Spine adjustments and chiropractic adjustments are terms used by chiropractors to illustrate their approach to spinal manipulation, as well as some osteopathists, using the term adjustment .
Spinal adjustment is one of the chiropractic techniques discovered in the 19th century by Daniel David Palmer, founder of Chiropractic. Claims made for the benefit of spinal adjustment range from temporary effects, palliative (pain relief) to long-term health and preventive care. Despite the success of anecdotes, there is no scientific evidence that spinal adjustment is effective against disease.
Video Spinal adjustment
Adjustments/manipulations
In the section titled "Spinal Manipulation: Chiropractic Adjustment", chiropractic writers and researchers Meeker and Haldeman write that the core clinical method agreed by all chiropractors is spinal manipulation, although chiropractors prefer to use the term "adjustment" of the spine, a term that reflects " they are in therapeutic effect and improve health improve spinal joint abnormalities. " (p.Ã, 218)
Defined as unique for chiropractic
The International Chiropractor's Association (ICA) states that "chiropractic spinal adjustment is unique and singular to the chiropractic profession", and that it is "characterized by specific thrust applied to the spine utilizing portions of the vertebra and adjacent structures as levers to be directed correctly articular malposition. Adjustment must be distinguished from spinal manipulation in that adjustment can only be applied to vertebral malposition with a view to repairing or repairing subluxation, whereas each joint, subluxation or not, can be manipulated to mobilize joints or to place joints through various motion... Chiropractic is a specialized field in the art of healing, and with prior rights, different and singular spinal adjustments for the chiropractic profession. "One author claims that this concept is now rejected by mainstream chiropractic. The definition of this procedure describes the use of a load (force) to a particular body tissue with therapeutic intent. These 'loads' are traditionally supplied by the hand, and can vary in speed, amplitude, duration, frequency, and location of the body (p.Ã,218) and are usually abbreviated HVLA (high-speed low amplitudes) thrust.
Intention: to correct vertebral subluxation
The purpose of chiropractic adjustment is to influence or improve the alignment, movement and/or function of the vertebral joint. In particular, they are intended to improve "vertebral subluxation", a term given to the signs and symptoms that chiropractors say to produce from the abnormal alignment of the spine. (p.Ã, 218) This intention forms the legal and philosophical basis of the profession, and US Medicare law formulates it this way:
- "The range of specialized chiropractic services is limited to manual manipulation of the spine to correct subluxation... Medicare will not pay for treatment unless it is 'manual manipulation of the spine to improve subluxation'."/dd>
Maps Spinal adjustment
Adjustment method
As the chiropractic profession grows, individual practitioners and institutions propose and develop a variety of proprietary techniques and methods. While many of these techniques do not survive, hundreds of different approaches remain in today's chiropractic practice. Not all of them involve HVLA thrust manipulation. Most cite case studies, anecdotal evidence, and patient testimony as evidence of effectiveness. These techniques include:
- Toggle Drop - this is when the chiropractor, using a crossed hand, presses firmly on a particular area of ​​the spine. Then, with a quick and precise push, the chiropractor adjusts the spine. This is done to improve mobility in the vertebral joint.
- Lumbar Roll (aka a side posture) - the chiropractor positioned the patient at his side, then applied the quick and precise manipulative thrust to the misaligned vertebrae, returning it to its original position.
- Job Release - The chiropractor applies a gentle pressure using the tip of his finger to separate the vertebra.
- Table adjustment - The patient is lying on a special table with the drop down section. The chiropractor implements a quick push at the same time as the section falls. Table down allows for lighter adjustments without a rotating position that can accompany other techniques.
- Adjustment of instruments - often the softest method of adjusting the spine. The patient is lying on the table facing down while the chiropractor uses a spring activator instrument to make adjustments. This technique is often used to make adjustments in animals as well.
- Manipulation under anesthesia (MUA) - this is done by a certified chiropractor in this technique in an outpatient setting of the hospital when the patient is unresponsive to traditional adjustments.
Technique
There are many techniques that chiropractor experts can specialize in and use in spinal adjustments. Some of the most important techniques include:
- Activator Method - use Activator Adjusting Instrument instead of hand adjustment to provide a consistent low-force and high-speed mechanical impulse to the body. Utilize the leg length analysis to determine segmental deviations.
- Active Release Techniques - a soft-tissue/movement technique system that deals with problems with muscles, tendons, ligaments, fascia and nerves.
- Bio-Geometric Integration - a framework for understanding the body's response to style dynamics. Can be utilized with many techniques. Focuses on the integration of full body strength and judgment to select the most appropriate power adjustment application, ranging from light pressure to traditional joint cavitation, to any particular case presentation.
- Blair Upper Cervical Technique - an objective cervical technique that focuses primarily on misalignments on the first bone of the spine (Atlas) due to head contact (Occiput). Chiropractic Biophysics (CBP) - evidence-based research and techniques aimed at correcting inappropriate spinal curvature with traditional chiropractic manipulation (SMT), focused rehabilitation exercises, and unique forms of spinal traction which uses mechanical assistance and a stretching focus to stretch and remodel the spinal ligaments and tissues.
