Spinal manipulation has been well-documented to decrease pain and improve the functional abilities related
to many musculoskeletal disorders through a multi-layer mechanism of action.

Several published studies have examined the effects of altered afferent input due to spinal joint dysfunction.
This study from JEK has taken that research one step farther and examines the sensorimotor effects of
spinal manipulation. The results indicate a shortening of the TMS-induced cortical silent period and an
increase in I-wave amplitude after spinal manipulation; which can result in increased strength.

The potential clinical implications of this research are astounding. Strengthening is a critical component of
everything from rehabilitation to sport-specific performance enhancement. Applying this knowledge
through a combination of passive and active care has helped our office achieve fantastic results for our
patients suffering from musculoskeletal issues.

Jeremy Boethin July 19