39 Questions
What is the speculated cause of meniscus entrapment in spinal joints?
Poorly coordinated spinal movements
How does SMT potentially reduce meniscus entrapment?
By reducing entrapment through gaps in joints
What is the theory behind interdiscal block restrictions?
Fragmented nuclear material
What is the purpose of Cox Flexion Distraction Technic in relation to interdiscal block?
Reduces pressure on the spinal nerves
Which movement allows the meniscoid to move with the inferior facet during flexion?
Flexion
How does SMT impact meniscoid entrapment in interarticular block?
Facilitates meniscoid return to normal position
What is proposed to direct fragmented nuclear material during SMT?
Meniscoid movement
'SP Push' and 'Mammillary Push' are examples of adjustments used for which condition?
'Internal Derangement'
What is believed to alleviate muscle spasm and hypertonicity according to the text?
High Velocity Low Amplitude (HVLA) adjustments
Which technique is mentioned as providing more afferentation to the CNS and being better at reducing pain compared to non-thrust techniques?
High Velocity Low Amplitude (HVLA) manipulation
What interrupts the myofascial cycle according to the text?
High Velocity Low Amplitude (HVLA) adjustments
What types of compression are mentioned in relation to nerve root compression/traction?
Nerve root and Dorsal Root Ganglion (DRG) compression
What may lead to muscle spasm?
Poorly judged movements
Which type of manipulation provides a significant reduction in motor neuron excitability, as per the text?
High Velocity Low Amplitude (HVLA) manipulation
What does SMT stimulate that leads to an inhibitory effect on segmental motor activity?
Low and high threshold mechanoreceptors and nociceptors
What is suggested to be associated with the severity of lower back and neck pain?
Low-grade inflammation
Which hormone is activated by the Hypothalamic-Pituitary-Adrenal (HPA) axis and plays a key role in the stress-related response and inflammation modulation?
Cortisol
What are the neurochemicals consistently found in patients presenting with joint degeneration of the vertebral column?
Tumor necrosis factor, interleukin-1, interleukin-6, interleukin-8
What might be the result of an impaired cortisol regulation according to the text?
Low-grade inflammation
Which systems did Colombi et al. study the effects of SMT on in 2019?
Immune and endocrine systems
What role does cortisol play under normal conditions?
Anti-inflammatory function
Which of the following has been found in patients with chronic low back pain, fibromyalgia, and temporomandibular disorders among others according to the text?
Impaired cortisol regulation
What type of symptoms may reappear if exhaustion continues according to the text?
Autonomic nervous system symptoms
What has been associated with pain hypersensitivity when a dysfunctional response due to subluxation occurs?
Unmodulated inflammation
According to the article, what cascade of responses may be triggered by the mechanical stimulus of SMT?
Neurophysiological responses
Which theory does the immediate effects of SMT, according to the article, correlate with?
Pain Gate Theory
What type of benefits does SMT provide across different spinal musculoskeletal disorders?
Short-term benefits
What is suggested to be lacking in the available evidence regarding SMT's immune-endocrine response?
Consistent results
What is one of the limitations mentioned in the article regarding studies on SMT?
Heterogeneity in biomarkers collection methods
Which systems are purportedly co-activated by SMT to promote tissue healing?
Autonomic Nervous System and HPA axis
What aspect of SMT's effect on immune-endocrine response remains to be established according to the article?
Its clinical relevance and significance
What organizations collaborated on a joint clinical practice guideline for the diagnosis and treatment of low back pain?
American College of Physicians and American Pain Society
Which journal published a study on diagnostic therapeutic flow-charts for low back pain patients based on Italian clinical guidelines?
Eura Medicophys
In which year was the study about maintained spinal manipulation therapy for chronic nonspecific low back pain published?
2011
What type of therapy did the study by Rubinstein et al. focus on for chronic low-back pain?
Spinal manipulative therapy
Which study conducted a systematic review and meta-analysis on the association of Spinal Manipulative Therapy with clinical benefit and harm for acute low back pain?
Paige et al.
What is the publication year of the study that evaluated the effect of spinal manipulative therapy for chronic low-back pain?
2011
Which organization released a clinical practice guideline for low back pain using diagnostic therapeutic flow-charts?
Italian Clinical Guidelines Committee
Who authored the study that examined the effect of vertebral manipulation on chronic low back pain?
Ghroubi S, Elleuch H, Baklouti S, et al.
Learn about the speculated theory of spinal manipulative therapy (SMT) addressing meniscoid entrapment within the posterior spinal joints. Explore how SMT may help reduce entrapment through coordinated spinal movements on the next slides.
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