Analysis Of Chiropractic Spinal Manipulation Therapy ( Smt...

Chiropractors are extensively sought out in North America, and throughout the world, primarily in high-income countries. Their treatment for lower back pain consists of a wide variety of combined therapeutic treatments including different physical therapies, exercise programs, acupuncture, nutritional and lifestyle education. But primarily chiropractors are known for their expertise is the use of Spinal Manipulation therapy or â€Å"adjustments† which is a very common treatment of both chronic and acute lower back pain. Chiropractic spinal manipulation therapy (SMT) uses high-velocity low amplitude (HLVA) techniques that is a very hands on therapy directed at the patient s spine. SMT involves various mobilization and manipulation techniques. The chiropractor manipulates the patient’s spine, by passively increasing their joints range on motion. The therapist will then apply a focused and direct thrust at or near the end feel of the joint. Typically an audible crack ca n be heard indicating a successful adjustment. There are two different theories into how SMT decreases lower back pain and improves function. First, the mechanical approach theorizes that SMT acts on a functional spinal lesion â€Å"subluxation† and that the forced manipulation reduces internal mechanical stress. Thus resulting in an improved function and decreased pain. The second theory focuses on the neuromuscular system. The neuromuscular approach theorizes that SMT exerts its effect on afferent neurons along the