Comparison of mechanical force of manually assisted chiropractic adjusting instruments.

OBJECTIVE: To quantify the force-time and force-delivery characteristics of six commonly used handheld chiropractic adjusting devices. METHODS: Four spring-loaded instruments, the Activator Adjusting Instrument; Activator II Adjusting Instrument, Activator III Adjusting Instrument, and Activator IV...

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Publicado en:Journal of Manipulative & Physiological Therapeutics Vol. 28; no. 6; pp. 414 - 423
Autores principales: Colloca CJ, Keller TS, Black P, Normand MC, Harrison DE, Harrison DD
Formato: pictorial research tables/charts Journal Article
Publicado: Elsevier B.V. Jul/Aug2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2005
      vid: 28
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        10.1016/j.jmpt.2005.06.004
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        atl: Comparison of mechanical force of manually assisted chiropractic adjusting instruments.
      aug:
        au:
          Colloca CJ
          Keller TS
          Black P
          Normand MC
          Harrison DE
          Harrison DD
        affil: State of the Art Chiropractic Center, PC, 11011 S 48th St, Suite 220, Phoenix, AZ 85044; cjcolloca@neuromechanical.com
      sug:
        subj:
          Biomechanics
          Manipulation, Chiropractic Equipment and Supplies
          Descriptive Statistics
          In Vitro Studies
          Product Evaluation
          Human
      ab: OBJECTIVE: To quantify the force-time and force-delivery characteristics of six commonly used handheld chiropractic adjusting devices. METHODS: Four spring-loaded instruments, the Activator Adjusting Instrument; Activator II Adjusting Instrument, Activator III Adjusting Instrument, and Activator IV Adjusting Instrument, and two electromechanical devices, the Harrison Handheld Adjusting Instrument and Neuromechanical Impulse Adjusting Instrument, were applied to a dynamic load cell. A total of 10 force-time histories were obtained at each of three force excursion settings (minimum to maximum) for each of the six adjusting instruments at preload of approximately 20 N. RESULTS: The minimum-to-maximum force excursion settings for the spring-loaded mechanical adjusting instruments produced similar minimum-to-maximum peak forces that were not appreciably different for most excursion settings. The electromechanical adjusting instruments produced short duration ( approximately 2-4 ms), with more linear minimum-to-maximum peak forces. The force-time profile of the electromechanical devices resulted in a more uniform and greater energy dynamic frequency response in comparison to the spring-loaded mechanical adjusting instruments. CONCLUSIONS: The handheld, electromechanical instruments produced substantially larger peak forces and ranges of forces in comparison to the handheld, spring-loaded mechanical devices. The electromechanical instruments produced greater dynamic frequency area ratios than their mechanical counterparts. Knowledge of the force-time history and force-frequency response characteristics of spinal manipulative instruments may provide basic benchmarks and may assist in understanding mechanical responses in the clinical setting.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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