Skip to main content

The Role of Spinal Manipulation in Modulating Neuroplasticity and Sensorimotor Integration

  • Conference paper
  • 2006 Accesses

Part of the Biosystems & Biorobotics book series (BIOSYSROB,volume 7)

Abstract

Patients with upper limb paresis and prostheses undergo prolonged alterations in neck posture and the potential for fatigue, which is highly likely to impair upper limb sensorimotor integration. Additionally, these postural stressors are likely to lead to restricted mobility and pain in the neck region. This paper describes a series of experiments using somatosensory evoked potentials (SEPs), transcranial magnetic stimulation (TMS), electromyography (EMG) combined with functional performance measures, which demonstrate neurophysiological changes following spinal manipulation in patients with neck pain and dysfunction. This emerging work may help to explain how critical it is to ensure that neck and spine issues are identified and treated in patients attempting to reestablish correct sensorimotor integration during rehabilitation.

Keywords

  • Transcranial Magnetic Stimulation
  • Neck Pain
  • Whiplash Injury
  • Spinal Manipulation
  • Spinal Manipulative Therapy

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-319-08072-7_21
  • Chapter length: 3 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   269.00
Price excludes VAT (USA)
  • ISBN: 978-3-319-08072-7
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   349.99
Price excludes VAT (USA)
Hardcover Book
USD   399.99
Price excludes VAT (USA)

References

  1. Branstrom, H., Malmgren-Olsson, E.B., Barnekow-Bergkvist, M.: Balance performance in patients with Whiplash Associated Disorders and Patients with prolonged Musculoskeletal Disorders. Advances in Physiotherapy 3, 120–127 (2001)

    CrossRef  Google Scholar 

  2. Karlberg, M., Persson, L., Magnusson, M.: Reduced postural control in patients with chronic cervicobrachial pain syndrome. Gait and Posture 3, 241–249 (1995)

    CrossRef  Google Scholar 

  3. Michaelson, P., et al.: Vertical Posture and Head Stability in Patients with Chronic Neck Pain. Journal of Rehabilitation Medicine 35(5), 229–235 (2003)

    CrossRef  Google Scholar 

  4. Persson, L., Karlberg, M., Magnusson, M.: Effects of different treatments on postural performance in patients with cervical root compression: A randomized prospective study assessing the importance of the neck in postural control. Journal of Vestibular Research 6(6), 439–453 (1996)

    CrossRef  Google Scholar 

  5. Rubin, A.M., et al.: Postural stability following mild head or whiplash injuries. The American Journal of Otology 16(2), 216–221 (1995)

    Google Scholar 

  6. Stapley, P.J., et al.: Neck muscle fatigue and postural control in patients with whiplash injury. Clinical Neurophysiology 117(3), 610–622 (2006)

    CrossRef  Google Scholar 

  7. Barton, P., Hayes, K.: Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Archives of Physical Medicine and Rehabilitation 77(7), 680–687 (1996)

    CrossRef  Google Scholar 

  8. Falla, D., Bilenkij, G., Jull, G.: Chronic neck pain patient demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine 29, 13 (2004)

    CrossRef  Google Scholar 

  9. Falla, D., et al.: Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain. Disability and Rehabilitation 26(12), 712–717 (2004)

    CrossRef  Google Scholar 

  10. Falla, D., et al.: Myoelectric Manifestations of Sternocleidomastoid and Anterior Scalene Muscle Fatigue in Chronic Neck Pain Patients. Clin. Neurophysiol. 114, 488–495 (2003)

    Google Scholar 

  11. Gogia, P.P., Sabbahi, M.A.: Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine. Spine 19(5), 502–506 (1994)

    CrossRef  Google Scholar 

  12. Herzog, W., Scheele, D., Conway, P.J.: Electromyographic responses of back and limb muscles associated with spinal manipulative therapy. Spine 24(2), 146–153 (1999)

    CrossRef  Google Scholar 

  13. Murphy, B., Dawson, N., Slack, J.: Sacroiliac joint manipulation decreases the H-reflex. Electromyography and Clinical Neurophysiology 35(2), 87–94 (1995)

    Google Scholar 

  14. Suter, E., et al.: Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. Journal of Manipulative & Physiological Therapeutics 22(3), 149–153 (1999)

    CrossRef  Google Scholar 

  15. Suter, E., et al.: Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. Journal of Manipulative & Physiological Therapeutics 23(2), 76–80 (2000)

    CrossRef  MathSciNet  Google Scholar 

  16. Haavik, H., Murphy, B.: The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology 22(5), 768–776 (2012)

    CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this paper

Cite this paper

Murphya, B., Haavik, H. (2014). The Role of Spinal Manipulation in Modulating Neuroplasticity and Sensorimotor Integration. In: Jensen, W., Andersen, O., Akay, M. (eds) Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation. Biosystems & Biorobotics, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-08072-7_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-08072-7_21

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08071-0

  • Online ISBN: 978-3-319-08072-7

  • eBook Packages: EngineeringEngineering (R0)