Literature DB >> 19674647

Kinetic analysis of expertise in spinal manipulative therapy using an instrumented manikin.

Martin Descarreaux1, Claude Dugas, Jean Raymond, Martin C Normand.   

Abstract

OBJECTIVE: The goals of this study were to measure the kinetic profile of thrust in different groups of subjects with various levels of expertise and to quantify general coordination while performing thoracic spine manipulation. PARTICIPANTS: A total of 43 students and chiropractors from the Chiropractic Department of the Université du Québec à Trois-Rivières participated in this study.
METHODS: Participants were asked to complete ten consecutive thoracic spine manipulations on an instrumented manikin. Peak force, preload force, time to peak force, time to peak force variability, peak force variability, rate of force production and unloading time were compared between groups. Hand-body delay obtained by calculating the temporal lag between the onset of unloading and the onset of peak force application was also compared between groups.
RESULTS: No group difference was observed for the peak force, peak force variability and preload force variables. However, group differences were present for variables like time to peak force, time to peak force variability, rate of force production, unloading time and hand-body delay.
CONCLUSION: This study demonstrates clear differences between groups of subjects with different levels of expertise in thoracic spine manipulation. This study also demonstrates the usefulness of a simple, instrumented manikin to analyze spinal manipulation and identify important parameters related to expertise.

Entities:  

Year:  2005        PMID: 19674647      PMCID: PMC2647034          DOI: 10.1016/S0899-3467(07)60114-1

Source DB:  PubMed          Journal:  J Chiropr Med        ISSN: 1556-3707


  20 in total

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Authors:  S Haldeman
Journal:  J Manipulative Physiol Ther       Date:  2000-02       Impact factor: 1.437

2.  The effects of augmented sensory feedback precision on the acquisition and retention of a simulated chiropractic task.

Authors:  John G Scaringe; Dapeng Chen; Diane Ross
Journal:  J Manipulative Physiol Ther       Date:  2002-01       Impact factor: 1.437

3.  Movements of vertebrae during manipulative thrusts to unembalmed human cadavers.

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Journal:  J Manipulative Physiol Ther       Date:  1997-01       Impact factor: 1.437

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Journal:  J Neurophysiol       Date:  1989-08       Impact factor: 2.714

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Journal:  Exp Brain Res       Date:  1993       Impact factor: 1.972

8.  Forces exerted during spinal manipulative therapy.

Authors:  W Herzog; P J Conway; G N Kawchuk; Y Zhang; E M Hasler
Journal:  Spine (Phila Pa 1976)       Date:  1993-07       Impact factor: 3.468

9.  EMG changes during acquisition of a motor skill.

Authors:  D A Ludwig
Journal:  Am J Phys Med       Date:  1982-10

10.  Biomechanical performance of spinal manipulation therapy by newly trained vs. practicing providers: does experience transfer to unfamiliar procedures?

Authors:  E Cohen; J J Triano; M McGregor; M Papakyriakou
Journal:  J Manipulative Physiol Ther       Date:  1995 Jul-Aug       Impact factor: 1.437

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  15 in total

1.  Establishing force and speed training targets for lumbar spine high-velocity, low-amplitude chiropractic adjustments.

Authors:  Edward F Owens; Ronald S Hosek; Stephanie G B Sullivan; Brent S Russell; Linda E Mullin; Lydia L Dever
Journal:  J Chiropr Educ       Date:  2015-11-24

2.  Correlation of expertise with error detection skills of force application during spinal manipulation learning.

Authors:  Michel Loranger; Julien Treboz; Jean-Alexandre Boucher; François Nougarou; Claude Dugas; Martin Descarreaux
Journal:  J Chiropr Educ       Date:  2015-08-13

3.  Learning spinal manipulation: a comparison of two teaching models.

Authors:  Marie-Pierre Harvey; Shari Wynd; Lance Richardson; Claude Dugas; Martin Descarreaux
Journal:  J Chiropr Educ       Date:  2011

4.  Training and certification of doctors of chiropractic in delivering manual cervical traction forces: Results of a longitudinal observational study.

Authors:  Maruti Ram Gudavalli; Robert D Vining; Stacie A Salsbury; Christine M Goertz
Journal:  J Chiropr Educ       Date:  2014-09-19

5.  Real-time force feedback during flexion-distraction procedure for low back pain: A pilot study.

Authors:  Maruti Ram Gudavalli; James M Cox
Journal:  J Can Chiropr Assoc       Date:  2014-06

6.  The effect of spinal manipulation impulse duration on spine neuromechanical responses.

Authors:  Isabelle Pagé; François Nougarou; Claude Dugas; Martin Descarreaux
Journal:  J Can Chiropr Assoc       Date:  2014-06

7.  Learning spinal manipulation: A best-evidence synthesis of teaching methods.

Authors:  Brynne E Stainsby; Michelle C S Clarke; Jade R Egonia
Journal:  J Chiropr Educ       Date:  2016-03-21

8.  Optimized prediction of contact force application during side-lying lumbar manipulation.

Authors:  Casey A Myers; Brian A Enebo; Bradley S Davidson
Journal:  J Manipulative Physiol Ther       Date:  2012 Nov-Dec       Impact factor: 1.437

9.  Changes in adjustment force, speed, and direction factors in chiropractic students after 10 weeks undergoing standard technique training.

Authors:  Edward F Owens; Brent S Russell; Ronald S Hosek; Stephanie G B Sullivan; Lydia L Dever; Linda Mullin
Journal:  J Chiropr Educ       Date:  2017-08-02

10.  Effects of an 8-week physical exercise program on spinal manipulation biomechanical parameters in a group of 1st-year chiropractic students.

Authors:  Arnaud Lardon; Mégane Pasquier; Yannick Audo; Florian Barbier-Cazorla; Martin Descarreaux
Journal:  J Chiropr Educ       Date:  2019-04-05
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