Spinal/joint manipulation: 

called as well adjustment or thrust is an High-Velocity Low-Amplitude (HVLA) manouvre, where the clinician perform a high velocity manouvre to restore the normal range of movement in a joint, reduce the pain and reset the informations to the neuromuscolar system.There are different techniques in spinal/joints manipulation, the main distinction is between if the manouvre is done within the physiologic range of motion or over the normal range of motion. Different studies have demonstrated the safety on the neck manipulation regarding the stresses and strains on the vertebral artery in fact they were always much smaller than those produced during passive range of motion testing and diagnostic procedures.

At 5 STAR CLINIC we believe that is important the safety of our patients and therefore we perform manipulation within the physiologic range of motion of the joint in order to further reduce any risks.

Spinal/Joint mobilization: 

is a passive movement applied to a spinal segment or in a joint, it’s basically an accesory physiological movement. It is usually performed with the aim of achieving a therapeutic effect. Evidence suggests that spinal mobilizations cause neurophysiological effects resulting in hypoalgesia (local and/or distal to mobilization site), sympathoexcitation, improved muscle function and reduction in spinal stiffness.       

It has been demonstrated also that the utilisation of passive and active movements of the spine aid nutrition of the cartilage covering the zygapophyseal joint surfaces as well as intervertebral disc nutrition.


Ion Lascurain-Aguirrebena, et al.(2016), Mechanism of Action of Spinal Mobilizations A Systematic Review.


doi: 10.1097/BRS.0000000000001151.

Pickar JG.(2002)Neurophysiological effects of spinal manipulation.


DOI: https://doi.org/10.1016/S1529-9430(02)00400-X

J Man Manip Ther. 2018 Jul;26(3):123-135.. Epub 2017 Nov 20.

Roenz D. et al.,(2018), The impact of pragmatic vs. prescriptive study designs on the outcomes of low back and neck pain when using mobilization or manipulation techniques: a systematic review and meta-analysis.


doi: 10.1080/10669817.2017.1398923

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