Abstract

OBJECTIVE:

Inflammatory markers interleukin-6 (IL-6) and C-reactive protein (CRP) have not been evaluated in response to a short course of lumbar spinal manipulation. The purpose of this study is to observe the responses of inflammatory markers (IL-6 and CRP) after a series of 9 chiropractic spinal manipulations.

METHODS:

Twenty-one participants were assigned to a treatment or a control group. Only the treatment group received 9 chiropractic interventions. Pre- and postintervention measures were recorded for blood samples for detection of proinflammatory cytokines IL-6 and CRP.

RESULTS:

Mediators of inflammation (IL-6 and high-sensitivity CRP) were modified by the intervention received in the treatment group, and the effect size demonstrated a tendency toward the control group values.

CONCLUSION:

A total of 9 chiropractic lower back manipulations caused the mediators of inflammation to present a normalization response in individuals suffering from chronic low back pain.


J Chiropr Med. 2010 Sep;9(3):107-14. [PMID:22027032]

Author information: Roy RA, Boucher JP, Comtois AS.  Département de Kinanthropologie, Université du Québec à Montréal, Montréal, Québec, Canada.


Free PMC Article

More in this category: A Prospective, Randomized, Double Blind, Placebo Controlled Clinical Trial Assessing the Effects of Applying a Force to C5 by a Mechanically Assisted Instrument (MAI) on Referred Pain to the Shoulder » Resolution of Lower Limb Sensory Polyneuropathy In A 63-Year-Old Male Receiving Activator Methods Chiropractic Technique For The Correction Of Vertebral Subluxation » Spinal Tissue Loading Created by Different Methods of Spinal Manipulative Therapy Application. » Glucose Metabolic Changes in the Brain and Muscles of Patients with Nonspecific Neck Pain Treated by Spinal Manipulation Therapy: A [18F]FDG PET Study » Manual and Instrument Applied Cervical Manipulation for Mechanical Neck Pain: A Randomized Controlled Trial. » Manual and Instrument Applied Cervical Manipulation for Mechanical Neck Pain: A Randomized Controlled Trial. » Clinical Trials » Attenuation Effect of Spinal Manipulation on Neuropathic and Postoperative Pain Through Activating Endogenous Anti-Inflammatory Cytokine Interleukin 10 in Rat Spinal Cord » Comparing Outcome Measures in Lumbar Spine Manipulations: Dynamic X-Rays and Oswestry Index » A Randomized Controlled Trial to Measure the Effects of Specific Thoracic Chiropractic Adjustments on Blood Pressure and Pulse Rate » Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model: A Pilot Study » Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial. » In Vitro Biomechanical Evaluation of Single Impulse and Repetitive Mechanical Shockwave Devices Utilized for Spinal Manipulative Therapy » Neural responses to the mechanical parameters of a high-velocity, low-amplitude spinal manipulation: effect of preload parameters. » A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. » Effects of thrust amplitude and duration of high velocity low amplitude spinal manipulation on lumbar muscle spindle responses to vertebral position and movement. » Comparison of paraspinal cutaneous temperature measurements between subjects with and without chronic low back pain. » Changes in pressure pain thresholds and Basal electromyographic activity after instrument-assisted spinal manipulative therapy in asymptomatic participants: a randomized, controlled trial. » Clinical effectiveness of the Activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. » Evaluation of Mechanical Allodynia in an Animal Immobilization Model using the Von Frey Method » Cerebral Metabolic Changes in Men After Chiropractic Spinal Manipulation for Neck Pain » Measuring the Effects of Specific Cervical Chiropractic Adjustments on Blood Pressure and Pulse Rate: A Randomized Controlled Trial » Immediate Effects of the Audible Pop from a Thoracic Spine Thrust Manipulation on the Autonomic Nervous System and Pain: A Secondary Analysis of a Randomized Clinical Trial » Relative effectiveness and adverse effects of cervical