Journal of Manipulative and Physiological Therapeutics
Volume 23, Issue 2 , Pages 76-80 , February 2000

Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial

  • Esther Suter, PhD

      Affiliations

    • Adjunct assistant professor, The University of Calgary, Calgary, Canada
  • ,
  • Gordon McMorland, DC

      Affiliations

    • Private practice of chiropractic, Calgary, Canada
  • ,
  • Walter Herzog, PhD

      Affiliations

    • Professor, The University of Calgary, Calgary, Canada
  • ,
  • Robert Bray, MD

      Affiliations

    • Professor, Department of Surgery, The University of Calgary, Calgary, Canada

Received 14 June 1999

References 

  1. Hurley MV, Jones DW, Newham DJ. Arthrogenic quadriceps inhibition and rehabilitation of patients with extensive traumatic knee injuries. Clin Sci. 1994;86:305–310
  2. Newham DJ, Hurley MV, Jones DW. Ligamentous knee injuries and muscle inhibition. J Orthop Rheumatol. 1989;2:163–173
  3. Rutherford OM, Jones DA, Newham DJ. Clinical and experimental application of the percutaneous twitch superimposition technique for the study of human muscle activation. J Neurol Neurosurg Psych. 1986;49:1288–1291
  4. Stokes M, Young A. The contribution of reflex inhibition to arthrogenous muscle weakness. Clin Sci. 1984;67:7–14
  5. Suter E, Herzog W, Bray R. Quadriceps inhibition following arthroscopy in patients with anterior knee pain. Clin Biomech. 1998;13:314–319
  6. Suter E, Herzog W, DeSouza K, Bray R. Inhibition of the quadriceps muscles in patients with anterior knee pain. J Appl Biomech. 1998;14:360–373
  7. Suter E, McMorland G, Herzog W, Bray R. Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. J Manipulative Physiol Ther. 1999;22:149–153
  8. Belanger AY, McComas AJ. Extent of motor unit activation during effort. J Appl Physiol Respirat Environ Exerc Physiol. 1981;51:1131–1135
  9. Hales JP, Gandevia SC. Assessment of maximal voluntary contraction with twitch interpolation: an instrument to measure twitch response. J Neurosci Methods. 1988;25:97–102
  10. Suter E, Herzog W. Extent of muscle inhibition as a function of knee angle. J Electromyogr Kinesiol. 1997;7:123–130
  11. Kirkaldy-Willis WH, Burton CV. Managing low back pain. 3rd ed. New York: Churchill Livingstone; 1992;
  12. Hartley M. Practical joint assessment—a sport medicine manual. St. Louis: Mosby Yearbook; 1991;
  13. Evans RC. Illustrated essentials in orthopedic physical assessment. St. Louis: Mosby Yearbook; 1994;
  14. Iles JF, Stokes M, Young A. Reflex actions of the knee joint afferents during contraction of the human quadriceps. Clin Physiol. 1990;10:489–500
  15. Sabbahi M, Khalil M. Segmental H-reflex studies in upper and lower limbs of healthy subjects. Arch Phys Med Rehabil. 1990;71:216–222
  16. Floman Y, Liram N, Gilai AN. Spinal manipulation results in immediate H-reflex changes in patients with unilateral disc herniation. Eur Spine J. 1997;6:398–401
  17. Murphy BA, Dawson NJ, Slack JR. Sacroiliac joint manipulation decreases the H-reflex. Electromyogr Clin Neurophysiol. 1995;35:87–94
  18. Herzog W, Scheele D, Conway J. Electromyographic responses of back and limb muscles associated with spinal manipulative therapy. Spine. 1999;24:146–153
  19. Suter E, Herzog W, Conway PJ, Zhang YT. Reflex response associated with manipulative treatment of the thoracic spine. J Neuromusculoskeletal Sys. 1994;2:124–130
  20. Cramer GD, Darby SD. Basic and clinical anatomy of the spine, spinal cord and autonomic nervous system. St. Louis: Mosby Yearbook; 1995;

 Supported by the Olympic Oval Endowment Fund University of Calgary, the Canadian Chiropractic Association, the Canadian Memorial Chiropractic College, and the College of Chiropractors of Alberta.

☆☆ Submit reprint request to: Esther Suter, PhD, Faculty of Kinesiology, The University of Calgary, 2500 University Dr NW, Calgary, Alberta T2N 1N4, Canada.

PII: S0161-4754(00)90071-X

doi: 10.1016/S0161-4754(00)90071-X

Journal of Manipulative and Physiological Therapeutics
Volume 23, Issue 2 , Pages 76-80 , February 2000