Lasting Changes in Passive Range of Motion after Spinal Manipulation: A Randomized, Blind, Controlled Trial

Christensen H, Hartvigsen J, Nilsson NJournal of Manipulative and Physiolgical Therapeutics1996 Apr; 19(3):165-168

Purpose: To study whether a 3-wk series of spinal manipulation has any lasting effect on passive cervical range of motion.

Design: Randomized, controlled trial with a blind observer. Setting: Ambulatory outpatient facility in an independent National Health Service funded chiropractic research institution.

Participants: Thirty-nine headache sufferers who, on entering the study, displayed objectively decreased passive cervical range of motion. These subjects were recruited from 400 headache sufferers who responded to newspaper advertisements.

Intervention: Half of the group received high-velocity, low-amplitude cervical manipulaiton twice a week for 3 wk. The other half received low-level laser in the upper cervical region and deep friction massage in the lower cervical/upper thoracic region, also twice a week for 3 wk.

Main outcome measures: Goniometrically assessed passive range of motion of the cervical spine.

Conclusions: It seems that any changes in passive range of motion after spinal manipulation are of a temporary nature.

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