Coupling Behavior of the Cervical Spine: A Systematic Review of the Literature

Cook, Chad; Hegedus, Eric J.; Showalter, Christopher; Sizer, Phillip S.

doi:10.1016/j.jmpt.2006.06.020

Cited by 52 publications

(27 citation statements)

References 27 publications

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“…The evidence around these foundational principles has been reviewed elsewhere. [30][31][32] A systematic review of coupling motions in the cervical spine, 31 evaluating agreement between studies of the coupling behaviour, suggested that coupling motion in the upper cervical motion segments should be questioned. Conversely, there is complete agreement on the coupling behaviour of the motion segments in the lower cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

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Purpose: This practice survey describes how Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) use spinal manipulation and mobilization and how they perceive their competence in performing spinal assessment; it also quantifies relationships between clinical experience and use of spinal manipulation. Methods: A cross-sectional survey was designed based on input from experts and the literature was administered to a random sample of the FCAMPT mailing list. Descriptive (including frequencies) and inferential statistical analyses (including linear regression) were performed. Results: The response rate was 82% (278/338 eligible FCAMPTs). Most (99%) used spinal manipulation. Two-thirds (62%) used clinical presentation as a factor when deciding to mobilize or manipulate. The least frequently manipulated spinal region was the cervical spine (2% of patients); 60% felt that cervical manipulation generated more adverse events. Increased experience was associated with increased use of upper cervical manipulation among male respondents (14% more often for every 10 years after certification; b, 95% CI ¼ 1.37, 0.89-1.85, p < 0.001) but not among female respondents. Confidence in palpation accuracy decreased in lower regions of the spine. Conclusion: The use of spinal manipulation/mobilization is prevalent among FCAMPTs, but is less commonly used in the neck because of a perceived association with adverse events.Key Words: beliefs; palpation; spinal manipulation; utilization. RÉ SUMÉObjectif: Cette enquê te sur la pratique explique comment les membres de la Canadian Academy of Manipulative Physiotherapy (CAMPT) utilisent la manipulation ou la mobilisation verté brale et comment ils perc¸oivent leur compé tence en é valuation verté brale. Elle visait é galement à quantifier la relation entre l'expé rience clinique et l'utilisation de la manipulation verté brale. Mé thode: Une enquê te transversale a é té conçue à partir des observations d'experts et de la litté rature. Son questionnaire a ensuite é té envoyé à un é chantillon alé atoire de membres de la CAMPT apparaissant sur la liste d'envoi de cet organisme. Des analyses descriptives (y compris les fré quences) et des analyses statistiques par infé rence (y compris une ré gression liné aire) ont é té ré alisé es. Ré sultats: Le taux de ré ponse é tait de 82% (278 de 338 membres admissibles de la CAMPT). La plupart des ré pondants (99%) ont recours à la manipulation verté brale. Les deux tiers (62%) ont utilisé la pré sentation clinique comme facteur au moment de dé cider de mobiliser ou de manipuler. La ré gion verté brale le moins fré quemment manipulé e é tait la colonne cervicale (2% des patients); 60% des ré pondants estiment que la manipulation cervicale engendre plus d'effets indé sirables. Une plus grande expé rience é tait associé e à une plus grande utilisation de la manipulation cervicale supé rieure chez les ré pondants de sexe masculin (14% plus souvent pour chaque tranche de 10 ans suivant l'agré ment); b1,37, IC de 95% ¼ 0,89-1,85, p <...

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Section: Discussionmentioning

confidence: 99%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

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“…Additionally, assessment of segmental static asymmetry has been shown to be unreliable, 44 and spinal coupled motion in the lumbar, thoracic, and cervical spine is inconsistent between spinal levels and individuals. 38,[45][46][47][48][49][50] Coupled motion in the upper cervical region is relatively consistent, 51 65,66 Sacroiliac motion in healthy volunteers is typically symmetrical, and asymmetrical motion (hypermobility rather than restricted motion) may be predictive for pelvic pain. [69][70][71][72] Sacroiliac dysfunctions proposed by Mitchell are clinical constructs, rather than definitive clinical entities.…”

Section: Assessment Of the Spinementioning

confidence: 99%

Muscle energy technique: An evidence-informed approach

Fryer

2011

International Journal of Osteopathic Medicine

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SummaryThis article describes the principles of evidence-based medicine and how these principles may be implemented in osteopathic practice and applied to the use of muscle energy technique.Because the feasibility of strict adherence to 'evidence-based' principles is debated, an approach of 'evidence-informed practice' is recommended. The principles and diagnostic and treatment practices associated with muscle energy technique are re-examined in light of recent research.Implications for the application of muscle energy are outlined, and recommendations are made regarding clinical practice.

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“…At the foot-ankle complex, for example, there is a well-studied relationship between calcaneal eversion and internal tibia rotation [9,10]. In the cervical spine, axial rotation has been shown to be coupled with ipsilateral lateral flexion [11,12]. While previous research supports the premise that internal femur rotation contributes to anterior pelvis tilt [4][5][6][7], it is not clear if the same coupling M a n u s c r i p t 4 relationship occurs reciprocally (i.e.…”

Section: Introductionmentioning

confidence: 99%