Rob Sillevis
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Neural tension patterns during cervical spine rotation: diagnostic implications from a cadaveric study Open
Background Cervical neural tension reflects the biomechanical and physiological responses of spinal nerves to positional changes. Although clinical tests exist for the lower cervical spinal nerve, tension patterns in the upper and mid-cerv…
View article: Evaluating online information on temporomandibular disorders: readability, reliability, content and quality: a scoping review protocol
Evaluating online information on temporomandibular disorders: readability, reliability, content and quality: a scoping review protocol Open
Introduction Temporomandibular disorders (TMDs) are a prevalent group of musculoskeletal conditions affecting the temporomandibular joint, associated structures and masticatory muscles. The internet has become a primary source of health in…
Feasibility and safety of passive orthostatic positioning in mechanically ventilated ICU patients: A prospective observational study Open
Early mobilization strategies are essential for preventing intensive care unit (ICU) – acquired complications. However, the feasibility of passive orthostatism in mechanically ventilated patients remains underexplored. This study evaluates…
Integration of External Vagus Nerve Stimulation in the Physiotherapeutic Management of Chronic Cervicogenic Headache: A Case Report Open
Background: Cervicogenic headache (CGH) is a prevalent secondary headache disorder associated with upper cervical spine dysfunction, often involving nociceptive convergence at the trigeminocervical complex. While manual therapy and exercis…
Joint sounds, how do they arise? Open
Joint sounds, how do they arise? A key aspect of joint manipulation is the audible sounds that may occur during manipulation, which are believed to result from a phenomenon known as tribonucleation. Dr Rob Sillevis from Florida Gulf Coast …
Identifying Cervical Predictors of Recreational Mixed Martial Arts Participation: A Case-Control Study Open
Background: Recreational participation in Mixed Martial Arts (MMA) has rapidly increased. Despite consistent evidence of a high injury prevalence in MMA athletes, the neuromuscular implications of regular MMA training remain underexplored.…
Effects on perceived pain and somatosensory function after transcutaneous neuromodulation in patients with chronic low back pain: a quasi-experimental study with a crossover intervention Open
Background Transcutaneous magnetic neuromodulation is a noninvasive technique that may influence pain perception and mobility by modulating epidermal afferents and autonomic nervous system activity. However, its effects on chronic non-spec…
Do Audible Sounds During a Metacarpophalangeal and Metatarsophalangeal Thrust Manipulation Have an Impact on Intra-Articular Joint Space and Brainwave Activity? Open
Background: Joint manipulation is commonly used to manage musculoskeletal dysfunctions. Joint manipulation can result in audible sounds. The clinical significance and cause of manipulation sound remain unclear. This study aimed to identify…
The Effect of Audible Joint Manipulation Sounds in the Upper Cervical Spine on Brain Wave and Autonomic Nervous System Activity Open
Background: High-velocity, low-amplitude (HVLA) manipulation is a common manual therapy technique used for treating pain and musculoskeletal dysfunction. An audible manipulation sound is commonly experienced by patients who undergo HVLA ma…
Joint manipulation, a hands-on therapeutic technique Open
Joint manipulation, a hands-on therapeutic technique Rob Sillevis from the Marieb College of Health and Human Services explores joint manipulation, a hands-on therapeutic technique designed to relieve pain, improve mobility, restore joint …
Enhancing Medical Education Through Drawing: A Pathway to Deeper Understanding and Retention Open
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Could the Suboccipital Release Technique Result in a Generalized Relaxation and Self-Perceived Improvement? A Repeated Measure Study Design Open
Background: Musculoskeletal disorders such as cervicogenic headaches present with suboccipital muscle hypertonicity and trigger points. One manual therapy intervention commonly used to target the suboccipital muscles is the suboccipital re…
Do Audible Sounds during a Lumbar Spine Thrust Manipulation Have an Impact on Brainwave Activity? Open
Background: To manage pain and stiffness of the lumbar spine, thrust manipulation is commonly used. High-velocity, small-amplitude thrust manipulation often elicits audible sounds. What causes this audible sound remains unclear, and its cl…
The Immediate Effect of Dry Needling Electric Muscle Stimulation on the Position of Atlas Open
