Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 5 , Pages 306-313 , June 2004

Immediate Improvements in Side-to-Side Weight Bearing and Iliac Crest Symmetry After Manipulation in Patients with Low Back Pain

  • John D Childs, PT

      Affiliations

    • Corresponding Author InformationCapt John D. Childs, 59th Medical Wing/Wilford Hall Medical Center, Physical Therapy Element/MMKPP, 2200 Bergquist Dr, Suite 1, Lackland AFB, TX 78236
    • Senior physical therapist and Director of Research, Department of Physical Therapy, Wilford Hall Medical Center, San Antonio, Tex, USA
    • ,
  • Sara R Piva, PT

      Affiliations

    • Doctoral candidate, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pa, USA
    • ,
  • Richard E Erhard, DC, PT

      Affiliations

    • Head chiropractor, University of Pittsburgh Medical Center's Center for Sports Medicine, University of Pittsburgh, Pittsburgh, Pa, USA

Received 10 February 2003 ,Revised 25 March 2003

References 

  1. Postacchini F, Facchini M, Palieri P. Efficacy of various forms of conservative treatments in low back pain: a comparative study. Neuro Orthop. 1988;6:28–35
  2. Rasmussen GG. Manipulation in treatment of low-back pain: a randomized clinical trial. Man Med. 1979;1:8–10
  3. Wreje U, Nordgren B, Aberg H. Treatment of pelvic joint dysfunction in primary care–a controlled study. Scand J Prim Health Care. 1992;10:310–315
  4. Delitto A, Cibulka MT, Erhard RE, Bowling RW, Tenhula JA. Evidence for use of an extension-mobilization category in acute low back syndrome: a prescriptive validation pilot study. Phys Ther. 1993;73:216–222
  5. Erhard RE, Delitto A, Cibulka MT. Relative effectiveness of an extension program and a combined program of manipulation and flexion and extension exercises in patients with acute low back syndrome. Phys Ther. 1994;74:1093–1100
  6. Koes BW, Bouter LM, van Mameren H, Essers AH, Verstegen GM, Hofhuizen DM, et al.  The effectiveness of manual therapy, physiotherapy, and treatment by the general practitioner for nonspecific back and neck complaints. A randomized clinical trial. Spine. 1992;17:28–35
  7. Triano JJ, McGregor M, Hondras MA, Brennan PC. Manipulative therapy versus education programs in chronic low back pain. Spine. 1995;20:948–955
  8. Koes BW, Assendelft WJ, van der Heijden GJ, Bouter LM, Knipschild PG. Spinal manipulation and mobilisation for back and neck pain: a blinded review. BMJ. 1991;303:1298–1303
  9. Assendelft WJ, Koes BW, van der Heijden GJ, Bouter LM. The efficacy of chiropractic manipulation for back pain: blinded review of relevant randomized clinical trials. J Manipulative Physiol Ther. 1992;15:487–494
  10. Di Fabio RP. Efficacy of manual therapy. Phys Ther. 1992;72:853–864
  11. Koes BW, Assendelft WJ, van der Heijden GJ, Bouter LM. Spinal manipulation for low back pain. An updated systematic review of randomized clinical trials. Spine. 1996;21:2860–2871
  12. Shambaugh GE. Manipulating medicine. Lancet. 1995;345:1574
  13. Keller TS, Colloca CJ. Mechanical force spinal manipulation increases trunk muscle strength assessed by electromyography: a comparative clinical trial. J Manipulative Physiol Ther. 2000;23:585–595
  14. Herzog W, Scheele D, Conway PJ. Electromyographic responses of back and limb muscles associated with spinal manipulative therapy. Spine. 1999;24:146–152
  15. Lehman GJ, Vernon H, McGill SM. Effects of a mechanical pain stimulus on erector spinae activity before and after a spinal manipulation in patients with back pain: a preliminary investigation. J Manipulative Physiol Ther. 2001;24:402–406
  16. Suter E, McMorland G, Herzog W, Bray R. Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. J Manipulative Physiol Ther. 2000;23:76–80
  17. Johansson H, Sojka P. Pathophysiological mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes: a hypothesis. Med Hypotheses. 1991;35:196–203
  18. Murphy BA, Dawson NJ, Slack JR. Sacroiliac joint manipulation decreases the H-reflex. Electromyogr Clin Neurophysiol. 1995;35:87–94
  19. Cassidy JD, Quon JA, LaFrance LJ, Yong-Hing K. The effect of manipulation on pain and range of motion in the cervical spine: a pilot study. J Manipulative Physiol Ther. 1992;15:495–500
