Rheumatology, Vol 38, 267-274, Copyright © 1999 by British Society for Rheumatology
MC Harms, SM Innes and DL Bader
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.
ORIGINAL PAPERS
Forces measured during spinal manipulative procedures in two age groups
Camden and Islington Community Trust, The Middlesex Hospital, London, UK.
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S. Paul Re: Harms et al. Forces measured during spinal manipulative procedures in two age groups Rheumatology, March 1, 2000; 39(3): 334 - 335. [Full Text] [PDF] |
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