Angular Kinematics of Chiropractic Supine Cervical Spine Manipulation: Rotational Measures and Comparisons to Doctor and Recipient Perceptions

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-09-01 DOI:10.1016/j.jmpt.2022.12.002

Brent S. Russell MS, DC , Mackenzie Keller DC , Shari E. Wynd MASC, DC, PHD , Ronald S. Hosek PhD, DC, MPH , Edward F. Owens Jr MS, DC , Kathryn T. Hoiriis DC

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引用次数: 0

Abstract

Objectives

The primary purposes of this study were to measure axial rotation during supine cervical spinal manipulative therapy (cSMT) and to record recipients’ and doctors’ perceptions of rotational magnitudes.

Methods

Experienced doctors of chiropractic (DCs) provided supine cSMT and acted as recipients of cSMT. Participants who received SMT wore inertial measurement units attached to the forehead and sternum for motion capture. Afterward, recipients and DCs completed questionnaires asking about their perceptions of motion. Data were analyzed for magnitudes of axial rotation at peak thrust and correlations with patient and doctor perceptions. Secondary analyses included angular velocity, angular acceleration, and other kinematic variables.

Results

We recorded 23 SMT events with 14 DCs. Rotation at thrust peaks averaged 32.4° (17.4°). Doctors’ and recipients’ perceptions of rotation were higher than measured values 45% and 50% of the time, respectively. Maximum angular velocity and acceleration averaged 221.9°/s (124.9) and 4786.5°/s² (2456.6), respectively. We found no correlation between perceptions and velocity or acceleration; doctors’ perceptions had an inverse correlation with measurements.

Conclusion

On average, we found rotation during supine cSMT to be 32°. Both DCs and SMT recipients overestimated rotation compared with actual measurements. These factors should be considered in discussions of rotation and SMT.

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脊椎指压仰卧位颈椎操作的角度运动学:旋转测量和医生和接受者感知的比较

目的本研究的主要目的是测量仰卧颈椎推拿治疗(cSMT)期间的轴向旋转，并记录受术者和医生对旋转幅度的感知。方法由经验丰富的捏脊医师提供仰卧位cSMT，并作为cSMT的接受者。接受SMT的参与者在前额和胸骨上佩戴了惯性测量装置，用于运动捕捉。之后，接受者和实验对象完成问卷调查，询问他们对运动的感知。数据分析了峰值推力时轴向旋转的大小以及与患者和医生感知的相关性。二次分析包括角速度、角加速度和其他运动学变量。结果共记录23例SMT事件，14例DCs。推力峰值处的旋转平均为32.4°(17.4°)。医生和接受者对轮转的感知分别高于45%和50%的测量值。最大角速度和加速度平均分别为221.9°/s(124.9)和4786.5°/s2(2456.6)。我们发现知觉和速度或加速度之间没有关联;医生的感知与测量结果呈负相关。结论平卧位cSMT的平均旋转角度为32°。与实际测量值相比，DCs和SMT接受者都高估了旋转。在讨论旋转和SMT时应考虑这些因素。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.