View Full Version : SPINAL MANIPULATION (Re. to Mel Stiff and Steve Levin)

Vinicio D'annunzio
10-29-1998, 02:23 AM
I agree with Steve Levin's statements : 'Manipulation restores joint
play (a measurable fact). I am not sure what else it does (a scientific
statement). The rest is conjecture, wishful thinking and pseudo
science...manipulation is a nonlinear event.'
However, my personal impression is that manipulation has much in common
with other techniques even if very different in origin, background,
philosophy and goals (akupressure, acupuncture, mesotherapy, also
"proprioceptive" reeducation and McKenzie, also neuromotor
rehabilitation techniques like Vojta or Bobath). They all share, aside
from the obvious differences, common procedures in applying pressures on
specific points, or puncturing those points, or applying torsional
forces directly (manipulation) or indirectly (Bobath, Vojta). Pressures
and torsions, when carefully applied, seem always able to evoke
'something': my impression is that 'something' is the direct or indirect
stimulation-relaxation of the tiny, deep paraspinal muscles, evoking a
centripetal input to ...what? maybe the Reticular Formation and related
structures (Common Brain Stem System, Hess, 1925). Reticular Formation
and Neurovegetative System could form the background of the interplay
among motor, sensitive, emotional reactions to the different methods.

HESS W.R.: Uber die Wechselbeziehungen zwischen Psychischen und
vegetativen Funktionen. Schweiz Arch. Neurol. Psychiat. 16. 1925, 36;
formation of the brainstem. A common system, fot cardio-respiratory and
somatomotor functions. Cross-correlation analysis of discharge patterns
of neighbouring neurones. J. Autonom. Nery. Syst. 12, 1985, 35-62

Vinicio D'Annunzio, MD
UniversitÓ Cattolica, Roma, Italia
alternate mail: dannunzio@doctor.com
Some of the world's greatest feats were accomplished by people not smart
enough to know they were impossible. -- Doug Larson


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