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Chiropractic Research Review

Spinal Stability after Manipulation: An Expert's Approach

Stability is an important concept for all clinicians involved in active patient rehabilitation, although the precise definition may vary from one clinician to another. From a chiropractic perspective, stability is often thought of in terms of maintaining joint stability in patients after manipulative techniques are employed.

This paper formalizes the concept of stability in a clinician-friendly manner and discusses ways for chiropractors to ensure stability of spinal joints, with particular attention paid to improving stabilization after manipulation procedures. Included is a discussion of major issues related to this topic, including general concepts of spinal exercise and instability as causes of injury.

The author then discusses specific controversial exercise options that clinicians may want to consider, such as:

* Situps - Should they be done?

* Pelvic tilts - What is their effect on the lumbar spine?

* Spinal flexibility - does it cause more harm than good?

* Which is more important, spinal muscle endurance or strength?

* What is the role of aerobic exercise in the treatment and improvement of back injuries?

Issues relating to the abdominal quadratus lumborum and back extensor muscles are also discussed. The article culminates with a recommended beginner's program for spinal stabilization.

McGill SM. Stability: from biomechanical concept to chiropractic practice. Journal of the Canadian Chiropractic Association, June 1999:43(2), pp75-88.
Reprints: Tel: (416) 781-5656; Fax: (416) 781-7344

Chiropractic Research Review

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