Objective This study aimed to investigate the reproducibility of the kinematics in rotational high-velocity, low-amplitude (HVLA) thrust of the upper cervical spine. Methods Twenty fresh human cervical specimens were studied in a test-retest situation with 2 manual therapists. Kinematics of C1-C2 and C0-C1 were examined during segmental rotational HVLA manipulation through an ultrasound-based tracking system. The thrust moment was analyzed by 3-dimensional aspects: the range of motion of axial rotation, flexion-extension, lateral banding, and the cross-correlation between the axial rotation and the coupled lateral banding components. Results During rotational HVLA thrust on C1-C2, the main axial rotation demonstrates an intraexaminer relationship varying from almost perfect to fair (intraclass correlation coefficient = 0.71; intraclass correlation coefficient = 0.35) and a substantial interexaminer correlation of 0.73. Conclusions This study showed substantial levels of reliability for the main axial rotation component of segmental manual rotational HVLA thrust on C1-C2. Intra- and interrater reliability for flexion-extension, lateral bending, and cross-correlation was low.

Gianola, S., Cattrysse, E., Provyn, S., Van Roy, P. (2015). Reproducibility of the kinematics in rotational high-velocity, low-amplitude thrust of the upper cervical spine: A cadaveric study. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 38(1), 51-58 [10.1016/j.jmpt.2014.10.012].

Reproducibility of the kinematics in rotational high-velocity, low-amplitude thrust of the upper cervical spine: A cadaveric study

Gianola, S
;
2015

Abstract

Objective This study aimed to investigate the reproducibility of the kinematics in rotational high-velocity, low-amplitude (HVLA) thrust of the upper cervical spine. Methods Twenty fresh human cervical specimens were studied in a test-retest situation with 2 manual therapists. Kinematics of C1-C2 and C0-C1 were examined during segmental rotational HVLA manipulation through an ultrasound-based tracking system. The thrust moment was analyzed by 3-dimensional aspects: the range of motion of axial rotation, flexion-extension, lateral banding, and the cross-correlation between the axial rotation and the coupled lateral banding components. Results During rotational HVLA thrust on C1-C2, the main axial rotation demonstrates an intraexaminer relationship varying from almost perfect to fair (intraclass correlation coefficient = 0.71; intraclass correlation coefficient = 0.35) and a substantial interexaminer correlation of 0.73. Conclusions This study showed substantial levels of reliability for the main axial rotation component of segmental manual rotational HVLA thrust on C1-C2. Intra- and interrater reliability for flexion-extension, lateral bending, and cross-correlation was low.
Articolo in rivista - Articolo scientifico
Cervical Vertebrae; Manipulation; Reproducibility of Results; Spinal; Aged; Aged, 80 and over; Biomechanical Phenomena; Cadaver; Cervical Vertebrae; Female; Humans; Male; Manipulation, Spinal; Middle Aged; Reproducibility of Results; Rotation; Chiropractics; Medicine (all)
English
2015
38
1
51
58
reserved
Gianola, S., Cattrysse, E., Provyn, S., Van Roy, P. (2015). Reproducibility of the kinematics in rotational high-velocity, low-amplitude thrust of the upper cervical spine: A cadaveric study. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 38(1), 51-58 [10.1016/j.jmpt.2014.10.012].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/193184
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