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Short lever, specific contact articular chiropractic technique
Journal of Manipulative and Physiological Therapeutics
|November 1, 1992
Summary
Literature on direct manual therapy techniques using short levers and variable forces is scarce. More clinical trials are needed to evaluate the effectiveness and safety of these chiropractic and osteopathic manipulation methods.
Area of Science:
- Manual medicine
- Chiropractic techniques
- Osteopathic manipulation
Background:
- Direct manual techniques using specific contacts on short levers with variable forces are common in chiropractic and osteopathic practices.
- Limited accessible literature exists on these specific manipulative procedures.
- Lack of standardized terminology and isolated development of technique systems hinder retrieval.
Purpose of the Study:
- To identify and review existing literature on direct manual techniques with specific contacts on short levers.
- To describe the characteristics of these manipulative procedures.
- To highlight the need for further research and clinical trials.
Main Methods:
- Searched MEDLINE, Index to Chiropractic Literature, and Chiropractic Research Abstracts Collection.
- Used keywords: chiropractic/methods, osteopathic manipulation, chiropractic techniques, spinal manipulation, and joint manipulation.
- Included English-language studies and performed a hand search of textbooks and references.
Main Results:
- Found limited accessible literature on these techniques.
- Described characteristics of techniques using specific contacts on short levers.
- Identified high-velocity, low-amplitude thrust as an old and widely used technique.
Conclusions:
- This review is a preliminary step in evaluating chiropractic technique procedures.
- Accessible literature on these specific techniques is scarce.
- Effectiveness and safety statements are largely opinion-based, necessitating clinical trials and comparative studies.