Spinal mobilization force-time characteristics: A scoping literature review
Spinal mobilization (SMob) is often included in the conservative management of spinal pain conditions as a recommended and effective treatment. While some studies quantify the biomechanical (kinetic) parameters of SMob, interpretation of findings is difficult due to poor reporting of methodological...
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| creator | Gorrell MChiroprac, Lindsay M Nyirö, Luana Pasquier, Mégane Pagé, Isabelle Heneghan, Nicola R Schweinhardt, Petra Descarreaux, Martin |
| description | Spinal mobilization (SMob) is often included in the conservative management of spinal pain conditions as a recommended and effective treatment. While some studies quantify the biomechanical (kinetic) parameters of SMob, interpretation of findings is difficult due to poor reporting of methodological details. The aim of this study was to synthesise the literature describing force-time characteristics of manually applied SMob.
This study is reported in accordance with the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. Databases were searched from inception to October 2022: MEDLINE (Ovid), Embase, CINAHL, ICL, PEDro and Cochrane Library. Data were extracted and reported descriptively for the following domains: general study characteristics, number of and characteristics of individuals who delivered/received SMob, region treated, equipment used and force-time characteristics of SMob.
There were 7,607 records identified and of these, 36 (0.5%) were included in the analysis. SMob was delivered to the cervical spine in 13 (36.1%), the thoracic spine in 3 (8.3%) and the lumbopelvic spine in 18 (50.0%) studies. In 2 (5.6%) studies, spinal region was not specified. For SMob applied to all spinal regions, force-time characteristics were: peak force (0-128N); duration (10-120s); frequency (0.1-4.5Hz); and force amplitude (1-102N).
This study reports considerable variability of the force-time characteristics of SMob. In studies reporting force-time characteristics, SMob was most frequently delivered to the lumbar and cervical spine of humans and most commonly peak force was reported. Future studies should focus on the detailed reporting of force-time characteristics to facilitate the investigation of clinical dose-response effects. |
| doi_str_mv | 10.1371/journal.pone.0289462 |
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This study is reported in accordance with the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. Databases were searched from inception to October 2022: MEDLINE (Ovid), Embase, CINAHL, ICL, PEDro and Cochrane Library. Data were extracted and reported descriptively for the following domains: general study characteristics, number of and characteristics of individuals who delivered/received SMob, region treated, equipment used and force-time characteristics of SMob.
There were 7,607 records identified and of these, 36 (0.5%) were included in the analysis. SMob was delivered to the cervical spine in 13 (36.1%), the thoracic spine in 3 (8.3%) and the lumbopelvic spine in 18 (50.0%) studies. In 2 (5.6%) studies, spinal region was not specified. For SMob applied to all spinal regions, force-time characteristics were: peak force (0-128N); duration (10-120s); frequency (0.1-4.5Hz); and force amplitude (1-102N).
This study reports considerable variability of the force-time characteristics of SMob. In studies reporting force-time characteristics, SMob was most frequently delivered to the lumbar and cervical spine of humans and most commonly peak force was reported. Future studies should focus on the detailed reporting of force-time characteristics to facilitate the investigation of clinical dose-response effects.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0289462</identifier><identifier>PMID: 37963125</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biomechanics ; Care and treatment ; Cervical Vertebrae ; Clinical outcomes ; Clinical practice guidelines ; Diagnosis ; Dose-response effects ; Health aspects ; Humans ; Intervention ; Literature reviews ; Manipulative therapy ; Musculoskeletal diseases ; Quality of life ; Search strategies ; Spinal Diseases ; Spinal manipulation ; Spine ; Spine (cervical) ; Spine (lumbar) ; Spine (thoracic) ; Therapists ; Treatment Outcome</subject><ispartof>PloS one, 2023-11, Vol.18 (11), p.e0289462-e0289462</ispartof><rights>Copyright: © 2023 Gorrell MChiroprac et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Gorrell MChiroprac et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Gorrell MChiroprac et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c586t-f9296d635352a4009f0bd8cfa6fad9ca721810c576929abc8fa5ef24b48312e83</cites><orcidid>0000-0003-2504-9719 ; 0000-0002-1937-741X ; 0000-0002-7175-0402 ; 0000-0003-4837-6595</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0289462&type=printable$$EPDF$$P50$$Gplos$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0289462$$EHTML$$P50$$Gplos$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,864,2102,2928,23866,27924,27925,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37963125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Reddy, Ravi Shankar Yerragonda</contributor><creatorcontrib>Gorrell MChiroprac, Lindsay M</creatorcontrib><creatorcontrib>Nyirö, Luana</creatorcontrib><creatorcontrib>Pasquier, Mégane</creatorcontrib><creatorcontrib>Pagé, Isabelle</creatorcontrib><creatorcontrib>Heneghan, Nicola R</creatorcontrib><creatorcontrib>Schweinhardt, Petra</creatorcontrib><creatorcontrib>Descarreaux, Martin</creatorcontrib><title>Spinal mobilization force-time characteristics: A scoping literature review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Spinal mobilization (SMob) is often included in the conservative management of spinal pain conditions as a recommended and effective treatment. While some studies quantify the biomechanical (kinetic) parameters of SMob, interpretation of findings is difficult due to poor reporting of methodological details. The aim of this study was to synthesise the literature describing force-time characteristics of manually applied SMob.
