Intervertebral kinematics of the cervical spine before, during, and after high-velocity low-amplitude manipulation

The Spine Journal : Official Journal of the North American Spine Society
William AnderstMichael Schneider

Abstract

Neck pain is one of the most commonly reported symptoms in primary care settings, and a major contributor to health-care costs. Cervical manipulation is a common and clinically effective intervention for neck pain. However, the in vivo biomechanics of manipulation are unknown due to previous challenges with accurately measuring intervertebral kinematics in vivo during the manipulation. The objectives were to characterize manual forces and facet joint gapping during cervical spine manipulation and to assess changes in clinical and functional outcomes after manipulation. It was hypothesized that patient-reported pain would decrease and intervertebral range of motion (ROM) would increase after manipulation. Laboratory-based prospective observational study. 12 patients with acute mechanical neck pain (4 men and 8 women; average age 40 ± 15 years). Amount and rate of cervical facet joint gapping during manipulation, amount and rate of force applied during manipulation, change in active intervertebral ROM from before to after manipulation, and numeric pain rating scale (NPRS) to measure change in pain after manipulation. Initially, all participants completed a NPRS (0-10). Participants then performed full ROM flexion-extension, rotat...Continue Reading

Associated Clinical Trials

Citations

Oct 1, 2019·The Journal of the American Osteopathic Association·Kevin Hennenhoefer, Deborah Schmidt
Aug 13, 2021·Frontiers in Bioengineering and Biotechnology·Xuecheng HuangWenhua Huang
Dec 26, 2021·Journal of Orthopaedic Surgery and Research·Fan XueYikai Li

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