4,5 Manual therapy is a general term referring to a broad category of procedures designed to impact musculoskeletal structures for the purpose of reducing pain and improving function. 6,7 The most commonly used forms of manual therapy for individuals with LBP are high velocity thrust and low velocity nonthrust manipulation directed towards the joints of the lumbar spine.…”

Characteristics of Chiropractors and their Patients in Belgium

“…There is an emphasis on manual treatments including spinal adjustment and other joint and soft-tissue manipulation." 1 Within Europe, chiropractic is recognized under specific chiropractic legislation in all Scandinavian countries, the United Kingdom, Switzerland, Liechtenstein, Italy, and Malta. In Belgium, chiropractic is considered complementary medicine; and from a strict legal standpoint, practicing chiropractic is still considered practicing medicine without a license.…”

Orthomanual therapy as treatment for suspected thoracolumbar disc disease in dogs ABSTRACT.

“…quick pressure). This force is applied on the abnormal positioned segment of the skeleton in the direction of the natural position and function (van de Veen et al, 2005).…”

“…The consequential pressure on the spinal cord, or trauma induced by the kinetic energy component of the extruded disc material may cause pain and neurological dysfunction. According to the principles of orthomanual medicine, a misalignment of skeletal components can cause loss of function, movement limitations and pain (van de Veen et al, 2005). It is theorised that correcting the misalignment of the vertebrae diminishes the pressure on the intervertebral disc and creates an environment that facilitates an improvement of the neurological state (Assendelft and Lankhorst, 1998;van de Veen et al, 2005).…”

“…Orthomanual therapy in dogs with TLDD is presumed to create a condition that facilitates improvement of the neurological state by relieving pressure on the intervertebral disc and spinal cord (Assendelft and Lankhorst, 1998;van de Veen et al, 2005). The addition of cage rest to this therapy allows the animal's body to resorb a part of the extruded disc material and to strengthen the annulus fibrosus, and reduces the risk of further nucleus pulposa extrusion.…”