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Spinal adjustments were among many chiropractic techniques invented in the 19th century by Daniel David Palmer, the founder of chiropractic. [6] Claims made for the benefits of spinal adjustments range from temporary, palliative (pain relieving) effects to long term wellness and preventive care.
However, it is not clear whether these afferent nerves are modulated during normal day-to-day activities of living and, if so, what segmental or whole-body reflex effects they may have." [32] Edzard Ernst has stated that the "core concepts of chiropractic, subluxation and spinal manipulation, are not based on sound science." [33]
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. [83] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. [84]
If any 'unbalanced' areas are found, possible underlying misalignments are palpated with gentle pressure using the thumb or hand against the spinous processes, while the patient enacts guided movements such as swinging the leg or arms to distract the muscles' inertia; this is similar to the principle of mechanics known as 'counter pressure'. [1]
Spinal manipulation, particularly of the upper spine, can cause complications in adults and children that can cause permanent disability or death. [ 9 ] [ 10 ] [ 11 ] Scientific studies have generally found limited evidence for chiropractic efficacy beyond back pain, and concerns about patient safety, particularly with neck manipulations, have ...
Lumbar spinal stenosis (LSS) is a medical condition in which the spinal canal narrows and compresses the nerves and blood vessels at the level of the lumbar vertebrae. Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic spinal stenosis. Lumbar spinal stenosis can ...
Subacute combined degeneration of spinal cord; Diagram of the principal fasciculi of the spinal cord. (In subacute combined degeneration of spinal cord, the "combined" refers to the fact that the dorsal columns and lateral corticospinal tracts are both affected, in contrast to tabes dorsalis which is selective for the dorsal columns.)
The kinematics of a complete spinal motion segment, when one of its constituent spinal joints is manipulated, are much more complex than the kinematics that occur during manipulation of an independent peripheral synovial joint. However, the events that take place in a manipulated synovial joint are the same, irrespective of whether the synovial ...
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