b'and combined with a tendon/nerve gliding exercise programfunction and cervical sensorimotor control? Cross sectional at home resulted in similar outcomes those who had surgery. study. Gait & Posture. 2020 Mar;77:29-35. DOI: 10.1016/j.(Csar Fernndez-de-las-Peas, Jos L Arias-Bura, Joshua Agaitpost.2020.01.004.)Cleland, Juan A Pareja, Gustavo Plaza-Manzano, Ricardo Orte- 18.Eighteen factors in patients were found that could predict ga-Santiago, Manual Therapy Versus Surgery for Carpal Tunnelinstantaneous relief from spinal manipulation for non-specific Syndrome: 4-Year Follow-up from a Randomized Controlledlow back pain.The highest ranked factor was, a history that Trial, Physical Therapy, pzaa150, https://doi.org/10.1093/ptj/ included a good response to previous spinal manipulation.pzaa150) (Innes, S., Beynon, A., Hodgetts, C. et al. Predictors of instanta-12.A study demonstrated that there is a direct relationshipneous relief from spinal manipulation for non-specific low back between the position of atlas, unilateral restriction inpain: a delphi study. Chiropr Man Therap 28, 39 (2020). https://Atlanto-Axial rotation, and the presence of cervicogenicdoi.org/10.1186/s12998-020-00324-7)headaches.The proposed mechanism was of dural tension.19.A literature review on the effects of cervical manipulation (Rob Sillevis, Eric Shamus, Karen Wyss et al. Cervicogenicfound that HVLA techniques, on subjects with musculoskeletal Headache and the Relationship Between the Position anddisorders, are able to influence pain modulation, mobility and Movement of the Upper Cervical Spine and Dura, 28 May 2020,strength both in the treated area and at a distance.Cervical PREPRINT (Version 1) available at Research Square https:// manipulations are effective in management of cervicalgia, www.researchsquare.com/article/rs-31086/v1) epicondylalgia, temporomandibular joint disorders and 13.Cervical spine manipulation was found to be effectiveshoulder pain.(Giacalone A, Febbi M, Magnifica F, Ruberti in treating people with degenerative cervical radiculopathy,E. The Effect of High Velocity Low Amplitude Cervical Manip-and superior to traction. (Zhu L, Wei X, Wang S. Does cervicalulations on the Musculoskeletal System: Literature Review. spine manipulation reduce pain in people with degenerativeCureus. 2020 Apr 15;12(4):e7682. doi: 10.7759/cureus.7682. cervical radiculopathy? A systematic review of the evidence,PMID: 32426194; PMCID: PMC7228797.)and a meta-analysis. (Clin Rehabil. 2016 Feb;30(2):145-55.20.An observational study attempted to show predictors of doi: 10.1177/0269215515570382. Epub 2015 Feb 13. PMID:visit frequency for patients using ongoing chiropractic care for 25681406.) chronic low back (CLBP) and chronic neck pain (CNP).Find-14.Most adverse events of SMT in children under 10 areings included: Patients with either CLBP or CNP and worse mild (e.g., increased crying, soreness) and uncommon.It isfunction had significantly higher visit frequency.Having some unclear if SMT increases the risk of adverse events in children.insurance coverage increases visit frequency by 0.44 visits per (Corso, M., Cancelliere, C., Mior, S. et al. The safety of spinalmonth for patients with CLBP but has little to no effect for manipulative therapy in children under 10 years: a rapid review.CNP.Visit frequency was significantly higher for patients of Chiropr Man Therap 28, 12 (2020). https://doi.org/10.1186/ chiropractors who reported treating more patients per day s12998-020-0299-y) and was significantly lower for patients of chiropractors who 15.A study showed an association between self-reportedhave been in practice for 2030 years.Women with CLBP spinal morning stiffness, especially lasting 30 minutes, andhave fewer chiropractic visits per month than men.Newer symptomatic lumbar disc degeneration.The associationpatients, seeing the DC for less than 30 days, had more was stronger when the severity of spinal morning stiffnessfrequent visits.(Herman, P.M., Edgington, S.E., Hurwitz, E.L. increased. (van den Berg, R., Chiarotto, A., Enthoven, W. T.,et al. Predictors of visit frequency for patients using ongoing de Schepper, E., Oei, E. H., Koes, B. W., & Bierma-Zeinstra,chiropractic care for chronic low back and chronic neck pain; S. M. (2020). Clinical and radiographic features of spinalanalysis of observational data. BMC Musculoskelet Disord 21, osteoarthritis predict long-term persistence and severity of298 (2020). https://doi.org/10.1186/s12891-020-03330-1)back pain in older adults. Annals of Physical and Rehabilitation21.More plant-based diets might have pain-relieving effects Medicine.) on chronic musculoskeletal pain.A proposed mechanism 16.Seven themes were identified with respect to potentialstems from the anti-inflammatory characteristics of the mechanisms to explain changes in spinal stiffness followingplant-based diet.Pain severity is positively associated with SMT: 1) change in muscle activity; 2) increase in mobility; 3)fat and sugar intake in chronic osteoarthritis pain, and pain decrease in pain; 4) increase in pressure pain threshold; 5)threshold is positively associated with protein intake.(Elma, change in spinal tissue behavior; 6) change in the central., Yilmaz, S. T., Deliens, T., Coppieters, I., Clarys, P., Nijs, J., & nervous system or reflex pathways; and 7) correction of aMalfliet, A. (2020). Do nutritional factors interact with chronic vertebral dysfunction. (Jun, P., Pag, I., Vette, A. et al. Potentialmusculoskeletal pain? A systematic review. Journal of clinical mechanisms for lumbar spinal stiffness change following spinalmedicine, 9(3), 702.)manipulative therapy: a scoping review. Chiropr Man Therap 28, 15 (2020). https://doi.org/10.1186/s12998-020-00304-x) David Graber, DC, is a Diplomate of the American Chiropractic 17.People with forward head posture exhibited abnormalBoard of Sports Physicians, and an ANJC board member.He practices in Parsippany.He teaches courses in spinal and sensorimotor control and autonomic nervous systemextremity manipulation, hands-on care, and evidence-informed dysfunction compared to those with normal head alignment. practice.(Moustafa IM, Youssef A, Ahbouch A, Tamim M, Harrison DE. Is forward head posture relevant to autonomic nervous system www.njchiropractors.com I 15'