The Study: Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial
- The treatment was high velocity low amplitude manipulation of the L5-S1 area.
- The subjects were men with degenerative joint disease.
- The authors sought to determine the short term effect of treatment on these subjects on the following factors: "spinal mobility, pain perception, neural mechancosensitivity and full height recovery". (They indicated that they used "passive straight-leg raise ROM" as a measure of observing neural mechanosensitivity with the end point of the test being the start of the patient's pain or discomfort. The full height recovery was done with a Stadiometer in which the person's height is measured 90 seconds after they stand up.)
- Subjects were divided into both a treatment and a control group.
- The type of manipulation was a L5-S1 pull move (side posture).
- The treatment group received just one manipulation.
- The treatment group showed a significant improvement in all the variables studied following the single manipulation.
- One of the outcomes was to measure pre and post manipulation height and the manipulation group showed an increase in height following the manipulation of 3.98mm plus or minus 1.46mm.
- Following manipulation there was "an immediate reduction in self-perceived LBP."
The treatment subjects improved in the variables studied following a single side posture manipulation.
I think we've come to expect studies to show improvement in pain and spinal motion. This one also showed an increase in height and I found that quite interesting.
Reviewer:Roger Coleman DC
Editor: Mark R. Payne DC
Reference: Viera-Pellenz F, Oliva-Pascual-Vaca A, Rodriguez-Blanco C, Heredia-Rizo AM, Ricard F, Almazan-Campos G. Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial. Arch Phys Med Rehabil. 2014;95:1613-9
Link to Abstract: http://www.ncbi.nlm.nih.gov/pubmed/24862763