Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial

Gómez, Francisca; Escribá, Pablo; Oliva-Pascual-Vaca, Jesús; Méndez-Sánchez, Roberto; Puente-González, Ana Silvia

doi:10.3390/jcm9082580

Cited by 13 publications

(8 citation statements)

References 70 publications

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“…These conclusions are also supported by the findings in Sadaat et al (Sadaat et al, 2018) and Cheng et al (Cheng et al, 2015) [12,13]. The effect of upper cervical HVLA manipulation on standing postural parameters was investigated by Gómez et al (Gómez et al, 2020) in a population of patients with nonspecific neck pain. The participants were divided into two groups of equal size, with the experimental group receiving a genuine HVLA manipulation and the control group receiving a sham intervention.…”

Section: Discussionmentioning

confidence: 55%

Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review

Malich,

Pasternak,

Lietz-Kijak

et al. 2023

Fiz Pol

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Background. Balance is a complex concept that applies not only to tasks with a reduced base of support, but also to everyday activities that require us to maintain a fixed position. Just as the concept itself is broad, the mechanisms for maintaining balance are complex and rely on information received from many regions of the body and organs. Objective. The aim of this systematic literature review is to analyse whether HVLA manipulation of a blocked C0-C1 segment can affect static and dynamic balance parameters in healthy adults. Methods. Based on the available literature, accessed via PubMed, Google Scholar, Scopus, EBSCO databases, a detailed search of the electronic literature was performed for 2010–2023. Eligible studies were chosen according to inclusion and exclusion criteria, using keywords: static balance, dynamic balance, manipulation, HVLA. Out of 114 manuscripts, 82 were short-listed for the preliminary review process. Twenty experimental studies were selected for final analysis. Results. Out of the 20 publications analysed, 14 examined the effect of HVLA manipulation on balance parameters. In most cases, the study groups consisted of people with no dysfunction or complaints and/or people with neck pain. The most commonly studied parameter was static balance in standing: 17 of 20 publications. For the cervical spine, 50% of the studies found a significant improvement in the parameters studied in the immediate assessment, while in the delayed assessment there were as many significant positive results as there were results with no effect on balance. In the analysis of a subset of trials that examined only asymptomatic patients, partial or significant positive effects were observed in both immediate and delayed assessment. Conclusions. We were not able to identify studies that would provide a clear answer to the research question. Based on the publications included in the review, it can be assumed that HVLA manipulation in the cervical region has the potential to affect balance in healthy adults, but the number of available studies is too small to draw firm conclusions. Further research in this area is therefore warranted.

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Section: Discussionmentioning

confidence: 55%

Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review

Malich,

Pasternak,

Lietz-Kijak

et al. 2023

Fiz Pol

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“…Headache and cervical injury symptoms often overlap [ 12 ], thus, all PPT patients received a comprehensive physical examination including a cervical passive/active range of motion (ROM) assessment to rule out spinal involvement, and an assessment for muscle trigger points through cervical and thoracic regions [ 26 ]. If decreased cervical ROM was present, manual interventions such as High Velocity Low Amplitude Thrust spinal manipulation was used to improve cervical ROM while reducing cervical strain [ 27 , 28 ]. Then, the PPT patients completed vestibular/ocular motor rehabilitation (e.g., moving target pursuits, horizontal and vertical saccades, and vestibulo-ocular reflex [VOR] and visual motion sensitivity [VMS]).…”

Section: Methodsmentioning

confidence: 99%

Comparison of Prescribed Physical Therapy to a Home Exercise Program for Pediatric Sports-Related Concussion Patients

et al. 2022

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The purpose of this retrospective chart review was to compare sports-related concussion (SRC) recovery time in protracted recovery (≥28 days) patients who were prescribed physical therapy (PPT) with those who were only provided a home exercise program (HEP). We hypothesized PPT would be associated with shorter recovery times relative to HEP. Associations were evaluated with multivariable zero-truncated negative binomial regressions. Among the 48 (30.2%) PPT and 111 (69.8%) HEP patients, the majority were female (57.9%), the mean age was 15.3 ± 1.4 (PPT) and 14.2 ± 2.8 (HEP), and time to clinic was a median 6.0 (IQR = 3.0–27.0; PPT) and 7.0 (IQR = 3.0–23.0; HEP) days. After adjusting for demographic (age, sex) and clinical measures (concussion history, convergence, VOMS, PCSS score, and days to clinic), PPT unexpectedly was associated with 1.21 (95% CI: 1.05, 1.41) additional recovery days compared with HEP. One reason for this could be related to patients adhering to the number of a priori prescribed PT sessions which may or may not have aligned with the patient’s symptom resolution. Future research should explore this hypothesis while aiming to evaluate the effect of PPT versus HEP using a randomized design. If confirmed, these findings are encouraging for patient who could not otherwise access or afford specialty rehabilitation."

