Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain


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Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A. et Piché, M. (2021). Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain. European Journal of Pain . ISSN 1090-3801 DOI 10.1002/ejp.1773

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Abstract Together, neck pain and back pain are the first cause of disability worldwide, accounting for more than 10% of the total years lived with disability. In this context, chiropractic care provides a safe and effective option for the management of a large proportion of these patients. Chiropractic is a healthcare profession mainly focused on the spine and the treatment of spinal disorders, including spine pain. Basic studies have examined the influence of chiropractic spinal manipulation on a variety of peripheral, spinal, and supraspinal mechanisms involved in spine pain. While spinal cord mechanisms of pain inhibition contribute at least partly to the pain-relieving effects of chiropractic treatments, the evidence is weaker regarding peripheral and supraspinal mechanisms, which are important components of acute and chronic pain. This narrative review highlights the most relevant mechanisms of pain relief by spinal manipulation and provides a perspective for future research on spinal manipulation and spine pain, including the validation of placebo interventions that control for placebo effects and other non-specific effects that may be induced by spinal manipulation.

Type de document: Article
Mots-clés libres: Low back pain Manual therapy Neck pain Pain inhibition Placebo Spinal manipulative therapy
Date de dépôt: 26 avr. 2021 20:39
Dernière modification: 01 mars 2023 20:25
Version du document déposé: Post-print (version corrigée et acceptée)

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