Learning spinal manipulation: the importance of augmented feedback relating to various kinetic parameters

The Spine Journal : Official Journal of the North American Spine Society
M DescarreauxMartin C Normand

Abstract

Spinal manipulation is a widely accepted therapeutic approach in the treatment of back pain. In standard training programs, feedback on student performances is provided by an instructor based on teaching and clinical experience. Systematic study of the type of augmented feedback provided and skill learning is lacking in the literature. The goal of this investigation is to compare the performance of two groups of chiropractic students, one receiving traditional training from experienced instructors, and the other, augmented feedback on specific biomechanical aspects of spinal manipulation therapy using an instrumented manikin. Randomized controlled study. Thirty-one fourth-year students from the Department of Chiropractic of Université du Québec à Trois-Rivières participated in this study. Kinetic parameters (force-time curves) of spinal manipulation were evaluated. Spinal manipulation parameters were measured before and after a 5-week training period in which one group received standard chiropractic training while a second group received augmented feedback about specific biomechanical parameters of spinal manipulation. For both groups, practice scheduling and time duration were similar and consisted of a weekly practice session...Continue Reading

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Citations

Oct 28, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Emma G SheavesDarren A Rivett
Feb 8, 2014·Manual Therapy·John J TrianoSteven Tran
Jun 14, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Pierre-Michel DugaillyVéronique Feipel
Jan 10, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Matthias KnobeHans-Christoph Pape
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May 1, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·J J TrianoC Dugas
Apr 16, 2011·Journal of Manipulative and Physiological Therapeutics·John J TrianoDenain Milwid
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Jun 15, 2014·Journal of Manipulative and Physiological Therapeutics·François NougarouMartin Descarreaux
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