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Pressures Generated During Spinal Manipulation And Their Association With Hand Anatomy

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dc.contributor.advisor Perle, Stephen M. en_US
dc.contributor.author Perle, Stephen M. en_US
dc.contributor.author Kawchuk, Gregory N. en_US
dc.date.accessioned 2014-07-15T19:21:54Z
dc.date.available 2014-07-15T19:21:54Z
dc.date.issued 2005-05 en_US
dc.identifier.citation Perle SM, Kawchuk GN. Pressures Generated During Spinal Manipulation and Their Association With Hand Anatomy. Journal of Manipulative and Physiological Therapeutics. May 2005; 28(4): 265.e1-265.e7
dc.identifier.other 0aa082a7-fd03-f491-db8b-348e412134be en_US
dc.identifier.uri https://scholarworks.bridgeport.edu/xmlui/handle/123456789/190
dc.description.abstract Background Context: The role of the variation in the application manipulation itself is largely unknown. A greater understanding of its input parameters is necessary to better understand spinal manipulation outcomes. Purpose: The objective of this study is to determine if pressures generated during manipulation are altered by hand configuration. Design/Setting: Paired comparison of 2 different variable groups. Methods: Sixteen chiropractors provided 2 manipulations to a rigid surface using 2 hand configurations used commonly in clinical practice: arched and flat. Interposed between the hand and the rigid surface was a pressure sensor array and radiographic cassette. For each manipulation, pressures were recorded and a radiographic image was captured. Two radiologists then located the osseous features of the hand with respect to the sensor array. Results: In 15 of 16 cases, arched configurations produced peak pressures that corresponded to the radiographic location of the pisiform bone. In flat configurations, peak pressure migrated about the location of the hamate bone. Radiologists' agreement for bone position was high (κ = 0.96). Measures of peak pressure, total pressure, and pressure distribution were statistically different between hand configurations. Conclusions: The results of this study suggest that hand configuration influences the magnitude, location, and distribution of pressure generated by the hand during manipulation. This knowledge may have importance in understanding the relation among application parameters of manipulation, therapeutic benefit, and patient safety. en_US
dc.description.uri http://dx.doi.org/10.1016/j.jmpt.2005.03.005 en_US
dc.publisher Elsevier Science, Inc. en_US
dc.subject Manipulation en_US
dc.subject Public health en_US
dc.subject Spinal en_US
dc.subject Biomechanics en_US
dc.subject Peak pressure en_US
dc.subject Hand configuration en_US
dc.title Pressures Generated During Spinal Manipulation And Their Association With Hand Anatomy en_US
dc.type Article en_US
dc.publication.issue 4 en_US
dc.publication.name Journal of Manipulative and Physiological Therapeutics en_US
dc.publication.volume 28 en_US

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