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“…To mimic real mobilization, the therapist positioned their hands on the same points of contact, employing minimal movement (1st degree). Both active and placebo interventions had a duration of eight minutes [21].…”

Section: Placebomentioning

confidence: 99%

Comparing the acute effects of diagonal mobilization and Nordic hamstring curls on the vertical jump performances, static and dynamic balance, and landing stabilization in youth soccer players: a randomized multi-arm study design

Studnicki,

Tomaszewicz,

Hansdorfer-Korzon

et al. 2024

Preprint

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Background Ensuring the utilization of appropriate techniques that maximize soccer performance in terms of force, muscular power, balance, and stabilization is crucial for mitigating injury risk. Aim: The objective of this study was to compare the effects of diagonal mobilization (DM), Nordic hamstring curls (NHC), and placebo on vertical jump force and power outcomes, as well as static and dynamic balance assessed through unilateral tests, along with time to stabilization and force during landing tests conducted among young soccer players. Methods: A randomized multi-arm study design was employed. Seventy-five young male soccer players participated in this study, with an average age of 13.9 years (± 0.9), height of 174.4 cm (± 8.1), and weight of 60.6 kg (± 8.9). Participants were randomly assigned to one of three groups and were assessed both before and after the intervention. The assessment included tests such as the countermovement jump (CMJ), squat jump (SJ), single-leg standing (SLS), single-leg hold (SLLH), and the land and hold test (LH), all conducted on a force platform. Results: Significant interactions time × group were found in CMJ height (p = 0.011; \({\eta }_{p}^{2}\)<0.118), CMJ peak landing force (p=0.007; \({\eta }_{p}^{2}\)=0.129), CMJ peak power (p = 0.101; \({\eta }_{p}^{2}\)=0.062), and SJ concentric peak power (p = 0.034; \({\eta }_{p}^{2}\)=0.090). Moreover, SLS CP range anterior-posterior (p = 0.011; \({\eta }_{p}^{2}\)=0.118), SLLH time to stabilization (p<0.001; \({\eta }_{p}^{2}\)=0.299), SLLH peak drop landing force (p<0.001; \({\eta }_{p}^{2}\)=0.186), LH time to stabilization (p = 0.032; \({\eta }_{p}^{2}\)=0.041) and LH peak drop landing force (p = 0.012; \({\eta }_{p}^{2}\)=0.116). The between-group analysis showed that the placebo group exhibited significantly greater CMJ landing force compared to the DM group in the post-intervention phase (p<0.001). Additionally, the placebo group exhibited significantly smaller SJ concentric peak power compared to the DM group in the post-intervention phase (p < 0.001). The placebo group exhibited significantly greater CP medial-lateral (p=0.023) and CP anterior-posterior (p=0.006) compared to the DM group in the post-intervention phase. Also, placebo presented significantly greater CP medial-lateral (p=0.036) and CP anterior-posterior (p = 0.004) compared to the NHC group. Conclusions: In conclusion, DM revealed significant effectiveness in enhancing landing forces during both CMJ and SJ, while also improving static and dynamic balance parameters compared to the placebo. Although it did not show significant superiority to NHC in most parameters, DM exhibited significant superiority over NHC during the LH. DM appears to be a promising and effective approach for enhancing performance and minimizing injury risk parameters in soccer players.

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Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial

Cited by 13 publications

References 70 publications

Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review

Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review

Comparison of Prescribed Physical Therapy to a Home Exercise Program for Pediatric Sports-Related Concussion Patients

Comparing the acute effects of diagonal mobilization and Nordic hamstring curls on the vertical jump performances, static and dynamic balance, and landing stabilization in youth soccer players: a randomized multi-arm study design

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