Clinical Approach
Spinal manipulation is a hands-on therapeutic approach necessary to treat the lumbar instability present with improper biomechanics.
It has been shown in numerous studies that the high velocity, low amplitude thrust of spinal manipulation actually increases the function of the multifidus muscle by activating the ligament stretch receptors.
In turn, the multifidus muscle contracts and decreases the load stress on the joint.
By alleviating the tension on the spinal segments, the manipulation can improve the structural integrity and
stability of the joints to allow for proper biomechanics.
The manipulation treatment also includes the use of a technique called Cox flexion/distraction.
This technique requires a flexion/ distraction table that allows the practitioner to flex the lumbar spine and apply manual traction to the spinous processes of each individual segment of the lumbar spine. Both the erector spinae and
the deep muscles of the spine can be affected by the dynamic motion traction.
Along with the manipulation, the use of electrical muscle stimulation is very effective in reducing spasms and muscular imbalances.
Once the proper spinal positioning is achieved, spinal strengthening exercises are recommended to provide additional stability. If necessary, orthotics may be recommended to stabilize any pronation or other foot
issues and to maintain spinal stability.
The knowledge of sports biomechanics can definitely improve performance and reduce the risk of injuries.
Proper training methods prior to beginning the activity should include both strengthening as well as stretching programs.