The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

Fisher, Alison R.; Bacon, Catherine J.; Mannion, Jamie

doi:10.1016/j.jmpt.2014.10.014

Cited by 9 publications

(6 citation statements)

References 251 publications

(390 reference statements)

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“…However, the changes produced in the anterior and lateral mean velocity were not significant, although they showed in both cases a decrease in the experimental group compared to the control group. These data contrast with the lack of effect of manipulations on the mean velocity of the COP displacement in other studies [ 18 , 32 , 33 ].…”

Section: Discussioncontrasting

confidence: 99%

“…Some studies have not observed changes in the proprioceptive system with different manual technique interventions on the cervical spine in nonspecific neck pain or cervicogenic dizziness [ 33 , 60 , 61 ]. However, in our study, we obtained very significant changes with the upper cervical spine HVLA manipulation on C1-C2 in the stabilometric parameters to assess postural control through standing stability, as well as a large effect size in all of them, agreeing with another study [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

“…The last Clinical Practice Guideline by the American Physical Therapy Association recommended the use of cervical HVLA manipulation for the management of neck pain guided by impairment and function related assessment of the cervical spine [ 29 ]. In addition, some studies reported positive results on load distribution and postural control after HVLA manipulation in different regions [ 17 , 18 , 19 , 20 , 30 , 31 ], while other studies showed low or no clinical effects [ 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

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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

Gómez¹,

Escribá²,

Oliva-Pascual-Vaca

et al. 2020

JCM

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This study aimed to determine the immediate and short-term effects of a single upper cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled trial was performed. Forty-four patients with CNSNP were allocated to the experimental group (n = 22) or control group (n = 22). All participants were assessed before and immediately after the intervention, with a follow-up on the 7th and 15th days. In each evaluation, we assessed global and specific stabilometric parameters to analyze standing postural balance and performed the cervical flexion-rotation test (CFRT) to analyze upper cervical mobility. We obtained statistically significant differences, with a large effect size, in the limited cervical rotation and global stabilometric parameters. Upper cervical HVLA manipulation produced an improvement in the global stabilometric parameters, significantly decreasing the mean values of velocity, surface, path length, and pressure in all assessments (p < 0.001; ƞ 2 p = 0.323–0.856), as well as significantly decreasing the surface length ratio (L/S) on the 7th (−0.219 1/mm; p = 0.008; 95% confidence interval (CI): 0.042–0.395) and 15th days (−0.447 1/mm; p < 0.001; 95% CI: 0.265–0.629). Limited cervical rotation values increased significantly immediately after manipulation (7.409°; p < 0.001; 95% CI: 6.131–8.687) and were maintained during follow-up (p < 0.001). These results show that a single upper cervical HVLA manipulation produces an improvement in standing postural control and increases the rotational range of motion (ROM) in the upper cervical spine in patients with CNSNP.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

Gómez¹,

Escribá²,

Oliva-Pascual-Vaca

et al. 2020

JCM

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“…(12,15,23,24,37) A possible explanation for the failure to improve neck JPS after a CSM procedure compared with a Sham CSM in patients with chronic neck pain, may be associated with an adaptive reweighting of other sensory modalities' information, like vestibular or cerebellar, which adapted for the inadequacy in the neck sensorimotor that is present in patients with neck dysfunction. (6,24,30) Other reasonable explanation is that the changes in JPS error with the CSM in other studies (12,15) may be due to the placebo effect, since this was the first study to control that variable and no differences was found neither in acute or chronic CSM.…”

Section: Discussionmentioning

confidence: 83%

“…(4) In addition, the perception of the head in space demands not only of the vestibular, visual and cerebellar systems, but also of mechanoreceptors from cervical spine, muscles and skin, (5) and they can reorganize the hierarchy of sensory information to maintain the JPS in a variety of environmental conditions. (6) Cervical and lumbar joint dysfunction is one of the major causes of musculoskeletal pain. (7) They are described in the literature, and recent neurophysiological studies have shown that spinal articular facets have both mechanoreceptors and nociceptors and those facets' inflammation lead to a decrease of the threshold of nerve endings.…”

Section: Introductionmentioning

confidence: 99%

Influence of Cervical Spine Manipulation on Neck Joint Position Sense error in patients with chronic neck pain.

2020

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Introduction: Cervical joint dysfunction may interfere with the sensorimotor afferent response, interfering with neck neck Joint Position Sense error (JPS). Objective: The aim of this study was to evaluate the influence of Cervical Spine Manipulation (CSM) on neck JPS error in patients with chronic neck pain. Method: 21 patients with chronic neck pain were divided into 2 groups: Spinal Manipulation Group (MG) or Sham Group (SG) who received 4 sessions of CSM and Sham CSM respectively. JPS was assessed in three different time frames: 1) pre-intervention; 2) Right after the first intervention (post-intervention 1); and 3) After a chronic intervention (post-intervention 2). The outcome measured in this study was the head reposition accuracy test with the Revel's Test. Results: The JPS showed no significant differences between pre-and post-intervention 1 and 2 for any of the assessed groups. Conclusion: We conclude that, for this sample, neither the CSM nor the Sham CSM statistically changed the JPS error for neither groups. We believe that the changes in JPS after CSM were concealed because the ability of other sensory system information to compensate for inadequacies in any other component. Therefore, more studies have to be done with a stronger methodological rigor, clinical prediction rule for spinal manipulation, bigger sample and a blind assessment.

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Randomised controlled pilot trial of high-velocity, low-amplitude manipulation on cervical and upper thoracic spine levels in asymptomatic subjects

Galindez-Ibarbengoetxea¹,

Setuain

González-Izal

et al. 2017

International Journal of Osteopathic Medicine

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The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

Cited by 9 publications

References 251 publications

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

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

Influence of Cervical Spine Manipulation on Neck Joint Position Sense error in patients with chronic neck pain.

Randomised controlled pilot trial of high-velocity, low-amplitude manipulation on cervical and upper thoracic spine levels in asymptomatic subjects

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