Literature DB >> 28768115

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

Edward F Owens, Brent S Russell, Ronald S Hosek, Stephanie G B Sullivan, Lydia L Dever, Linda Mullin.   

Abstract

OBJECTIVE: To assess the force profiles of high-velocity low-amplitude thrusts delivered to a mannequin on a force platform by novice students given only verbal instructions.
METHODS: Student volunteers untrained in adjusting delivered a series of adjustments to a mannequin on a force platform. Participants performed 3 light, 3 normal, and 3 heavy thrusts on 5 listings specifying contact point, hand, and direction. Force profiles were analyzed for speed and amplitude, consistency, and force discrimination. Two recording sessions occurred 10 weeks apart.
RESULTS: Sixteen participants (11 females, 5 male) completed the study. Peak forces ranged from 880 to 202 N for heavy thrusts and 322- to 66 N for light thrusts. Thrust rate was from 8.1 to 1.8 Newtons per millisecond. Average coefficients of variability (CV = STD/mean) at each load level (initial/final) were heavy: 17%/15%; normal: 16%/15%; and light: 20%/20%, with 0 as ideal. A force ratio measured students' abilities to distinguish thrust magnitude. The heavy/normal ratio (initial/final) was 1.35/1.39, and the light/normal ratio was 0.70/0.67.
CONCLUSIONS: At this point, without force feedback being used in the classroom, novice students can produce thrusts that look like those of their teachers and of experienced practitioners, but they may not produce similar speed and force values. They are consistent within and between sessions and can discriminate between light and heavy loads. A natural next step in our educational research will be to measure adjustment factors on more experienced cohorts of students with and without the presence of force-feedback training apparatus.

Entities:  

Keywords:  Chiropractic Manipulation; Education; Kinetics; Motor Skills

Year:  2017        PMID: 28768115      PMCID: PMC5834298          DOI: 10.7899/JCE-173

Source DB:  PubMed          Journal:  J Chiropr Educ        ISSN: 1042-5055


  31 in total

1.  The frictional properties at the thoracic skin-fascia interface: implications in spine manipulation.

Authors:  David E Bereznick; J Kim Ross; Stuart M McGill
Journal:  Clin Biomech (Bristol, Avon)       Date:  2002-05       Impact factor: 2.063

2.  Three-dimensionality of direct contact forces in chiropractic spinal manipulative therapy.

Authors:  Gerrit G J M Van Zoest; Guy Gosselin
Journal:  J Manipulative Physiol Ther       Date:  2003 Nov-Dec       Impact factor: 1.437

3.  Three-dimensionality of contact forces during clinical manual examination and treatment: a new measuring system.

Authors:  Gerrit G J M van Zoest; Henk T C M van den Berg; Fred C Holtkamp
Journal:  Clin Biomech (Bristol, Avon)       Date:  2002 Nov-Dec       Impact factor: 2.063

Review 4.  Biomechanics--review of approaches for performance training in spinal manipulation.

Authors:  J J Triano; M Descarreaux; C Dugas
Journal:  J Electromyogr Kinesiol       Date:  2012-04-28       Impact factor: 2.368

Review 5.  Quantifying the high-velocity, low-amplitude spinal manipulative thrust: a systematic review.

Authors:  Aron S Downie; Subramanyam Vemulpad; Peter W Bull
Journal:  J Manipulative Physiol Ther       Date:  2010-09       Impact factor: 1.437

6.  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

7.  Learning spinal manipulation: the effect of expertise on transfer capability.

Authors:  Martin Descarreaux; Claude Dugas; Julien Treboz; Charlène Cheron; François Nougarou
Journal:  J Manipulative Physiol Ther       Date:  2015-04-27       Impact factor: 1.437

8.  Physician-applied contact pressure and table force response during unilateral thoracic manipulation.

Authors:  S J Kirstukas; J A Backman
Journal:  J Manipulative Physiol Ther       Date:  1999-06       Impact factor: 1.437

9.  The forces applied by female and male chiropractors during thoracic spinal manipulation.

Authors:  D Forand; J Drover; Z Suleman; B Symons; Walter Herzog
Journal:  J Manipulative Physiol Ther       Date:  2004-01       Impact factor: 1.437

10.  Biomechanical characterization (fingerprinting) of five novel methods of cervical spine manipulation.

Authors:  G N Kawchuk; W Herzog
Journal:  J Manipulative Physiol Ther       Date:  1993 Nov-Dec       Impact factor: 1.437

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  1 in total

1.  Quantifying performance metrics of cervical spine mobilization for improved education and clinical outcomes: Early experience with a novel wearable device.

Authors:  Ryan Kope; Jordan O'Brien; Jackie Sadi; David M Walton; Louis M Ferreira
Journal:  J Rehabil Assist Technol Eng       Date:  2018-03-20
  1 in total

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