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Why is the prevailing model of joint manipulation (still) incorrect? | LitMetric

Why is the prevailing model of joint manipulation (still) incorrect?

Chiropr Man Therap

Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

Published: December 2022

AI Article Synopsis

  • The paper critiques the Sandoz model of joint manipulation, arguing it is fundamentally flawed and misleading for clinical practice.
  • It reviews the early research on joint cracking that misinformed this model and highlights the potential dangers of its flawed predictions.
  • A revised model from Evans and Breen is proposed as a better alternative, aligning with empirical data and suggesting the need for an updated definition of manipulation in therapy.

Article Abstract

For manipulation, this paper addresses arguably the most fundamental question that can be asked about any therapeutic intervention: what is it? In answering this question, this paper presents the prevailing model of joint manipulation (of Sandoz) and explains why this influential model is fundamentally flawed. The early research on 'joint cracking' that led to the development of this model is described in chronological order, alongside how this research was misinterpreted, which gave rise to the model's flaw. Of concern, the flaw in this model makes worrying predictions that could lead to dangerous clinical decisions. Understandably, these predictions have attracted criticism over the use of manipulation as a therapeutic intervention. A corrected model, first published by Evans and Breen more than 15 years ago, is then presented and explained. Unlike the flawed model, this corrected model makes predictions in line with all available empirical data and additionally provides reassuring answers to critics. Many current definitions of manipulation have inherited the flaw from Sandoz's model. Hence, a better, empirically derived definition, consistent with the corrected model, is now required.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733235PMC
http://dx.doi.org/10.1186/s12998-022-00460-2DOI Listing

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