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Randomised controlled pilot trial of high-velocity, low-amplitude manipulation on cervical and upper thoracic spine levels in asymptomatic subjects

dc.creatorGalindez-Ibarbengoetxea X.spa
dc.creatorSetuain I.spa
dc.creatorGonzález-Izal M.spa
dc.creatorJauregi A.spa
dc.creatorRamírez-Velez R.spa
dc.creatorAndersen L.L.spa
dc.creatorIzquierdo M.spa
dc.date.accessioned2020-05-25T23:55:36Z
dc.date.available2020-05-25T23:55:36Z
dc.date.created2017spa
dc.description.abstractBackground High-velocity, low-amplitude (HVLA) manipulation techniques are habitually used on the cervical spine but the effects are not completely clear. The aim of this prospective comparative trial was to evaluate effects of an indiscriminate manipulation on the C5 (AMC5) a manipulation treatment based on a previous evaluation (MT) and a sham intervention (ST) on cervical spine range of motion (ROM); cervical flexion isometric peak force; EMG activation of sternocleidomastoid muscle (SCM) during the cranio-cervical flexion test (CCFT); and EMG signals of right and left biceps at rest were analyzed. Methods/Design Randomised controlled pilot study and intention-to-treat analysis was performed. Setting The study was conducted at an osteopathic clinic. Methods The outcomes were measured pre and immediately post intervention. Participants A total of 36 asymptomatic subjects (18 male, mean age 30 years) were randomly enrolled into 3 groups: AMC5 (n = 12), MT (n = 12), and ST (n = 12). Results Significant changes (p less than 0.1) were found in the cervical flexion isometric peak force (?13.15%), however, the effect size was considered moderate (d = 0.52). The extension (10.44%) and left rotation ROM (12.25%) showed significant improvement in MT group. During CCFT significant changes were not reported. Conclusions The current pilot study suggested that a tendency toward a decrease in the isometric strength peak in the cervical flexion of the MT group may appear. In cervical ROM the MT group achieved significant effects in extension and left rotation movement. © 2016 Elsevier Ltdeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.ijosm.2016.11.004
dc.identifier.issn17460689
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22141
dc.language.isoengspa
dc.publisherElsevier Ltdspa
dc.relation.citationEndPage14
dc.relation.citationStartPage6
dc.relation.citationTitleInternational Journal of Osteopathic Medicine
dc.relation.citationVolumeVol. 25
dc.relation.ispartofInternational Journal of Osteopathic Medicine, ISSN:17460689, Vol.25,(2017); pp. 6-14spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85015643321&doi=10.1016%2fj.ijosm.2016.11.004&partnerID=40&md5=befe42836ae1ca5354d4f3f4069e1c5fspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordAmplitude modulationspa
dc.subject.keywordArticlespa
dc.subject.keywordAsymptomatic diseasespa
dc.subject.keywordBiceps brachii musclespa
dc.subject.keywordCervical deep flexor musclespa
dc.subject.keywordCervical flexion isometric peak forcespa
dc.subject.keywordCervical spinespa
dc.subject.keywordClinical articlespa
dc.subject.keywordComparative effectivenessspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCranio cervical flexion testspa
dc.subject.keywordElectromyogramspa
dc.subject.keywordElectromyographyspa
dc.subject.keywordFemalespa
dc.subject.keywordFifth cervical vertebraspa
dc.subject.keywordFlexor musclespa
dc.subject.keywordHumanspa
dc.subject.keywordIntention to treat analysisspa
dc.subject.keywordMalespa
dc.subject.keywordMusculoskeletal system parametersspa
dc.subject.keywordNeck painspa
dc.subject.keywordOsteopathic medicinespa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordPilot studyspa
dc.subject.keywordProspective studyspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordRange of motionspa
dc.subject.keywordRestspa
dc.subject.keywordRotationspa
dc.subject.keywordSpine manipulationspa
dc.subject.keywordSternocleidomastoid musclespa
dc.subject.keywordThoracic spinespa
dc.subject.keywordVelocityspa
dc.subject.keywordCervical vertebraespa
dc.subject.keywordElectromyographyspa
dc.subject.keywordNeck painspa
dc.subject.keywordSpinal manipulationspa
dc.subject.keywordThoracic vertebraespa
dc.titleRandomised controlled pilot trial of high-velocity, low-amplitude manipulation on cervical and upper thoracic spine levels in asymptomatic subjectsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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