JOSPT Insights
Ep 221: Does it matter how you apply spinal manipulative therapy? With Dr Casper Nim
Apr 14, 2025
Dr. Casper Nim is an Associate Professor and chiropractor specializing in spinal manipulative therapy (SMT) at the Spine Centre of Southern Denmark. He discusses whether the method of applying SMT affects patient outcomes, highlighting insights from recent research. The conversation explores the differences between acute and chronic spine pain, critiques current research practices, and emphasizes the need for personalized treatments. Nim also shares how clinician confidence and a flexible approach can enhance patient satisfaction in rehabilitation.
26:20
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Quick takeaways
- Spinal manipulative therapy's effectiveness is similar across acute and chronic conditions, challenging rigid treatment classifications for spine pain.
- Targeting specific manipulation techniques may not significantly impact outcomes, emphasizing the importance of contextual factors like patient expectations and clinician empathy.
Deep dives
Introduction to Spinal Manipulative Therapy (SMT)
Spinal manipulative therapy (SMT) is defined as a manual intervention involving high-velocity, low-amplitude manipulation that often creates a cracking sound. This technique focuses on delivering a thrust to a specific area of the spine to address dysfunction, rather than employing general mobilization techniques. The discussion emphasizes the importance of understanding SMT within the broader context of other treatment modalities for spine pain, including therapeutic exercises and pain neuroscience education, which all show comparable effects. The findings suggest that while SMT is effective, its application must be precise and targeted to maximize patient benefits.
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