Paraspinal muscles and intervertebral dysfunction: part one

1055 28 68072 2 2406956 document 68072 lightbox.jpg image/png 328cf40706f9ec271332520cfefe1446 MD5 55070 2020-10-06 21:46:12 https://vuir.vu.edu.au/1055/2/lightbox.jpg 1055 2 2 image/png other Thumbnails conversion from text to thumbnail_lightbox en staffonly

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http://eprints.org/relation/isVersionOf https://vuir.vu.edu.au/id/dark_document/68052 http://eprints.org/relation/isVolatileVersionOf https://vuir.vu.edu.au/id/dark_document/68052 http://eprints.org/relation/issmallThumbnailVersionOf https://vuir.vu.edu.au/id/dark_document/68052 archive 293 disk0/00/00/10/55 2008-10-17 06:01:50 2021-08-27 07:40:43 2008-10-17 06:01:50 article show Fryer Gary Fryer, Gary Morris Tony Morris, Tony Gibbons Peter Gibbons, Peter Paraspinal muscles and intervertebral dysfunction: part one pub 240000 cress spine, muscle, palpation, chiropractic, osteopathic medicine Background: One of the diagnostic characteristics of the manipulable spinal lesion—a musculoskeletal disturbance detected by manual palpation and corrected with manipulation—is said to be altered segmental tissue texture. Various manual therapy authors have speculated on the possible nature of this tissue change, with some authors hypothesizing that it represents deep segmental muscle overactivity. Objectives: To review the literature relating to the detection and nature of altered paraspinal tissue texture, proposed explanations for altered tissue texture, evidence for the plausibility of paraspinal muscle spasm, and evidence of muscle dysfunction associated with low back pain (LBP). Data Source: MEDLINE and CINAHL databases were searched using various combinations of the keywords paraspinal, muscle, palpation, EMG, spine, low back pain, pain, myofascial, hardness, manipulation, reliability, and somatic dysfunction, along with searching the bibliographies of selected articles and textbooks. Data Extraction: All relevant data were used. Results: Little direct evidence exists for the nature of abnormal paraspinal tissue texture detected by palpation. Palpation for tenderness is more reliable than palpation for tissue texture change. Indirect evidence from animal studies and experimental muscle inflammation support the plausibility of protective paraspinal muscle contraction. Increased paraspinal electromyographic (EMG) activity observed in subjects with LBP appears to be a result of voluntary and nonvoluntary changes in motor control, modified by psychophysiological responses to perceived stress rather than a simple protective reflex. Conclusion: Although little direct evidence exists of the nature of clinically detected paraspinal tissue texture change, the concept of reactive muscle contraction appears plausible. Increased paraspinal EMG activity associated with LBP does not appear to be mediated by a simple protective reflex. 2004-05 published Chris Baumle 10.1016/j.jmpt.2004.02.006 http://dx.doi.org/10.1016/j.jmpt.2004.02.006 68052 2 2406928 dark_document 68052 Fryer Gary 1.pdf application/pdf 5cd4a3be80781b9e4261d41123c0cbb1 MD5 128470 2020-10-06 21:35:54 1055 1 1 application/pdf text Submission & Permission Form en staffonly

Fryer Gary 1.pdf

other none Journal of Manipulative and Physiological Therapeutics 27 4 267-274 TRUE 01614754 FALSE 62 2-s2.0-2442436983 2023-07-01 04:04:31