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Biomechanical characterization (fingerprinting) of five novel methods of cervical spine manipulation
1University of Calgary, Faculty of Physical Education, Alberta, Canada.
Objective:
To determine the biomechanical characteristics of five clinically common methods of cervical spine manipulation.
Design:
Descriptive study.
Setting:
Human Performance Lab, University of Calgary.
Participants:
Five volunteer practitioners treating symptomatic patients from their own clinical populations.
Intervention:
Five commonly used methods of cervical spine manipulation: lateral break (LAT), Gonstead (GON), Activator (ACT), toggle (TOG), rotation (ROT).
Main Outcome Measure:
Mean thrust duration (msec), normalized mean peak force (N), slope (N/msec), force profile (graphic representation of the above values.
Results:
Outcome measures for each manipulative technique were as follows: LAT = normalized mean peak force of 102.2 N at 86.7 msec, GON = 109.8 N at 91.9 msec, ACT = 40.9 N at 31.8 msec, TOG = 117.6 N at 47.5 msec, ROT = 40.5 N at 79.1 msec.
Conclusion:
The observed differences and similarities in force profiles between the five techniques studied here may partly be the manifestation of how a particular technique delivers force to the cervical spine. The clinical significance of force profile characterization is not yet known.