facebook_pixel
Pages Navigation Menu

Pain relief for your neck, low back, headaches and sciatica

Adjusting Instrument Research part 3: Mapping the Spinal Motions after adjustment

Impulse adjusting instrument caused linear increase in both force and spinal motion response

Adjusting instrument (Impulse vs Activator) resulted in the greatest acceleration and displacement responses

Three-dimensional vertebral motions produced by mechanical force spinal manipulation.

OBJECTIVE: The aim of this study was to quantify and compare the 3-dimensional intersegmental motion responses produced by 3 commonly used chiropractic adjusting instruments. METHODS: Six adolescent Merino sheep were examined at the Institute for Medical and Veterinary Science, Adelaide, Australia. In all animals, triaxial accelerometers were attached to intraosseous pins rigidly fixed to the L1 and L2 spinous processes under fluoroscopic guidance. Three handheld mechanical force chiropractic adjusting instruments (Chiropractic Adjusting Tool [CAT], Activator Adjusting Instrument IV [Activator IV], and the Impulse Adjusting Instrument [Impulse]) were used to randomly apply posteroanterior (PA) spinal manipulative thrusts to the spinous process of T12. Three force settings (low, medium, and high) and a fourth setting (Activator IV only) were applied in a randomized repeated measures design. Acceleration responses in adjacent segments (L1 and L2) were recorded at 5 kHz. The multiaxial intersegmental (L1-L2) acceleration and displacement response at each force setting was computed and compared among the 3 devices using a repeated measures analysis of variance (alpha = .05). RESULTS: For all devices, intersegmental motion responses were greatest for axial, followed by PA and medial-lateral (ML) measurement axes for the data examined. Displacements ranged from 0.11 mm (ML axis, Activator IV low setting) to 1.76 mm (PA axis, Impulse high setting). Compared with the mechanical (spring) adjusting instruments (CAT, Activator IV), the electromechanical Impulse produced the most linear increase in both force and intersegmental motion response and resulted in the greatest acceleration and displacement responses (high setting). Significantly larger magnitude intersegmental motion responses were observed for Activator IV vs CAT at the medium and high settings (P < .05). Significantly larger-magnitude PA intersegmental acceleration and displacement responses were consistently observed for Impulse compared with Activator IV and CAT for the high force setting (P < .05). CONCLUSIONS: Larger-magnitude, 3D intersegmental displacement and acceleration responses were observed for spinal manipulative thrusts delivered with Impulse at most force settings and always at the high force setting. Our results indicate that the force-time characteristics of impulsive-type adjusting instruments significantly affects spinal motion and suggests that instruments can and should be tuned to provide optimal force delivery.

 

PMID: 16904488 [PubMed – indexed for MEDLINE]  Keller TS, Colloca CJ, Moore RJ, Gunzburg R, Harrison DE, Harrison DD.   Musculoskeletal Research Foundation, Florida Orthopaedic Institute, Temple Terrace, Fla., USA J Manipulative Physiol Ther. 2006 Jul-Aug;29(6):425-36.

BREAKING NEWS: I’ve started a podcast.  The following is the description.  If you are interested go ahead and click that link and check out the website and listen to an episode.  If you would like to be notified of the latest episodes, as well as be the first to know when Justin’s 2 book go on sale   then take 15 seconds, and fill out the form when it pops open.

For doctors who want a thriving practice and abundant home life, listen as your host dr justin trosclair goes behind the curtain and interviews doctors and guests about real world triumphs, struggles, practical tips, and entertainment on this episode of  A Doctor’s Perspective Podcast
468 ad
Follow Us!