Research Review: Comparison of 2 Manual Therapy and Exercise Protocols for Cervical Radiculopathy

In the next installment of the Research Review Series, we discuss a recent randomized controlled study investigating the effectiveness of a manual therapy program specifically tailored to increase the intervertebral foramen (IVF) versus a general manual therapy program in patients presenting with cervical radiculopathy3. Study Design Participant and assessor-blinded randomized clinical trial. Subjects Thirty-six subjects were…

Neck Pain Best Practice: Treatment-Based Classification

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Among one of the most common musculoskeletal complaints, neck pain has been estimated to affect between 22% and 77% of individuals in their lifetime according to the Neck Pain Clinical Practice Guidelines published by Childs et al. While this pain…

Research Review: Effect of Manual Therapy on Vertebral and Internal Carotid Blood Flow

In the next installment of my Research Review series for MedBridge Education, we will discuss a recent study that appeared in Physical Therapy Journal conducted by Thomas et al.  The authors investigated the changes in vertebral and internal carotid blood flow during selective positions that are commonly associated with manual therapy techniques were assumed. This…

Cervical Manipulation… Is the Juice Worth the Squeeze? (Part 2)

In Part 1, the relative risks and important screening areas prior to cervical manipulation were discussed. In this second installment, the effectiveness and a theoretical framework for utilizing cervical manipulation will be laid out. According to the Neck Pain Guidelines published by Cleland et al, manual therapy (mobilization and manipulation) was graded both an 'A'…

Cervical Manipulation… Is the Juice Worth the Squeeze? (Part 1)

Neck pain is a debilitating and all too common issue worldwide. According to a systematic review published by Cote et al, the annual prevalence of neck pain in Quebec City is 48%, 27% in Norway, and 34% in the UK. Subsequently, a limitation in activities of daily living was found in between 11-14% of individuals.…