Spinal manipulation characteristics: a scoping literature review of force-time characteristics.

IF 2 4区 医学 Q2 REHABILITATION Chiropractic & Manual Therapies Pub Date : 2023-09-13 DOI:10.1186/s12998-023-00512-1
Lindsay M Gorrell, Luana Nyirö, Mégane Pasquier, Isabelle Pagé, Nicola R Heneghan, Petra Schweinhardt, Martin Descarreaux
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Abstract

Background: Spinal manipulation (SM) is a recommended and effective treatment for musculoskeletal disorders. Biomechanical (kinetic) parameters (e.g. preload/peak force, rate of force application and thrust duration) can be measured during SM, quantifying the intervention. Understanding these force-time characteristics is the first step towards identifying possible active ingredient/s responsible for the clinical effectiveness of SM. Few studies have quantified SM force-time characteristics and with considerable heterogeneity evident, interpretation of findings is difficult. The aim of this study was to synthesise the literature describing force-time characteristics of manual SM.

Methods: This scoping literature review is reported following the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. Databases were searched from inception to October 2022: MEDLINE (Ovid), Embase, CINAHL, ICL, PEDro and Cochrane Library. The following search terms and their derivatives were adapted for each platform: spine, spinal, manipulation, mobilization or mobilisation, musculoskeletal, chiropractic, osteopathy, physiotherapy, naprapathy, force, motor skill, biomechanics, dosage, dose-response, education, performance, psychomotor, back, neck, spine, thoracic, lumbar, pelvic, cervical and sacral. Data were extracted and reported descriptively for the following domains: general study characteristics, number of and characteristics of individuals who delivered/received SM, region treated, equipment used and force-time characteristics of SM.

Results: Of 7,607 records identified, 66 (0.9%) fulfilled the eligibility criteria and were included in the analysis. Of these, SM was delivered to the cervical spine in 12 (18.2%), the thoracic spine in 40 (60.6%) and the lumbopelvic spine in 19 (28.8%) studies. In 6 (9.1%) studies, the spinal region was not specified. For SM applied to all spinal regions, force-time characteristics were: preload force (range: 0-671N); peak force (17-1213N); rate of force application (202-8700N/s); time to peak thrust force (12-938ms); and thrust duration (36-2876ms).

Conclusions: Considerable variability in the reported kinetic force-time characteristics of SM exists. Some of this variability is likely due to differences in SM delivery (e.g. different clinicians) and the measurement equipment used to quantify force-time characteristics. However, improved reporting in certain key areas could facilitate more sophisticated syntheses of force-time characteristics data in the future. Such syntheses could provide the foundation upon which dose-response estimates regarding the clinical effectiveness of SM are made.

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脊柱手法特点:力-时间特征的范围界定文献综述。
背景:脊柱手法(SM)是一种推荐的有效治疗肌肉骨骼疾病的方法。可以在SM期间测量生物力学(动力学)参数(例如预加载/峰值力、施力速率和推力持续时间),从而量化干预。了解这些力-时间特征是确定SM临床有效性的可能活性成分的第一步。很少有研究量化SM力-时间特性,而且由于明显的异质性,很难解释研究结果。本研究的目的是综合描述手动SM的力-时间特征的文献。方法:根据范围界定审查的首选报告项目(PRISMA ScR)声明报告本范围界定文献综述。检索从成立到2022年10月的数据库:MEDLINE(Ovid)、Embase、CINAHL、ICL、PEDro和Cochrane Library。以下搜索术语及其衍生物适用于每个平台:脊椎、脊柱、手法、松动或活动、肌肉骨骼、脊椎按摩、骨病、理疗、naprapathy、力量、运动技能、生物力学、剂量、剂量反应、教育、表现、精神运动、背部、颈部、脊椎、胸部、腰部、骨盆、颈部和骶骨。提取并描述了以下领域的数据:一般研究特征、提供/接受SM的个体数量和特征、治疗区域、使用的设备和SM的强制时间特征。结果:在确定的7607份记录中,66份(0.9%)符合资格标准并纳入分析。其中,12项(18.2%)研究将SM输送至颈椎,40项(60.6%)研究将其输送至胸椎,19项(28.8%)研究将SM。在6项(9.1%)研究中,未指定脊柱区域。对于应用于所有脊柱区域的SM,力-时间特征为:预加载力(范围:0-671N);峰值力(17-1213N);施力速率(202-8700N/s);达到峰值推力的时间(12-938ms);和推力持续时间(36-2876ms)。结论:SM的动力-时间特征存在相当大的可变性。其中一些可变性可能是由于SM递送(例如不同的临床医生)和用于量化力-时间特性的测量设备的差异。然而,改进某些关键领域的报告可能有助于未来更复杂地综合部队时间特征数据。这样的合成可以为SM的临床有效性的剂量反应估计提供基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chiropractic & Manual Therapies
Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine
CiteScore
3.20
自引率
15.80%
发文量
48
审稿时长
20 weeks
期刊介绍: Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.
期刊最新文献
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