Manipulation Evidence IFOMPT 2012
- 1. 際際滷 1 Evidence in Manipulation Chris McCarthy PhD, FCSP, FMACP PgD Biomechanics PgD Manipulative Therapy
- 2. 際際滷 2
- 3. 際際滷 3 complex intervention (MRC, 2000) the greater the difficulty in defining precisely what exactly are the active ingredients of an intervention and how they relate to each other, the greater the likelihood that you are dealing with a complex intervention.
- 5. 際際滷 5 Preclinical / Theory Joint Mechanics Muscle responses Neurophysiology
- 6. 際際滷 6 www.combinedmovements.org Unsworth et al 1971 Pull My Finger!
- 7. 際際滷 7 www.combinedmovements.org Joint Cavitation? ELONGATION F O R C E Roston & Wheeler-Haines 1947, Unsworth et al 1971, Watson et al 1989
- 11. 際際滷 11 www.combinedmovements.org Phasic Dopamine Pleasure Pain Centres C-Tactile Receptors Dorsal Horn D-PAG RVM DNIC
- 12. 際際滷 12 Modelling
- 13. 際際滷 13 www.combinedmovements.org Reduction in Pain Changes in pain sensitivity following spinal manipulation: A systematic review and meta-analysis. Authors: Coronado RA, Gay CW, Bialosky JE, Carnaby GD, Bishop MD, George SZ Citation: J Electromyogr Kinesiol 2012(Jan) 3
- 14. 際際滷 14 www.combinedmovements.org Madsen, M. V. et al. BMJ 2009;338:a3115 Fig 1 Meta-analysis of acupuncture versus placebo acupuncture
- 15. 際際滷 15
- 19. 際際滷 19
- 21. 際際滷 21 BMJ 2004
- 22. 際際滷 22 www.combinedmovements.org J Electromyogr Kinesiol. 2012 Mar 17. Spinal manipulation epidemiology: Systematic review of cost effectiveness studies. Michaleff ZA, Lin CW, Maher CG, van Tulder MW. CONCLUSIONS: This review supports the use of SMT in clinical practice as a cost-effective treatment when used alone or in combination with other treatment approaches.
- 24. 際際滷 24 Long Term Implementation
- 25. 際際滷 25 Framework for Design BMJ VOLUME 321 16 SEPTEMBER 2000
- 26. 際際滷 26 www.combinedmovements.org COMMUNICATION COORDINATION COOPERATION c) To encourage scientific research and promote opportunities for the spread of knowledge in the field of manipulative and other manual therapy.
- 27. 際際滷 27 COMPLEX INTERVENTION BIOPSYCHOSOCIAL INTERACTION PSYCHOMOTOR EDUCATION PAIN RELIEF LOCAL EFFECTS CNS EFFECTS PLACEBO EFFECTS CLINICAL AND COST EFFECTIVENESS FOR A UBIQUTOUS CONDITION