- Cox Flexion-Distraction - a decompression focus procedure that uses a custom adjustment table with movable sections; these tables stretch and disentangle the sides and ligaments of the spine with a gentle rocking motion.
- Directional Non-Force Techniques - using a diagnostic system for subluxation analysis consisting of a challenging and unique leg examination that allows the body to point toward structural alignment that produces neurological disorders. Thrust but specifically targeted thumb implants provide long-term correction of soft tissue and bone structure.
- Diversified - classic chiropractic techniques, developed by D.D. Palmer, DC. Using a specific manual push that focuses on restoring normal biomechanical functions. It has been developed to adjust limb joints as well.
- Gonstead Techniques - Developed by an automotive engineer who transforms a chiropractor, this technique uses highly specific analysis methods using neural, full spinal x-rays and precise adjustment techniques that condemn "torquing" the spine, which can damage the Intervertebral disc.
- Hole-in-one/Toggle Recoil Technique Technique - A synonym for top cervical techniques developed by BJ Palmer that utilizes quick impulse and release, and then incorporates drop tables as seen in modern practice.
- Kale Technique (Specific Chiropractic) - a gentle technique that uses a special adjustment table that helps regulate and stabilize the upper cervical region surrounding the brain stem.
- Logan Basic Technique - a light touch technique that works to "equalize" or sacrum. The concept uses the use of elevator heels and special contacts.
- NUCCA Techniques - a manual method for adjusting complex atlas subluxation based on a 3D x-ray study that determines the correct driving line or force vector.
- Orthospinological Procedures - is a method for analyzing and repairing the complex subluxation of the cervix over chiropractic based on measurements of vertebral alignment on the neck rays taken from three different directions. Adjustments can be delivered with hand, handheld or table instruments mounted along the pre-calculated vector using about 1 to 7 pounds of style. The patient is in a lying position with strong mastoid support. This procedure is based on the work of the late John F. Grostic, D.C.
- Thompson Drop-Table Technique - uses a precision adjustment table with a weighing mechanism that adds just enough tension to hold the patient in the "up" position before the thrust is given.
Over the years, many variations of this technique have been delivered, largely as proprietary techniques developed by individual practitioners. WebMD has created a partial list:
Effects
Spinal adjustment effects vary depending on the method being performed. All techniques claim similar effects to other manual therapies, ranging from decreasing muscle tension to reducing stress. Studies show that most patients go to the chiropractor for musculoskeletal problems: 60% with lower back pain, and the rest with symptoms of head, neck and extremities. (p. 219) Also the article "Chiropractic: Profession at Crossroads of Mainstream and Alternative Medicine" states that, "chiropractic is a revolutionary healing system based on the premise that neurological dysfunction caused by nerves that are 'punctured' at the spinal level is the cause most uncomfortable ". (p.Ã, 218) The mechanisms claimed to alter the functioning of the nervous system and affect overall health are seen as speculative in nature; however, clinical trials have been conducted that include "comparative placebo-controlled [and] comparison with other treatments". (page 220) The American Chiropractic Association promotes the chiropractic treatment of infants and children under the theory that "poor posture and physical injury, including birth trauma, may be a major cause of illness in children and can have a direct and significant impact only on spinal mechanics, but on other body functions ".
Effects of spinal manipulation have been shown to include: temporary relief of musculoskeletal pain, increased range of joint movement, changes in kinematics of joint kinematics, increased pain tolerance and increased muscle strength. (page 222) The common side effects of spinal manipulative therapy (SMT) are characterized as mild to moderate and may include: local discomfort, headache, fatigue, or radiating discomfort. (p.Ã, 222).
Security
There is not enough data to establish the security of spinal manipulation. The level of side effects is unknown. Adverse events are increasingly reported in randomized clinical trials of spinal manipulation but are still underreported despite recommendations in the 2010 CONSORT guidelines. This is often associated with mild to moderate side effects, as well as serious outcomes that may result in permanent disability or death, which including stroke, spinal herniation, vertebral fractures and ribs and cauda equina syndrome. Serious results are very rare. About half of people reported experiencing side effects after spinal manipulation. Positive effects found with spinal manipulation are: increasing range of motion and mobility, pain and headache relief, and improved posture.
See also
- Chiropractic History
- Cracked connection
- Combined manipulation
- Drug osteopathic manipulation
References
External links
- Changing Chiropractic View - RAND Health
- In the Officials of Cultural Authority - Keating, Hyde, Menke, Seaman, Vincent, Wyatt
- About Chiropractic Adjustment, Chiropractic Manipulation a. k.a - Nathan Cintron, D.C.
- About Chiropractic Adjustment, Spinal Manipulation - Frank M. Painter, D.C.
- About Instrument Adjustment
Source of the article : Wikipedia
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