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Naturopathic Doctor

Manipulation 118
Maintenance Care, Cervical Hemodynamics & Neurophysiological Effects of the Adjustment


  • Identify a sub-group of recurrent low back pain patients that might respond most favorably to a maintenance care schedule
  • Summarize existing research literature on chiropractic maintenance care
  • Investigate short-term changes in pain-pressure threshold (PPT) and temporal summation (TS) after lumbar spinal manipulation (SMT) compared to a credible sham intervention
  • Determine whether cervical spinal manipulation leads to meaningful changes in vertebral and cerebral hemodynamics, compared to neutral or end-range neck rotation postures in adults with chronic neck pain
  • Summarize the current state of the literature regarding the neurophysiological effects of high-velocity, low-amplitude spinal manipulative therapy (HVLA-SMT) in asymptomatic and symptomatic humans
  • Critique the existing, sham-controlled literature evaluating the acute changes in autonomic nervous system (ANS) markers and function in patients receiving manipulation to spinal or peripheral joints

Shawn Thistle, DC

Downloadable Course in PDF
Journal Article Review

$20.00 USD

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