Document Detail

Forces measured during spinal manipulative procedures in two age groups.
MedLine Citation:
PMID:  10325666     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Manipulation techniques have a prominent, yet controversial, role in the treatment of back pain. Their use varies widely between the professional groups and between individual therapists, with no accurate method of standardizing or quantifying the treatment administered. METHODS: An instrumented mobilization couch was developed to measure and characterize typical forces used during spinal manipulative therapy. The couch was used to measure the forces applied to the lumbar spine of 30 young healthy subjects during five mobilization techniques, and to a clinical sample of 31 patients, aged between 45 and 65 yr. RESULTS: The magnitudes of the mobilization forces were found to be similar for the young and the older groups. Median forces of 164 and 168 N, respectively, were recorded during a Grade III procedure. However, the forces applied to the older group exhibited a smaller amplitude and higher frequency of oscillation than those applied to the young group (P < 0.001). CONCLUSION: Objective measurements can be used to characterize manipulative forces for both evaluative and teaching purposes.
M C Harms; S M Innes; D L Bader
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  38     ISSN:  1462-0324     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-05-26     Completed Date:  1999-05-26     Revised Date:  2007-09-06    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  267-74     Citation Subset:  AIM; IM    
Camden and Islington Community Trust, The Middlesex Hospital, London, UK.
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MeSH Terms
Back Pain / therapy*
Manipulation, Spinal* / instrumentation
Middle Aged
Physical Therapy Modalities
Comment In:
Rheumatology (Oxford). 2000 Mar;39(3):334-5   [PMID:  10788546 ]

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