Efficacy of different biomechanical strategies for modulating force–time parameters of high-velocity low-amplitude manipulation of the thoracic spine: a randomized crossover experimental study.
Background: Manual therapy, including high-velocity low-amplitude spinal manipulation (HVLA-SM), is a complex motor task performed by trained individuals. The ability to modulate the magnitude of applied forces is an attribute of proficiency that is challenging for providers and students. Adopting d...
| Publicado en: | Chiropractic & Manual Therapies Vol. 33; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
BioMed Central
6/11/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185859045&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185859045 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2045709X BG1Z jtl: Chiropractic & Manual Therapies issn: 2045709X maglogo: N pubinfo: dt: 6/11/2025 vid: 33 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 185859045 185859045 185859045 10.1186/s12998-025-00585-0 185859045 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Efficacy of different biomechanical strategies for modulating force–time parameters of high-velocity low-amplitude manipulation of the thoracic spine: a randomized crossover experimental study. aug: au: Choi, Grand McGuinty, Averie Smith, Nicole Meaghan Frangakis, Erinn McCreath Starmer, David Howarth, Samuel J. Wang, Simon affil: https://ror.org/03jfagf20 Division of Undergraduate and Graduate Education, Canadian Memorial Chiropractic College, 6100 Leslie Street, M2H 3J1, Toronto, ON, Canada sug: subj: Back Pain Therapy Manipulation, Osteopathic Methods Thoracic Vertebrae Biomechanics Prone Position Human Male Female Adolescence Adult Middle Age Crossover Design Randomized Controlled Trials Random Assignment Convenience Sample Comparative Studies Canada Models, Anatomic Descriptive Statistics Data Analysis Software Repeated Measures Analysis of Variance Effect Size Post Hoc Analysis Confidence Intervals Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Manual therapy, including high-velocity low-amplitude spinal manipulation (HVLA-SM), is a complex motor task performed by trained individuals. The ability to modulate the magnitude of applied forces is an attribute of proficiency that is challenging for providers and students. Adopting different biomechanical strategies may facilitate force modulation by practitioners performing HVLA-SM. This study evaluated the efficacy of different biomechanical strategies on force–time characteristics of prone thoracic HVLA-SM. Methods: A randomized crossover experimental design was used. Data were collected between October 2022 and May 2023 from chiropractic students at the Canadian Memorial Chiropractic College who performed HVLA-SM targeted to the thoracic spine of a prone-lying manikin using as much force as possible in each of six different strategies. Strategies (S1 to S6) were specifically developed to successively increase a person's ability to produce force while performing HVLA-SM. Force–time parameters for the HVLA-SM trials were recorded. Peak force was the primary outcome of interest while preload force, load rate, and time to peak force were analyzed as secondary measures. Results: Data were collected from 97 participants (51 female). Peak force increased successively from S1 to S5 with moderate effects (− 0.45 ≤ effect size ≤ −0.72). There was no statistical difference in either peak force or load rate between S5 and S6. Load rate also did not statistically increase between S3 and S4 where different muscle groups were targeted to produce force. The strategy with the highest peak force (S6) also demonstrated the lowest preload force. Conclusions: Strategies used in this study effectively facilitated modulation of force–time characteristics of prone thoracic HVLA-SM. Thus, training approaches may consider introducing people to different biomechanical strategies to enhance HVLA-SM force modulation. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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