  20. Cibulka MT, Delitto A, Koldehoff RM. Changes in innominate tilt after manipulation of the sacroiliac joint in patients with low back pain. An experimental study. Phys Ther. 1988;68:1359–1363
  21. Sturesson B, Selvik G, Uden A. Movements of the sacroiliac joints. A roentgen stereophotogrammetric analysis. Spine. 1989;14:162–165
  22. Sturesson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Spine. 2000;25:364–368
  23. Sturesson B, Uden A, Vleeming A. A radiostereometric analysis of the movements of the sacroiliac joints in the reciprocal straddle position. Spine. 2000;25:214–217
  24. Tullberg T, Blomberg S, Branth B, Johnsson R. Manipulation does not alter the position of the sacroiliac joint. A roentgen stereophotogrammetric analysis. Spine. 1998;23:1124–1128
  25. Childs JD, Piva SR, Erhard RE, Hicks GE. Side-to-side weight-bearing asymmetry in patients with low back pain. Man Ther. 2003;8:116–169
  26. Piva SR, Erhard RE, Childs JD, Hicks GE, Al-Abdulmohsin H. Reliability of measuring iliac crest level in the standing and sitting position using a new measurement device. J Manipulative Physiol Ther. 2003;26:437–441
  27. Erhard RE, Bowling RW. The recognition and treatment of the pelvic component of low back and sciatic pain. Am Phys Ther Assoc. 1977;2:4–15
  28. Levangie PK. Four clinical tests of sacroiliac joint dysfunction: the association of test results with innominate torsion among patients with and without low back pain. Phys Ther. 1999;79:1043–1057
  29. Freburger JK, Riddle DL. Measurement of sacroiliac joint dysfunction: a multicenter intertester reliability study. Phys Ther. 1999;79:1134–1141
  30. Riddle DL, Freburger JK. Evaluation of the presence of sacroiliac joint region dysfunction using a combination of tests: a multicenter intertester reliability study. Phys Ther. 2002;82:772–781
  31. Ebrall P. Motion palpation: it's time to accept the evidence. J Manipulative Physiol Ther. 2000;23:513–514
  32. Fritz JM, Delitto A, Welch WC, Erhard RE. Lumbar spinal stenosis: a review of current concepts in evaluation, management, and outcome measurements. Arch Phys Med Rehabil. 1998;79:700–708
  33. Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37:378–381
  34. Makuch R, Simon R. Sample size requirements for evaluating a conservative therapy. Cancer Treat Rep. 1978;62:1037–1040
  35. Jensen MP, Turner JA, Romano JM. What is the maximum number of levels needed in pain intensity measurement?. Pain. 1994;58:387–392
  36. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry Low Back Pain Disability Questionnaire. Physiotherapy. 1980;66:271–273
  37. Stratford PW, Binkley J, Solomon P, Gill C, Finch E. Assessing change over time in patients with low back pain. Phys Ther. 1994;74:528–533
  38. Fairbank J. Use of Oswestry Disability Index (ODI). Spine. 1995;20:1535–1537
  39. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25:2940–2953
  40. Beurskens AJ, de Vet HC, Koke AJ. Responsiveness of functional status in low back pain: a comparison of different instruments. Pain. 1996;65:71–76
  41. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81:776–788
  42. Bigos S, Bowyer O, Braen G, Brown K, Deyo R, Haldeman S, et al.  Acute low back problems in adults. Rockville (MD): Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; 1994; AHCPR Publication 95-0642
  43. Malmivaara A, Hakkinen U, Aro T, Heinrichs ML, Koskenniemi L, Kuosma E, et al.  The treatment of acute low back pain–bed rest, exercises, or ordinary activity?. N Engl J Med. 1995;332:351–355
  44. O'Neill A. Danger and safety in medicines. Soc Sci Med. 1994;38:497–507
  45. Erhard RE. In: The spinal exercise handbook: a home exercise manual for a managed care environment. Pittsburgh: Laurel Concepts; 1998;p. 17
  46. Portney LG, Watkins MP. In: Foundations of clinical research: applications to practice. 2nd ed. Upper Saddle River (NJ): Prentice Hall Health; 2000;p. 496–497

☆ Disclaimers: The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the U.S. Air Force or Department of Defense.

PII: S0161-4754(04)00047-8

doi: 10.1016/j.jmpt.2004.04.004

Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 5 , Pages 306-313 , June 2004

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