Determining cavitation location during lumbar and thoracic spinal manipulation: is spinal manipulation accurate and specific?

Spine
J Kim RossStuart M McGill

Abstract

Sixty-four asymptomatic participants, ranging in age from 22 to 49 years, volunteered to act as patients for the study. Twenty-eight different clinicians performed thoracic and lumbar spinal manipulative procedures. The range of clinical experience was 1 to 43 years. The purpose of this study is to first locate the joints that produce an audible sound in response to manipulation (cavitation) during spinal manipulative procedures so that the accuracy and specificity of manipulation can be assessed. Clinicians utilizing spinal manipulative therapy (SMT) claim to be very specific and accurate with the delivery of their dynamic thrust. It has been suggested that the clinical success of SMT is dependent on the accurate delivery of that therapy to the target spinal joints. Asymptomatic participants received SMT to either the thoracic or lumbar regions of their spine. Accelerometers were secured to the skin over the spinal column, and the relative time at which each accelerometer detected the vibration from the cavitation associated with the SMT was used to calculate the source of the vibration. The site of cavitation was then compared with the target location. For lumbar SMT, the average error from target of 124 cavitations in lumbar...Continue Reading

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Citations

May 11, 2005·Journal of Manipulative and Physiological Therapeutics·Stephen M Perle, Gregory N Kawchuk
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