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Unravelling functional neurology: a scoping review of theories and clinical applications in a context of chiropractic manual therapy.

Identifieur interne : 000086 ( PubMed/Checkpoint ); précédent : 000085; suivant : 000087

Unravelling functional neurology: a scoping review of theories and clinical applications in a context of chiropractic manual therapy.

Auteurs : Anne-Laure Meyer [France] ; Amanda Meyer ; Sarah Etherington ; Charlotte Leboeuf-Yde [France]

Source :

RBID : pubmed:28729900

Abstract

Functional Neurology (FN), a seemingly attractive treatment approach used by some chiropractors, proposes to have an effect on a multitude of conditions but some of its concepts are controversial.

DOI: 10.1186/s12998-017-0151-1
PubMed: 28729900


Affiliations:


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pubmed:28729900

Le document en format XML

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<name sortKey="Etherington, Sarah" sort="Etherington, Sarah" uniqKey="Etherington S" first="Sarah" last="Etherington">Sarah Etherington</name>
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<name sortKey="Leboeuf Yde, Charlotte" sort="Leboeuf Yde, Charlotte" uniqKey="Leboeuf Yde C" first="Charlotte" last="Leboeuf-Yde">Charlotte Leboeuf-Yde</name>
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<name sortKey="Etherington, Sarah" sort="Etherington, Sarah" uniqKey="Etherington S" first="Sarah" last="Etherington">Sarah Etherington</name>
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<nlm:affiliation>School of Veterinary and Biomedical Sciences, Murdoch University, 90 South Street, Murdoch, W.A 6150 Australia.</nlm:affiliation>
<wicri:noCountry code="subField">W.A</wicri:noCountry>
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<author>
<name sortKey="Leboeuf Yde, Charlotte" sort="Leboeuf Yde, Charlotte" uniqKey="Leboeuf Yde C" first="Charlotte" last="Leboeuf-Yde">Charlotte Leboeuf-Yde</name>
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<title level="j">Chiropractic & manual therapies</title>
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<div type="abstract" xml:lang="en">Functional Neurology (FN), a seemingly attractive treatment approach used by some chiropractors, proposes to have an effect on a multitude of conditions but some of its concepts are controversial.</div>
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<DateCreated>
<Year>2017</Year>
<Month>07</Month>
<Day>21</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>07</Month>
<Day>23</Day>
</DateRevised>
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<Volume>25</Volume>
<PubDate>
<Year>2017</Year>
</PubDate>
</JournalIssue>
<Title>Chiropractic & manual therapies</Title>
<ISOAbbreviation>Chiropr Man Therap</ISOAbbreviation>
</Journal>
<ArticleTitle>Unravelling functional neurology: a scoping review of theories and clinical applications in a context of chiropractic manual therapy.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Functional Neurology (FN), a seemingly attractive treatment approach used by some chiropractors, proposes to have an effect on a multitude of conditions but some of its concepts are controversial.</AbstractText>
<AbstractText Label="OBJECTIVES AND DESIGN" NlmCategory="OBJECTIVE">A scoping review was performed to describe, in the context of chiropractic manual therapy, 1) the FN theories, and 2) its clinical applications (i.e. its indications, examination procedures, treatment modalities, treatment plans, and clinical outcomes) using four sources: i) one key textbook, ii) the scientific peer-reviewed literature, iii) websites from chiropractors using FN, and iv) semi-structured interviews of chiropractors using FN.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The scientific literature was searched in PubMed, PsycINFO, and SPORTDiscus, completed by a hand search in the journal Functional Neurology, Rehabilitation and Ergonomics (November 2016 and March 2017, respectively). The only textbook on the topic we found was included and articles were chosen if they had an element of manual therapy. There was no restriction for study design but discussion papers were excluded. Websites were found in Google using the search term "Functional Neurology". Chiropractors, known to use FN, were invited based on their geographical location. Theories were mainly uncovered in the textbook as were all aspects of the clinical applications except treatment plans. The other three sources were used for the five aspects of clinical applications. Results were summarized and reported extensively in tables.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eleven articles were included, five websites scrutinized, and four semi-structured interviews performed. FN is based on the belief that reversible lesions in the nervous system are the cause of a multitude of conditions and that specific clusters of neurons can be positively affected by manipulative therapy, but also by many other stimuli. Diagnostic procedures include both conventional and unusual tests, with an interpretation specific to FN. Initial treatment is intense and clinical outcomes reported as positive.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">FN gives the impression to be a complex alternative to the old variant of the chiropractic subluxation model, in which the vertebral subluxation is replaced by "physiological lesions" of the brain, and the treatment, spinal adjustments, are complemented by various neurological stimuli. Both models purport to treat not the symptoms but the cause. We conclude there is a need for more scientific documentation on the validity of FN.</AbstractText>
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<Affiliation>Complexité, Innovation et Activités Motrices et Sportives, Université Paris-Saclay, 91405 Orsay Cedex, France.</Affiliation>
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<Identifier Source="GRID">grid.460789.4</Identifier>
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<AffiliationInfo>
<Affiliation>Complexité, Innovation et Activités Motrices et Sportives, Université d'Orléans, 45067 Orléans, France.</Affiliation>
<Identifier Source="ISNI">0000 0001 0217 6921</Identifier>
<Identifier Source="GRID">grid.112485.b</Identifier>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institut Franco Européen de Chiropraxie, 24 Bld Paul Vaillant Couturier, 94200 Ivry sur Seine, France.</Affiliation>
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<LastName>Meyer</LastName>
<ForeName>Amanda</ForeName>
<Initials>A</Initials>
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<Affiliation>School of Health Professions, Murdoch University, 90 South Street, Murdoch, W.A 6150 Australia.</Affiliation>
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<ForeName>Sarah</ForeName>
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<Affiliation>School of Veterinary and Biomedical Sciences, Murdoch University, 90 South Street, Murdoch, W.A 6150 Australia.</Affiliation>
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<Affiliation>Complexité, Innovation et Activités Motrices et Sportives, Université Paris-Saclay, 91405 Orsay Cedex, France.</Affiliation>
<Identifier Source="ISNI">0000 0004 4910 6535</Identifier>
<Identifier Source="GRID">grid.460789.4</Identifier>
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<Affiliation>Complexité, Innovation et Activités Motrices et Sportives, Université d'Orléans, 45067 Orléans, France.</Affiliation>
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<Affiliation>Institut Franco Européen de Chiropraxie, 24 Bld Paul Vaillant Couturier, 94200 Ivry sur Seine, France.</Affiliation>
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