Sensory and motor deficits exist on the non-injured side of patients with unilateral tendon pain and
disability – implications for central nervous system involvement: a systematic review with metaanalysis. British Journal of Sports Med. 2014 Oct; 48(19): 1400-1406.
Conclusions: Deficits in sensory and motor systems present bilaterally in unilateral tendinopathy. This
implies potential central nervous system involvement. This indicates that rehabilitation should consider
the contralateral side of patients. Research of unilateral tendinopathy needs to consider comparison
against pain-free controls in addition to the contralateral side to gain a complete understanding of
sensory and motor features.
WSS Conclusions: At the very least, we need to assess bilaterally if, for no other reason, than to learn
that bad motor programs are often a bilateral phenomenon. Why someone shows up with symptoms
on one side versus the other could be multifactorial. Handedness, protective patterns, etc., could
provide some answers. Regardless, the problem is not in the tendon, the problem lies in the CNS motor
programing.
Altered brain-gut axis in autism: Comorbidity or causative mechanisms? Bioessays 36: 933-939.
Conclusions: GI symptoms are a common comorbidity in patients with autism spectrum disorders (ASD)
even though underlying mechanisms are largely unknown. In addition, alteration in the composition
and metabolic products of the gut microbiome has long been implicated as a possible causative
mechanisms contributing to ASD pathophysiology, and this hypothesis has been supported by recently
published evidence from rodent models of autism induced by prenatal insults to the mother.
WSS Conclusion: All autism spectrum disorders should have their gut assessed FIRST. We also feel that
depression and anxiety fall in this category as well. We discussed that medication is still necessary
sometimes, but starting with the gut is best practice.
Bilateral and multiple cavitation sounds during upper cervical thrust manipulation. BMC
Musculoskeletal Disorder. 2013; 14: 24.
Conclusions: Cavitation was significantly more likely to occur bilaterally than unilaterally during the
upper cervical HVLA manipulation. Most subjects produced 3-4 cavitations during a single rotatory
HVLA thrust manipulation targeting the right or left C1-2 articulation; therefore, practitioners of spinal
manipulative therapy should expect multiple “popping” sounds when performing upper cervical thrust
manipulation to the atlanto-axial joint. Furthermore, the traditional manual therapy approach of
targeting a single ipsilateral or contralateral facet joint in the upper cervical spine may not be realistic.
WSS Conclusions: When we manipulate we should expect to have multiple joint releases. This does not
mean we are being non-specific. The thought of moving one bone or only affecting on facet joint is a
myth and a fallacy in chiropractic.