Journal of Osteopathic Medicine, 2003/10, 6(2):64-73. doi: 10.1016/S1443-8461(03)80016-3, type of study: ,art,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (http://www.sciencedirect.com/science/article/pii/S1443846103800163)

Keywords:

article [2634]
intervertebral dysfunction [2]
OMT [3925]
osteopathic manipulative treatment [3946]
spinal lesion [2]

Abstract:

The concept of the manipulable spinal lesion — a musculoskeletal disturbance that can be detected with manual palpation and corrected with manipulation — is examined and evidence for the theories of the dysfunction is discussed. A model for intervertebral dysfunction is presented that describes both mechanical and neurological sequelae to spinal injury, leading to a deficit in regional proprioception, changes in segmental and polysegmental muscle activity and motor control, and predisposing the segment to further strain. The evidence for the proposed model and mechanisms of manual treatment is discussed. Recommendations and directions are outlined for future research.