Quan tâm phát triển Y học Bổ sung và thay thế tại Hoa Kỳ đã-được song song bằng cách sử dụng liệu pháp cột sống tăng Cố gắng lôi cuốn trong năm để quản lý các triệu chứng của đau lưng, hẹp ống sống, và trượt đốt sống. Thần kinh cột sống có Been tay của học viên trị liệu cột sống lôi cuốn, nắn xương và trị liệu vật lý với một phần nhỏ hơn của luận án | Spinal Manipulative Therapy for Low Back Pain Rand Swenson DC MD PhD and Scott Haldeman DC MD PhD FRCPC Abstract Growing interest in complementary and alternative medicine in the United States has been paralleled by increased use of spinal manipulative therapy in an attempt to manage symptoms of low back pain spinal stenosis and spondylolisthesis. Chiropractors have been the main practitioners of spinal manipulative therapy with osteopaths and physical therapists providing a smaller fraction of these services. Theories explaining the mode of action of spinal manipulative therapy are largely preliminary and have focused on the mechanical effects of manipulative forces on the spine and neurologic responses to manipulation. The effects of spinal manipulation on patients with both acute and chronic low back pain have been investigated in randomized clinical trials. Most reviews of these trials indicate that spinal manipulative therapy provides some short-term bene t to patients especially with acute low back pain. J Am Acad Orthop Surg 2003 11 228-237 Spinal manipulative therapy SMT is one of the oldest therapeutic procedures offered to patients with lumbar spine pain. Although it has been used for more than 2 000 years until recently there has been little scienti c evidence comparing its mode of action and effectiveness with those of other techniques. Interest in and use of complementary and alternative therapies increased in the United States during the last decade of the 20th Patients with low back pain often seek care from clinicians who offer relaxation therapy yoga nutritional supplements herbal therapy massage acupuncture and spinal manipulation. Spinal manipulation is the most common and widely recognized of the complementary and alternative therapies used to manage low back pain. In fact it is so commonplace that there is now debate about whether it should be considered part of mainstream health care. Chiropractors who provide the greatest percentage
