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A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention

BACKGROUND: There is little literature describing the use of manual therapy performed on athletes. It was our purpose to document the usage of a sports chiropractic manual therapy intervention within a RCT by identifying the type, amount, frequency, location and reason for treatment provided. This i...

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Autores principales: Hoskins, Wayne, Pollard, Henry
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927600/
https://www.ncbi.nlm.nih.gov/pubmed/20696040
http://dx.doi.org/10.1186/1746-1340-18-23
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author Hoskins, Wayne
Pollard, Henry
author_facet Hoskins, Wayne
Pollard, Henry
author_sort Hoskins, Wayne
collection PubMed
description BACKGROUND: There is little literature describing the use of manual therapy performed on athletes. It was our purpose to document the usage of a sports chiropractic manual therapy intervention within a RCT by identifying the type, amount, frequency, location and reason for treatment provided. This information is useful for the uptake of the intervention into clinical settings and to allow clinicians to better understand a role that sports chiropractors offer. METHODS: All treatment rendered to 29 semi-elite Australian Rules footballers in the sports chiropractic intervention group of an 8 month RCT investigating hamstring and lower-limb injury prevention was recorded. Treatment was pragmatically and individually determined and could consist of high-velocity, low-amplitude (HVLA) manipulation, mobilization and/or supporting soft tissue therapies. Descriptive statistics recorded the treatment rendered for symptomatic or asymptomatic benefit, delivered to joint or soft tissue structures and categorized into body regions. For the joint therapy, it was recorded whether treatment consisted of HVLA manipulation, HVLA manipulation and mobilization, or mobilization only. Breakdown of the HVLA technique was performed. RESULTS: A total of 487 treatments were provided (mean 16.8 consultations/player) with 64% of treatment for asymptomatic benefit (73% joint therapies, 57% soft tissue therapies). Treatment was delivered to approximately 4 soft tissue and 4 joint regions each consultation. The most common asymptomatic regions treated with joint therapies were thoracic (22%), knee (20%), hip (19%), sacroiliac joint (13%) and lumbar (11%). For soft tissue therapies it was gluteal (22%), hip flexor (14%), knee (12%) and lumbar (11%). The most common symptomatic regions treated with joint therapies were lumbar (25%), thoracic (15%) and hip (14%). For soft tissue therapies it was gluteal (22%), lumbar (15%) and posterior thigh (8%). Of the joint therapy, 56% was HVLA manipulation only, 36% high-HVLA and mobilization and 9% mobilization only. Of the HVLA manipulation, 63% was manually performed and 37% mechanically assisted. CONCLUSIONS: The intervention applied was multimodal and multi-regional. Most treatment was for asymptomatic benefit, particularly for joint based therapies, which consisted largely of HVLA manipulation techniques. Most treatment was applied to non-local hamstring structures, in particular the knee, hip, pelvis and spine.
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spelling pubmed-29276002010-08-25 A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention Hoskins, Wayne Pollard, Henry Chiropr Osteopat Research BACKGROUND: There is little literature describing the use of manual therapy performed on athletes. It was our purpose to document the usage of a sports chiropractic manual therapy intervention within a RCT by identifying the type, amount, frequency, location and reason for treatment provided. This information is useful for the uptake of the intervention into clinical settings and to allow clinicians to better understand a role that sports chiropractors offer. METHODS: All treatment rendered to 29 semi-elite Australian Rules footballers in the sports chiropractic intervention group of an 8 month RCT investigating hamstring and lower-limb injury prevention was recorded. Treatment was pragmatically and individually determined and could consist of high-velocity, low-amplitude (HVLA) manipulation, mobilization and/or supporting soft tissue therapies. Descriptive statistics recorded the treatment rendered for symptomatic or asymptomatic benefit, delivered to joint or soft tissue structures and categorized into body regions. For the joint therapy, it was recorded whether treatment consisted of HVLA manipulation, HVLA manipulation and mobilization, or mobilization only. Breakdown of the HVLA technique was performed. RESULTS: A total of 487 treatments were provided (mean 16.8 consultations/player) with 64% of treatment for asymptomatic benefit (73% joint therapies, 57% soft tissue therapies). Treatment was delivered to approximately 4 soft tissue and 4 joint regions each consultation. The most common asymptomatic regions treated with joint therapies were thoracic (22%), knee (20%), hip (19%), sacroiliac joint (13%) and lumbar (11%). For soft tissue therapies it was gluteal (22%), hip flexor (14%), knee (12%) and lumbar (11%). The most common symptomatic regions treated with joint therapies were lumbar (25%), thoracic (15%) and hip (14%). For soft tissue therapies it was gluteal (22%), lumbar (15%) and posterior thigh (8%). Of the joint therapy, 56% was HVLA manipulation only, 36% high-HVLA and mobilization and 9% mobilization only. Of the HVLA manipulation, 63% was manually performed and 37% mechanically assisted. CONCLUSIONS: The intervention applied was multimodal and multi-regional. Most treatment was for asymptomatic benefit, particularly for joint based therapies, which consisted largely of HVLA manipulation techniques. Most treatment was applied to non-local hamstring structures, in particular the knee, hip, pelvis and spine. BioMed Central 2010-08-09 /pmc/articles/PMC2927600/ /pubmed/20696040 http://dx.doi.org/10.1186/1746-1340-18-23 Text en Copyright ©2010 Hoskins and Pollard; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Hoskins, Wayne
Pollard, Henry
A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title_full A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title_fullStr A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title_full_unstemmed A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title_short A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
title_sort descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927600/
https://www.ncbi.nlm.nih.gov/pubmed/20696040
http://dx.doi.org/10.1186/1746-1340-18-23
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