Chiropractic manipulation Research

  • Clinicians should consider utilizing thrust manipulative procedures to reduce pain and disability in patients with mobility deficits and acute low back and back-related buttocks or thigh pain. Thrust manipulative and nonthrust mobilization procedures can also be used to improve spine and hip mobility and reduce pain and disability in patients with subacute and chronic low back and back-related lower extremity pain. JOSPT (2012)
  • Consider manual therapy (spinal manipulation, mobilization, or soft tissue techniques such as massage) for managing low back pain with or without sciatica, but only as part of a treatment package including exercise, with or without psychological therapy. NICE Guidelines (2016)
  • Doctors and patients should consider the following nondrug treatments for patients who do not respond to self-care: rehabilitation, spinal manipulation, exercise therapy, massage, acupuncture, yoga, progressive relaxation, or cognitive-behavioral therapy. Annals of Internal Medicine (2007)
  • The results strongly suggest that the combined physiotherapy treatment, consisting of manual therapy (mobilization and/or manipulation of the lumbar spine), specific exercise training, and neurophysiology education, is effective in producing functional and symptomatic improvement in chronic low back pain patients. Australian Journal of Physiotherapy (2002)

Graston Technique & Manual Therapy Research

  • Manual physical therapy combined with supervised shoulder exercise is superior to supervised shoulder exercise alone for enhancing strength and function and reducing pain in patients with shoulder impingement syndrome. JOSPT (2000)
  • Friction or firm massage as a treatment to a painful (and likely reactive) tendon can be provocative to the tendons and peritendinous structures, although it has been shown to stimulate protein production in an animal model and may be helpful in a more degenerative presentation. BJSM (2014)
  • This study suggests that instrument-assisted cross fiber massage may accelerate early tissue-level healing following acute capsular/extracapsular ligament injury but it has minimal to no effect in terms of augmenting the overall outcome of the ligament-healing process. JOSPT (2009)
  • For subjects with chronic ankle instability, dynamic postural control, range of motion, pain and disability improved pretest to posttest regardless of group membership, with the larges effects found in most measures in the dynamic balance test/Graston instrument soft tissue mobilization group. Journal of Sports Rehabilitation (2012)
  • The results of this study indicate that an application of instrument-assisted soft tissue mobilization of the posterior shoulder provides acute improvements in both glenohumeral horizontal adduction range of motion and internal range of motion among baseball players. International Journal of Sports Physical Therapy (2014)
  • Our results show that the Graston technique decreased pain and increased range of motion in patients with chronic low back pain. Journal of Physical Therapy Science (2016)

Functional Rehabilitation Research

  • Clinicians should consider utilizing trunk coordination, strengthening, and endurance exercises to reduce low back pain and disability in patients with subacute and chronic low back pain with movement coordination impairments and in patients post lumbar microdiscectomy. JOSPT (2008)
  • Therapeutic exercises focused on strengthening posterolateral hip muscles reduce pain and improve function [for patellofemoral pain] when performed alone, or in combination with multimodal therapy. BJSM (2014)
  • The results suggest that exercise therapy, when included as part of a treatment programme, has a beneficial effect for patients who have symptomatic shoulders and radiological or arthroscopic evidence of full thickness rotator cuff tears. BJSM (2007)
  • The results of this systematic review suggest that motor control exercise is more effective than minimal intervention and adds benefit to another form of intervention in reducing pain and disability for people with persistent low back pain. Physical Therapy Journal (2009)
  • The clinical implications are that isometric muscle contractions may be used to reduce pain in people with patellar tendinopathy without a reduction in muscle strength. BJSM (2015)
  • Clinicians should consider the use of coordination, strengthening, and endurance exercises to reduce neck pain and headache. JOSPT (2008)

Kinesiology Tape/RockTape Research

  • When applied to a young, active patient population with a clinical diagnosis of rotator cuff tendonitis/impingement, kinesiotape may assist clinicians to obtain immediate improvement in pain-free shoulder abduction range of motion. JOSPT (2008)
  • This review highlights that kinesiology tape is superior to minimal intervention for pain relief. Existing evidence does not establish superiority of kinesiology tape in reducing disability when compared to either minimal or other forms of intervention. Taken together, our review indicates that kinesiology tape, when used in combination with conventional therapy, may be effective in reducing pain. BJSM (2015)
  • These results demonstrated that kinesiology tape application with proper tension to the quadriceps effectively attenuates various types of pain and improves active range of motion and proprioception in osteoarthritis patients. Thus, kinesiology tape may be a suitable intervention to improve pain, active range of motion, and proprioception in patients with osteoarthritis in clinics. American Journal of PM&R (2015)

Functional Movement Screen Research

  • This study adds to the growing body of evidence demonstrating a predictive relationship between Functional Movement Screen composite scores and the development of injury. These study findings are consistent with previous studies that demonstrate that a Functional Movement Screen score less than 14 is associated with increased risk of injury. For maximal predictive power, a Functional Movement Screen score less than 14 combined with a history of previous injury provides the greatest indicator of future injury. IJSPT (2015)
  • An athlete had an approximately 4.7 times greater chance of suffering a lower extremity injury during a regular competitive season if they scored less than 17 on the Functional Movement Screen. IJSPT (2014)
  • The current study identified the deep squat and active straight leg raise score as a more effective method than the composite score to screen the risk of running injuries in competitive male runners. Journal Strength and Conditioning Research (2015)