Studies of such joint manipulations
are of distinctive interest, precisely because they shed light on the question of the effects of combining support-explicitness variations, and hence are included in the present review.
With regard to determining where to apply joint manipulation
procedures, the prevalence of use of common diagnostic tests/procedures and the proportion of patients on which they are used is detailed in Table 3.
Further study to determine the true physiological impact of SI joint manipulation
on gait is required.
The effectiveness of joint manipulation
, for predominantly axial musculoskeletal conditions, has been endorsed by a number of practice guidelines (29) and systematic reviews (30-33) that can be summarized as a basis for discussion.
The aim of this study was to assess whether conservative lower back treatment (SI joint manipulation
) reduces knee-extensor muscle inhibition (MI).
Limited hind foot mobility, commonly associated with tarsal coalition, may influence manual therapists to consider joint manipulation
or other mobility enhancing techniques.
Table 1 Opinions Regarding Chiropractic Care and Athletes (n = 37) Statement Agreed Disagreed Unsure Chiropractic care is important for 81% 8% 11% all athletes Maintenance chiropractic care can 73% 3% 24% reduce sport related injuries Chiropractic consultation when 81% 3% 13% athlete's performance is suffering Table 2 Opinions Regarding What Constitutes a Chiropractic Treatment (n = 37) Frequency Question Response Option Count (%) Which of the following Spinal joint manipulation
/ 37 (100) do you consider an mobilization acceptable component Extremity joint manipulation
/ 37 (100) of a chiropractic mobilization treatment?
Unfortunately while it is repeatedly cited throughout the text that neurovascular injuries are often amenable to conservative care, management strategies of the manual therapist such as muscle release techniques, nerve gliding exercises, joint manipulation
and rehabilitation are discussed at the most basic level, if at all.