Isabelle Pagé

DC, MSc, PhD(c)

Post-doctoral fellow , University of Alberta; PhD candidate in biomedical sciences, lecturer and chiropractor, Groupe de Recherche sur les Affections Neuromusculosquelettiques (GRAN), Université du Québec à Trois-Rivières


Research interest and skills

My main research interest concerns the treatment of nonspecific chronic spine related pain through spinal manipulative therapy (SMT). More specifically, I have developed expertise in the investigation of mechanisms underlying SMT effects and in the quantification of the neurophysiological responses (vertebral displacement and muscular response) to different SMT biomechanical parameters’ doses. Beside this, I am interested in the learning process of manual therapy skills including SMT and palpation. Besides this, I have an interest is the dissemination of research evidences to clinicians which is the reason of my implication in the CCA guideline development group and my collaboration on the chiropractic department website entitled « Observatoire chiropratique » (


Ongoing research

  • Investigation of the relationships between the dose of spinal manipulation biomechanical parameters, spinal stiffness modulation and clinical effects. This is a 4-arm cohort study involving the recruitment of 100 participants with chronic thoracic pain.

  • Investigation of the vertebral (absolute and relative) and the muscle response induced by spinal manipulative therapy of high (spinal manipulation) and low (spinal mobilization) impulse duration. This study was a crossover study involving 25 healthy participants. The paper is currently in redaction.

  • Exploration of the associations between individual characteristics (anthropometric measurements and age) and spinal stiffness using data from three independent cross-sectional study. This is a secondary analysis of three datasets acquired in three different universities. The paper is in redaction. *


Research publications

  • Pagé I, Nougarou F, Lardon A, Descarreaux M. (under review) Changes in spinal stiffness with chronic thoracic pain: correlation with pain and muscle activity. PLoS One

  • Pagé I, Biner É, Descarreaux M. (under review) Vertebral displacement and muscle activity during manual therapy: distinct behaviors between spinal manipulation and mobilization. Journal of Manipulative and Physiological Therapeutics

  • Bussières A, Stewart G, Al Zoubi F, Decina P, Descarreaux M, Haskett D, Hincapié C, Pagé I, Passmore S, Srbely S, Weisberg J, Ornelas J, Stupar M. (2018) Spinal Manipulative Therapy for the Management of Low Back Pain: A Guideline from the Canadian Chiropractic Guideline Initiative. Journal of Manipulative and Physiological Therapeutics, 41(4):265-293

  • Kawchuk G, Miazga S, Pagé I, Swain M, De Carvalho D, Funabashi M, Breen A, Wong A. (under review) Do physiological limits of human touch prevent clinicians from appreciating clinically relevant biomechanical changes in low back pain patients? PLOS ONE

  • Pagé I, Descarreaux M, Sobczak S. (2017) Development of a new palpation method using alternative landmarks for the determination of thoracic transverse processes: An in vitro study. Musculoskelet Sci Pract 27, 42-149.

  • Pagé I, Nougarou F, Descarreaux M. (2016). Neuromuscular response amplitude to mechanical stimulation using large-array surface electromyography in participants with and without chronic low back pain. Journal of electromyography and kinesiology. 27 : 24-29