Literature DB >> 22457541

Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature.

Tiffany Huggins1, Ana Luburic Boras, Brian J Gleberzon, Mara Popescu, Lianna A Bahry.   

Abstract

OBJECTIVE: The purpose of this study was to conduct a systematic review of the literature investigating clinical outcomes involving the use of the Activator Adjusting Instrument (AAI) or Activator Methods Chiropractic Technique (AMCT).
METHODS: A literature synthesis was performed on the available research and electronic databases, along with hand-searching of journals and reference tracking for any studies that investigated the AAI in terms of clinical effectiveness. Studies that met the inclusion criteria were evaluated using an instrument that assessed their methodological quality.
RESULTS: Eight articles met the inclusion criteria. Overall, the AAI provided comparable clinically meaningful benefits to patients when compared to high-velocity, low-amplitude (HVLA) manual manipulation or trigger point therapy for patients with acute and chronic spinal pain, temporomandibular joint (TMJ) dysfunction and trigger points of the trapezius muscles.
CONCLUSION: This systematic review of 8 clinical trials involving the use of the AAI found reported benefits to patients with a spinal pain and trigger points, although the clinical trials reviewed suffered from many methodological limitations, including small sample size, relatively brief follow-up period and lack of control or sham treatment groups.

Entities:  

Keywords:  Activator Methods chiropractic technique; instrument assisted manipulation; mechanically assisted adjusting instrument/device

Year:  2012        PMID: 22457541      PMCID: PMC3280118     

Source DB:  PubMed          Journal:  J Can Chiropr Assoc        ISSN: 0008-3194


  16 in total

Review 1.  Chiropractic technique procedures for specific low back conditions: characterizing the literature.

Authors:  R Cooperstein; S M Perle; M I Gatterman; C Lantz; M J Schneider
Journal:  J Manipulative Physiol Ther       Date:  2001 Jul-Aug       Impact factor: 1.437

2.  A review of the literature pertaining to the efficacy, safety, educational requirements, uses and usage of mechanical adjusting devices: Part 2 of 2.

Authors:  Shane H Taylor; Nicole D Arnold; Lesley Biggs; Christopher J Colloca; Dale R Mierau; Bruce P Symons; John J Triano
Journal:  J Can Chiropr Assoc       Date:  2004-06

3.  Flawed trials, flawed analysis: why CBP should avoid rating itself.

Authors:  Robert Cooperstein; Stephen M Perle; Brian J Gleberzon; David H Peterson
Journal:  J Can Chiropr Assoc       Date:  2006-06

4.  A review of the literature pertaining to the efficacy, safety, educational requirements, uses and usage of mechanical adjusting devices: Part 1 of 2.

Authors:  Shane H Taylor; Nicole D Arnold; Lesley Biggs; Christopher J Colloca; Dale R Mierau; Bruce P Symons; John J Triano
Journal:  J Can Chiropr Assoc       Date:  2004-03

5.  Evidence-based protocol for structural rehabilitation of the spine and posture: review of clinical biomechanics of posture (CBP) publications.

Authors:  Paul A Oakley; Donald D Harrison; Deed E Harrison; Jason W Haas
Journal:  J Can Chiropr Assoc       Date:  2005-12

6.  A narrative review of the published chiropractic literature regarding older patients from 2001-2010.

Authors:  Brian J Gleberzon
Journal:  J Can Chiropr Assoc       Date:  2011-06

7.  Evidence based medicine: what it is and what it isn't.

Authors:  D L Sackett; W M Rosenberg; J A Gray; R B Haynes; W S Richardson
Journal:  BMJ       Date:  1996-01-13

8.  Rating specific chiropractic technique procedures for common low back conditions.

Authors:  M I Gatterman; R Cooperstein; C Lantz; S M Perle; M J Schneider
Journal:  J Manipulative Physiol Ther       Date:  2001-09       Impact factor: 1.437

9.  Chiropractic treatment of temporomandibular disorders using the activator adjusting instrument: a prospective case series.

Authors:  James W Devocht; Cynthia R Long; Deborah L Zeitler; Walter Schaeffer
Journal:  J Manipulative Physiol Ther       Date:  2003-09       Impact factor: 1.437

10.  The immediate effect of activator vs. meric adjustment on acute low back pain: a randomized controlled trial.

Authors:  H A Gemmell; B H Jacobson
Journal:  J Manipulative Physiol Ther       Date:  1995-09       Impact factor: 1.437

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  9 in total

1.  To the Editor in reply.

Authors:  Brian J Gleberzon; Tiffany Huggins; Ana Lubric Boras
Journal:  J Can Chiropr Assoc       Date:  2012-06

2.  Letters to the editor.

Authors:  Aaron Puhl; Christine Reinhart
Journal:  J Can Chiropr Assoc       Date:  2012-06

3.  Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty.

Authors:  Barbara A Mansholt; Stacie A Salsbury; Lance G Corber; John S Stites
Journal:  J Chiropr Educ       Date:  2017-08-02

4.  Chiropractic Care and Quality of Life Among Office Workers With Nonspecific Pain: A Cross-Sectional Study.

Authors:  Emsal Salik; Ali Veysel Ozden; Hasan Kerem Alptekin
Journal:  J Chiropr Med       Date:  2022-07-16

5.  Chiropractor interaction and treatment equivalence in a pilot randomized controlled trial: an observational analysis of clinical encounter video-recordings.

Authors:  Stacie A Salsbury; James W DeVocht; Maria A Hondras; Michael B Seidman; Clark M Stanford; Christine M Goertz
Journal:  Chiropr Man Therap       Date:  2014-12-03

6.  The treatment experience of patients with low back pain during pregnancy and their chiropractors: a qualitative study.

Authors:  Shabnam Sadr; Neda Pourkiani-Allah-Abad; Kent Jason Stuber
Journal:  Chiropr Man Therap       Date:  2012-10-09

7.  Chiropractic treatment approaches for spinal musculoskeletal conditions: a cross-sectional survey.

Authors:  Mattijs Clijsters; Francesco Fronzoni; Hazel Jenkins
Journal:  Chiropr Man Therap       Date:  2014-10-01

8.  Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model: A Pilot Study.

Authors:  William R Reed; Michael A K Liebschner; Randall S Sozio; Joel G Pickar; Maruti R Gudavalli
Journal:  J Nov Physiother Phys Rehabil       Date:  2015-04-06

9.  Chiropractic treatment including instrument-assisted manipulation for non-specific dizziness and neck pain in community-dwelling older people: a feasibility randomised sham-controlled trial.

Authors:  Julie C Kendall; Simon D French; Jan Hartvigsen; Michael F Azari
Journal:  Chiropr Man Therap       Date:  2018-05-10
  9 in total

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