Abstract
Patients with upper limb paresis and prostheses undergo prolonged alterations in neck posture and the potential for fatigue, which is highly likely to impair upper limb sensorimotor integration. Additionally, these postural stressors are likely to lead to restricted mobility and pain in the neck region. This paper describes a series of experiments using somatosensory evoked potentials (SEPs), transcranial magnetic stimulation (TMS), electromyography (EMG) combined with functional performance measures, which demonstrate neurophysiological changes following spinal manipulation in patients with neck pain and dysfunction. This emerging work may help to explain how critical it is to ensure that neck and spine issues are identified and treated in patients attempting to reestablish correct sensorimotor integration during rehabilitation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Branstrom, H., Malmgren-Olsson, E.B., Barnekow-Bergkvist, M.: Balance performance in patients with Whiplash Associated Disorders and Patients with prolonged Musculoskeletal Disorders. Advances in Physiotherapy 3, 120–127 (2001)
Karlberg, M., Persson, L., Magnusson, M.: Reduced postural control in patients with chronic cervicobrachial pain syndrome. Gait and Posture 3, 241–249 (1995)
Michaelson, P., et al.: Vertical Posture and Head Stability in Patients with Chronic Neck Pain. Journal of Rehabilitation Medicine 35(5), 229–235 (2003)
Persson, L., Karlberg, M., Magnusson, M.: Effects of different treatments on postural performance in patients with cervical root compression: A randomized prospective study assessing the importance of the neck in postural control. Journal of Vestibular Research 6(6), 439–453 (1996)
Rubin, A.M., et al.: Postural stability following mild head or whiplash injuries. The American Journal of Otology 16(2), 216–221 (1995)
Stapley, P.J., et al.: Neck muscle fatigue and postural control in patients with whiplash injury. Clinical Neurophysiology 117(3), 610–622 (2006)
Barton, P., Hayes, K.: Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Archives of Physical Medicine and Rehabilitation 77(7), 680–687 (1996)
Falla, D., Bilenkij, G., Jull, G.: Chronic neck pain patient demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine 29, 13 (2004)
Falla, D., et al.: Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain. Disability and Rehabilitation 26(12), 712–717 (2004)
Falla, D., et al.: Myoelectric Manifestations of Sternocleidomastoid and Anterior Scalene Muscle Fatigue in Chronic Neck Pain Patients. Clin. Neurophysiol. 114, 488–495 (2003)
Gogia, P.P., Sabbahi, M.A.: Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine. Spine 19(5), 502–506 (1994)
Herzog, W., Scheele, D., Conway, P.J.: Electromyographic responses of back and limb muscles associated with spinal manipulative therapy. Spine 24(2), 146–153 (1999)
Murphy, B., Dawson, N., Slack, J.: Sacroiliac joint manipulation decreases the H-reflex. Electromyography and Clinical Neurophysiology 35(2), 87–94 (1995)
Suter, E., et al.: Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. Journal of Manipulative & Physiological Therapeutics 22(3), 149–153 (1999)
Suter, E., et al.: Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. Journal of Manipulative & Physiological Therapeutics 23(2), 76–80 (2000)
Haavik, H., Murphy, B.: The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology 22(5), 768–776 (2012)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this paper
Cite this paper
Murphya, B., Haavik, H. (2014). The Role of Spinal Manipulation in Modulating Neuroplasticity and Sensorimotor Integration. In: Jensen, W., Andersen, O., Akay, M. (eds) Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation. Biosystems & Biorobotics, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-08072-7_21
Download citation
DOI: https://doi.org/10.1007/978-3-319-08072-7_21
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-08071-0
Online ISBN: 978-3-319-08072-7
eBook Packages: EngineeringEngineering (R0)