title: Cervical spine manipulation alters sensorimotor integration: a somatosensory evoked potential study.
abstract: OBJECTIVE
  To study the immediate sensorimotor neurophysiological effects of cervical spine manipulation using somatosensory evoked potentials (SEPs).
  
  
  METHODS
  Twelve subjects with a history of reoccurring neck stiffness and/or neck pain, but no acute symptoms at the time of the study were invited to participate in the study. An additional twelve subjects participated in a passive head movement control experiment. Spinal (N11, N13) brainstem (P14) and cortical (N20, N30) SEPs to median nerve stimulation were recorded before and for 30min after a single session of cervical spine manipulation, or passive head movement.
  
  
  RESULTS
  There was a significant decrease in the amplitude of parietal N20 and frontal N30 SEP components following the single session of cervical spine manipulation compared to pre-manipulation baseline values. These changes lasted on average 20min following the manipulation intervention. No changes were observed in the passive head movement control condition.
  
  
  CONCLUSIONS
  Spinal manipulation of dysfunctional cervical joints can lead to transient cortical plastic changes, as demonstrated by attenuation of cortical somatosensory evoked responses.
  
  
  CONCLUSIONS
  This study suggests that cervical spine manipulation may alter cortical somatosensory processing and sensorimotor integration. These findings may help to elucidate the mechanisms responsible for the effective relief of pain and restoration of functional ability documented following spinal manipulation treatment.
authors.affiliation: h.tHuman Neurophysiology and Rehabilitation Laboratory, Department of Sport and Exercise Science, Tamaki Campus, University of Auckland, Private Bag 92019, 261 Morrin Road, Glen Innes, Auckland, New Zealand. h.taylor@auckland.ac.nz
authors.forename: Heidi
authors.initials: H
authors.lastname: Haavik-Taylor
authors.forename: Bernadette
authors.initials: B
authors.lastname: Murphy
mesh_terms: D000328:Adult; D000344:Afferent Pathways / Q000502:physiology; D002574:Cervical Vertebrae / Q000294:innervation / Q000503:physiopathology*; D004558:Electric Stimulation; D004569:Electroencephalography; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic; D020393:Manipulation, Spinal; D008475:Median Nerve / Q000502:physiology; D008875:Middle Aged; D009470:Muscle Spindles / Q000502:physiology; D009334:Neck Muscles / Q000294:innervation / Q000502:physiology; D019547:Neck Pain / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D009431:Neural Conduction / Q000502:physiology; D009473:Neuronal Plasticity / Q000502:physiology; D011434:Proprioception / Q000502:physiology; D013003:Somatosensory Cortex / Q000502:physiology; D016896:Treatment Outcome; D021801:Zygapophyseal Joint / Q000294:innervation / Q000503:physiopathology