manipulation, mobilisation and the activator instrument in patients with sub-acute non-specific neck pain: results from a stopped randomised trial. » Mechanical vs manual manipulation for low back pain: an observational cohort study. » Resolution of Breech Presentation Using an Activator Adjusting Instrument to Administer Webster’s Technique in Three Women Undergoing Chiropractic Care » Heart Rate Variability Modulation After Manipulation in Pain-Free Patients vs Patients in Pain » Relative Immediate Effect of Ischaemic Compression and Activator Trigger Point Therapy on Active Upper Trapezius Trigger Points: A Randomized Trial » Effects of a Manually Assisted Mechanical Force on Cutaneous Temperature » Immediate effect of activator trigger point therapy and myofascial band therapy on non-specific neck pain in patients with upper trapezius trigger points compared to sham ultrasound: A randomised controlled trial. » Variability of Force Magnitude and Force Duration in Manual and Instrument-Based Manipulation Techniques » Three-Dimensional Vertebral Motions Produced by Mechanical Force Spinal Manipulation » Spinal Manipulation Reduces Pain and Hyperalgesia after Lumbar Intervertebral Foramen Inflammation in the Rat » A Randomized Clinical Trial of the Relative Effectiveness of Manual Versus Mechanical Force Chiropractic Adjustments in the Management of Sacroiliac Joint Syndrome » Active Trunk Extensor Contributions to Dynamic Posteroanterior Lumbar Spinal Stiffness » Neuromechanical Characterization of in Vivo Lumbar Spinal Manipulation. Part II. Neurophysiological Response » Neuromechanical Characterization of In Vivo Lumbar Spinal Manipulation. Part I. Vertebral Motion » Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument: A Prospective Case Series » Stiffness and Neuromuscular Reflex Response of the Human Spine to Posteroanterior Manipulative Thrusts In Patients With Low Back Pain » A Pilot Randomized Clinical Trial on the Relative Effect of Instrumental Versus Manual Thrust Manipulation in the Treatment of Cervical Spine Dysfunction. » Muscular and Soft-Tissue Contributions of Dynamic Posteroanterior Spinal Stiffness » Lumbar Erector Spinae Reflex Responses to Mechanical Force, Manually- Assisted Thoracolumbar and Sacroiliac Joint Manipulation in Patients with Low Back Pain » Neurophysiological Response to Intraoperative Lumbosacral Spinal Manipulation » Electromyographic Responses To Mechanical Force, Manually Assisted Spinal Manipulative Therapy » Mechanical Force Spinal Manipulation Increases Trunk Muscle Strength Assessed By Electromyography: A Comparative Controlled Clinical Trial » Reflex Responses Associated with Activator Treatment » The effects of spinal manipulation on the intensity of emotional arousal in phobic subjects exposed to a threat stimulus: a randomized, controlled, double-blind clinical trial. » Letters to the Editor | Safety in chiropractic practice. Part II: Treatment to the upper neck and the rate of cerebrovascular incidents. » Comparison of Two Chiropractic Techniques on Pain and Lateral Flexion in Neck Pain Patients: a Pilot Study » The Immediate Effect of Activator vs. Meric Adjustment on Acute Low Back Pain: A Randomized Controlled Trial » Relationship between Preload and Peak Forces during Spinal Manipulative Treatments » Treatment and biomechanical assessment of patients with chronic sacroiliac joint syndrome. » Spinal learning: central modulation of pain processing and long-term alteration of interneuronal excitability as a result of nociceptive peripheral input. » Effects of Chiropractic Treatment on Blood Pressure and Anxiety: A Randomized Controlled Trial » Effects of altered afferent articular input on sensation, proprioception, muscle tone and sympathetic reflex responses. »
Previous Post The relationship between pelvic torsion and anatomical leg length inequality: a review of the literature.
Next Post Immediate Effects of the Audible Pop from a Thoracic Spine Thrust Manipulation on the Autonomic Nervous System and Pain: A Secondary Analysis of a Randomized Clinical Trial