Background: cervicogenic headaches are common and are believed to be the cause of dysfunction in the upper cervical spine. The mobility and the position of the atlas have been identified as a cause of upper cervical dysfunction. The mobili…
The effect of a spinal thrust manipulation’s audible pop on brain wave activity: a quasi-experimental repeated measure design Open
Introduction High velocity thrust manipulation is commonly used when managing joint dysfunctions. Often, these thrust maneuvers will elicit an audible pop. It has been unclear what conclusively causes this audible sound and its clinical me…
Upper cervical spine syndrome: A new perspective Open
Headaches are widespread in Western Society; they affect approximately 50% of the adult population in the United States. Headaches can present with a variety of clinical and regional symptoms. Although a headache disorder classification sy…
Musculoskeletal Ultrasound to Identify Changes in Obliquus Capitis Inferior Muscle & Position of Atlas After a Manual Stretch Open
Introduction: Cervicogenic headache (CGH) is a prevalent condition caused by a disorder of the cervical spine that is commonly accompanied by neck pain and headaches. There is limited research regarding interventions benefiting CGH long-te…
Neuromodulation of the Autonomic Nervous System in Chronic Low Back Pain: A Randomized, Controlled, Crossover Clinical Trial Open
Chronic pain is a societal concern influencing the autonomic nervous system. This system can be captured with automated pupillometry. The direct connection between the epidermal cells and the brain is presented as part of the central nervo…
An isolated contraction of the Obliquus Capitis Inferior and Rectus Capitis Posterior Major demonstrated with Musculoskeletal Ultrasound Imaging Open
Study design: A quasi-experimental study design Background: The motion of the suboccipital region is controlled by several groups of the smaller and larger muscle group, and these might play a role in the development of cervicogenic headac…
The Direct Effect of Magnetic Tape® on Pain and Lower-Extremity Blood Flow in Subjects with Low-Back Pain: A Randomized Clinical Trial Open
Low-back pain has a high impact on the world population, and solutions are in demand. The behavior of specific physiological processes has been modified using magnetic fields, whether for pain relief, bone consolidation, or improvement of …
View article: Pain Neuroscience Education Delivered by a Student Physical Therapist for a Patient with Persistent Musculoskeletal Pain
Pain Neuroscience Education Delivered by a Student Physical Therapist for a Patient with Persistent Musculoskeletal Pain Open
BACKGROUND Persistent pain is one of the most common reasons individuals seek healthcare in the United States, costing $635 billion annually. At present, the medical literature outlines many treatments for persistent pain. Pain neuroscienc…
The immediate effect of a single session of pain neuroscience education on pain and the autonomic nervous system in subjects with persistent pain, a pilot study Open
Background The autonomic nervous system is a system that operates at the subconscious level and has been associated with neurobehavioral aspects of pain. Overall, persistent pain has a stimulating effect on the sympathetic nervous system. …
Does Cervicogenic Headache Result in the Presence of Neural Tension, and Does this Affect the Position and Mobility of Atlas? Open
Background: Cervicogenic headaches (CGH) can be the result of dysfunction of the upper cervical spine. Due to the soft tissue connection between muscle, cervical fascia, and dura, this region might contribute to the development of CGH. Obj…
Anatomy and clinical relevance of sub occipital soft tissue connections with the dura mater in the upper cervical spine Open
Background The upper cervical region is a complex anatomical structure. Myodural bridges between posterior suboccipital muscles and the dura might be important explaining conditions associated with the upper cervical spine dysfunction such…
The Time has come turn on the Cutaneous Nerve System to manage Pain Open
Pain remains one the main reasons why people seek medical care. Most of the nociception leading to pain is typically generated in either the musculoskeletal system or the viscera. As the brain receives nociceptive information it will creat…
Cervicogenic Headache and the Relationship Between the Position and Movement of the Upper Cervical Spine and Dura Open
Background: It has been demonstrated that cervicogenic headaches (CGH) is caused by dysfunction of the upper cervical spine. Due the soft tissue connection between muscle, cervical fascia and dura, this region might contribute to the devel…
THE MANAGEMENT OF PLANTAR FASCIITIS WITH A MUSCULOSKELETAL ULTRASOUND IMAGING GUIDED APPROACH FOR INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION IN A RUNNER: A CASE REPORT Open
Therapy, Level 5.