Impact of Extremity Manipulation on Postural Sway Characteristics: A Preliminary, Randomized Crossover Study

Malaya, Christopher A.; Haworth, Joshua; Pohlman, Katherine A.; Powell, C.; Smith, Dean L.

doi:10.1016/j.jmpt.2019.02.014

Cited by 6 publications

(23 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As described in the introduction, previous work by this team found that ipsilateral upper and lower extremity manipulations affected participant performance during a lower extremity balance task (standing on a rocker board) [11]. In that study, both upper and lower extremity manipulations led to decreased pathlength as measured on a rocker board.…”

Section: Discussionmentioning

confidence: 74%

“…The within subjects sample size for this study was based on a power analysis conducted by an independent biostatistician. The sample size for this study was based on pre-post standard deviations (SDs) of mean changes in mediolateral (ML) rocker board sample entropy (SampEn) from our previous study [11]. As such, twenty participants per group would provide at least 80% power to detect a medium to large effect size of 0.335 at a 0.05 level of significance.…”

Section: Participantsmentioning

confidence: 99%

“…It is important then, that health research examine topics that will add to our basic understanding of how people's movements and behaviors, as well as their anatomy and physiology, change with joint manipulations. We previously conducted a study that examined the effect of upper and lower extremity manipulation on posture and balance [11]. We found that lower extremity manipulation influenced several dynamic measures of postural sway while standing on both the ground and rocker board.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Previous research demonstrated that manipulation of the extremities was associated with changes in multisegmental postural sway as well as improvement in a lower extremity balancing task. We were interested if these effects would extend to an upper extremity task. Our aim in this study was to investigate whether extremity manipulation could influence dual task performance where the explicit suprapostural task was balancing a water filled tube in the frontal plane. Methods Participants were healthy volunteers (aged 21–32 years). Upper- or lower-extremity manipulations were delivered in a participant and assessor blinded, randomized crossover, clinical trial. Postural (center of pressure) and suprapostural (tube motion) measurements in the frontal plane were made pre-post manipulation under eyes open and eyes closed conditions using a BTrackS™ force plate and a Shimmer inertial measurement unit, respectively. Pathlength, range, root mean square and sample entropy were calculated to describe each signal during the dual task performance. Results There was no main effect of manipulation or vision for the suprapostural task (tube motion). However, follow-up to interaction effects indicates that roll pathlength, range and root means square of tube motion all decreased (improvement) following lower extremity manipulation with eyes open. Regarding the postural task, there was a main effect of manipulation on mediolateral center of pressure such that pathlength reduced with both upper and lower extremity manipulation with larger decreases in pathlength values following upper extremity manipulation. Conclusion Our findings show that manipulation of the extremities enhanced stability (e.g. tube stabilization and standing balance) on performance of a dual task. This furthers the argument that site-specific manipulations influence context specific motor behavior/coordination. However, as this study focused only on the immediate effects of extremity manipulation, caution is urged in generalizing these results to longer time frames until more work has been done examining the length of time these effects last. Trial registration Clinicaltrials.gov, NCT03877367, Registered 15 March 2019. Data collection took place July 2019.

show abstract

Section: Discussionmentioning

confidence: 74%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…Three of these smaller studies included a power calculation completed a priori [ 114 , 170 , 172 ] and one was completed as part of the post hoc analysis [ 162 ]. The remaining studies did not complete power calculations [ 160 , 163 , 167 – 169 , 171 , 173 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies did not report gender distribution [ 168 , 169 ] and of the remaining studies ( n = 965) approximately 48% of participants were female and 52% were male. Two of the 21 studies recruited young and healthy adults (20–40 years of age) [ 171 , 172 ], and 8 studies included older adults (60+ years of age) [ 34 , 63 , 114 , 158 , 159 , 161 , 165 , 174 ]. Five studies enrolled participants with SI joint conditions [ 160 , 167 – 169 , 173 ], 4 included subjects with neck pain or vertigo [ 63 , 161 , 164 , 166 ], and 2 focused on subjects with LBP [ 46 , 169 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research

Grabowska

Burton

Kowalski

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Falls in older adults are a significant and growing public health concern. There are multiple risk factors associated with falls that may be addressed within the scope of chiropractic training and licensure. Few attempts have been made to summarize existing evidence on multimodal chiropractic care and fall risk mitigation. Therefore, the broad purpose of this review was to summarize this research to date. Body Systematic review was conducted following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, PEDro, and Index of Chiropractic Literature. Eligible study designs included randomized controlled trials (RCT), prospective non-randomized controlled, observational, and cross-over studies in which multimodal chiropractic care was the primary intervention and changes in gait, balance and/or falls were outcomes. Risk of bias was also assessed using the 8-item Cochrane Collaboration Tool. The original search yielded 889 articles; 21 met final eligibility including 10 RCTs. One study directly measured the frequency of falls (underpowered secondary outcome) while most studies assessed short-term measurements of gait and balance. The overall methodological quality of identified studies and findings were mixed, limiting interpretation regarding the potential impact of chiropractic care on fall risk to qualitative synthesis. Conclusion Little high-quality research has been published to inform how multimodal chiropractic care can best address and positively influence fall prevention. We propose strategies for building an evidence base to inform the role of multimodal chiropractic care in fall prevention and outline recommendations for future research to fill current evidence gaps.

show abstract

The influence of flexion distraction spinal manipulation on patients with lumbar spinal stenosis: A prospective, open-label, single-arm, pilot study

Smith

Olding²,

Malaya

et al. 2022

Journal of Bodywork and Movement Therapies

View full text Add to dashboard Cite

Impact of Extremity Manipulation on Postural Sway Characteristics: A Preliminary, Randomized Crossover Study

Cited by 6 publications

References 47 publications

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial

A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research

The influence of flexion distraction spinal manipulation on patients with lumbar spinal stenosis: A prospective, open-label, single-arm, pilot study

Contact Info

Product

Resources

About