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Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements
Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created by SMT relate to those created by typical...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5131487/ https://www.ncbi.nlm.nih.gov/pubmed/27905508 http://dx.doi.org/10.1038/srep38107 |
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author | Funabashi, Martha Kawchuk, Gregory N. Vette, Albert H. Goldsmith, Peter Prasad, Narasimha |
author_facet | Funabashi, Martha Kawchuk, Gregory N. Vette, Albert H. Goldsmith, Peter Prasad, Narasimha |
author_sort | Funabashi, Martha |
collection | PubMed |
description | Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created by SMT relate to those created by typical motions is fundamental. Using robotic testing, it is now possible to make these comparisons to determine if SMT generates unique loading scenarios. In 12 porcine cadavers, SMT and passive motions were applied to the L3/L4 segment and the resulting kinematics tracked. The L3/L4 segment was removed, mounted in a parallel robot and kinematics of SMT and passive movements replayed robotically. The resulting forces experienced by L3/L4 were collected. Overall, SMT created both significantly greater and smaller loads compared to passive motions, with SMT generating greater anterioposterior peak force (the direction of force application) compared to all passive motions. In some comparisons, SMT did not create significantly different loads in the intact specimen, but did so in specific spinal tissues. Despite methodological differences between studies, SMT forces and loading rates fell below published injury values. Future studies are warranted to understand if loading scenarios unique to SMT confer its differential therapeutic effects. |
format | Online Article Text |
id | pubmed-5131487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-51314872016-12-15 Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements Funabashi, Martha Kawchuk, Gregory N. Vette, Albert H. Goldsmith, Peter Prasad, Narasimha Sci Rep Article Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created by SMT relate to those created by typical motions is fundamental. Using robotic testing, it is now possible to make these comparisons to determine if SMT generates unique loading scenarios. In 12 porcine cadavers, SMT and passive motions were applied to the L3/L4 segment and the resulting kinematics tracked. The L3/L4 segment was removed, mounted in a parallel robot and kinematics of SMT and passive movements replayed robotically. The resulting forces experienced by L3/L4 were collected. Overall, SMT created both significantly greater and smaller loads compared to passive motions, with SMT generating greater anterioposterior peak force (the direction of force application) compared to all passive motions. In some comparisons, SMT did not create significantly different loads in the intact specimen, but did so in specific spinal tissues. Despite methodological differences between studies, SMT forces and loading rates fell below published injury values. Future studies are warranted to understand if loading scenarios unique to SMT confer its differential therapeutic effects. Nature Publishing Group 2016-12-01 /pmc/articles/PMC5131487/ /pubmed/27905508 http://dx.doi.org/10.1038/srep38107 Text en Copyright © 2016, The Author(s) http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Article Funabashi, Martha Kawchuk, Gregory N. Vette, Albert H. Goldsmith, Peter Prasad, Narasimha Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title | Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title_full | Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title_fullStr | Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title_full_unstemmed | Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title_short | Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
title_sort | tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5131487/ https://www.ncbi.nlm.nih.gov/pubmed/27905508 http://dx.doi.org/10.1038/srep38107 |
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