Maintenance Care And Mechanically Induced Spinal Degeneration

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Authors

Good, Christopher J.

Issue Date

1990-11

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Article

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Maintenance care , Transition areas , Manipulation , Chiropractic , Spinal degeneration

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Abstract

The question of whether there is any rational clinical reason to treat patients on a maintenance care basis has plagued the chiropractic profession since its inception. If it can be proven that altered spinal mechanics lead to premature spinal degeneration and that periodic manipulations to the spine can significantly affect this degeneration, then maintenance care would prove to be a valuable tool for mankind. The question to be answered would then be where to adjust the spine. Patterns of posterior joint arthrosis seem to suggest that the transition areas of the spine tend to chronically fixate while the middle of a spinal region undergoes degeneration of the anterior motion unit. The following is a discussion of two of the current theoretical models concerning spinal degeneration caused by altered mechanics, and a hypothesis for a new model.

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Good C. Maintenance care and mechanically induced spinal degeneration. Chiropractic Technique (08993467) [serial online]. November 1990; 2(4): 194

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