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Spinal manipulation force and duration affect vertebral movement and neuromuscular responses

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Review

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Structural and chiropractic

Clin Biomech (Bristol, Avon).2006 Mar;21(3):254-62.

Authors:

C J Colloca, T S Keller, D E Harrison, R J Moore, R Gunzburg, D D Harrison

Abstract.

Background: Previous study in human subjects has documented biomechanical and neurophysiological responses to impulsive spinal manipulative thrusts, but very little is known about the neuromechanical effects of varying thrust force-time profiles. Methods: Ten adolescent Merino sheep were anesthetized and posteroanterior mechanical thrusts were applied to the L3 spinous process using a computer-controlled, mechanical testing apparatus. Three variable pulse durations (10, 100, 200 ms, force = 80 N) and three variable force amplitudes (20, 40, 60 N, pulse duration = 100 ms) were examined for their effect on lumbar motion response (L3 displacement, L1, L2 acceleration) and normalized multifidus electromyographic response (L3, L4) using a repeated measures analysis of variance. Findings: Increasing L3 posteroanterior force amplitude resulted in a fourfold linear increase in L3 posteroanterior vertebral displacement (p < 0.001) and adjacent segment (L1, L2) posteroanterior acceleration response (p < 0.001). L3 displacement was linearly correlated (p < 0.001) to the acceleration response over the 20-80 N force range (100 ms). At constant force, 10 ms thrusts resulted in nearly fivefold lower L3 displacements and significantly increased segmental (L2) acceleration responses compared to the 100 ms (19%, p = 0.005) and 200 ms (16%, p = 0.023) thrusts. Normalized electromyographic responses increased linearly with increasing force amplitude at higher amplitudes and were appreciably affected by mechanical excitation pulse duration. Interpretation: Changes in the biomechanical and neuromuscular response of the ovine lumbar spine were observed in response to changes in the force-time characteristics of the spinal manipulative thrusts and may be an underlying mechanism in related clinical outcomes.

Publication Date: 

2006 Mar

OEID: 

4833

Colloca, JC., Keller, ST., Harrison, ED., Moore, JR., Gunzburg, R., Harrison, DD. (2006) 'Spinal manipulation force and duration affect vertebral movement and neuromuscular responses', Clin Biomech (Bristol, Avon).2006 Mar;21(3):254-62.

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