This study is reported in accordance with the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. Databases were searched from inception to October 2022: MEDLINE (Ovid), Embase, CINAHL, ICL, PEDro and Cochrane Library. Data were extracted and reported descriptively for the following domains: general study characteristics, number of and characteristics of individuals who delivered/received SMob, region treated, equipment used and force-time characteristics of SMob.
There were 7,607 records identified and of these, 36 (0.5%) were included in the analysis. SMob was delivered to the cervical spine in 13 (36.1%), the thoracic spine in 3 (8.3%) and the lumbopelvic spine in 18 (50.0%) studies. In 2 (5.6%) studies, spinal region was not specified. For SMob applied to all spinal regions, force-time characteristics were: peak force (0-128N); duration (10-120s); frequency (0.1-4.5Hz); and force amplitude (1-102N).
This study reports considerable variability of the force-time characteristics of SMob. In studies reporting force-time characteristics, SMob was most frequently delivered to the lumbar and cervical spine of humans and most commonly peak force was reported. Future studies should focus on the detailed reporting of force-time characteristics to facilitate the investigation of clinical dose-response effects.</description><subject>Biomechanics</subject><subject>Care and treatment</subject><subject>Cervical Vertebrae</subject><subject>Clinical outcomes</subject><subject>Clinical practice guidelines</subject><subject>Diagnosis</subject><subject>Dose-response effects</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Intervention</subject><subject>Literature reviews</subject><subject>Manipulative therapy</subject><subject>Musculoskeletal diseases</subject><subject>Quality of life</subject><subject>Search strategies</subject><subject>Spinal Diseases</subject><subject>Spinal manipulation</subject><subject>Spine</subject><subject>Spine (cervical)</subject><subject>Spine (lumbar)</subject><subject>Spine (thoracic)</subject><subject>Therapists</subject><subject>Treatment 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(SMob) is often included in the conservative management of spinal pain conditions as a recommended and effective treatment. While some studies quantify the biomechanical (kinetic) parameters of SMob, interpretation of findings is difficult due to poor reporting of methodological details. The aim of this study was to synthesise the literature describing force-time characteristics of manually applied SMob.
This study is reported in accordance with the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. Databases were searched from inception to October 2022: MEDLINE (Ovid), Embase, CINAHL, ICL, PEDro and Cochrane Library. Data were extracted and reported descriptively for the following domains: general study characteristics, number of and characteristics of individuals who delivered/received SMob, region treated, equipment used and force-time characteristics of SMob.
There were 7,607 records identified and of these, 36 (0.5%) were included in the analysis. SMob was delivered to the cervical spine in 13 (36.1%), the thoracic spine in 3 (8.3%) and the lumbopelvic spine in 18 (50.0%) studies. In 2 (5.6%) studies, spinal region was not specified. For SMob applied to all spinal regions, force-time characteristics were: peak force (0-128N); duration (10-120s); frequency (0.1-4.5Hz); and force amplitude (1-102N).
This study reports considerable variability of the force-time characteristics of SMob. In studies reporting force-time characteristics, SMob was most frequently delivered to the lumbar and cervical spine of humans and most commonly peak force was reported. Future studies should focus on the detailed reporting of force-time characteristics to facilitate the investigation of clinical dose-response effects.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37963125</pmid><doi>10.1371/journal.pone.0289462</doi><tpages>e0289462</tpages><orcidid>https://orcid.org/0000-0003-2504-9719</orcidid><orcidid>https://orcid.org/0000-0002-1937-741X</orcidid><orcidid>https://orcid.org/0000-0002-7175-0402</orcidid><orcidid>https://orcid.org/0000-0003-4837-6595</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2023-11, Vol.18 (11), p.e0289462-e0289462 |
| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biomechanics Care and treatment Cervical Vertebrae Clinical outcomes Clinical practice guidelines Diagnosis Dose-response effects Health aspects Humans Intervention Literature reviews Manipulative therapy Musculoskeletal diseases Quality of life Search strategies Spinal Diseases Spinal manipulation Spine Spine (cervical) Spine (lumbar) Spine (thoracic) Therapists Treatment Outcome |
| title | Spinal mobilization force-time characteristics: A scoping literature review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T13%3A42%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Spinal%20mobilization%20force-time%20characteristics:%20A%20scoping%20literature%20review&rft.jtitle=PloS%20one&rft.au=Gorrell%20MChiroprac,%20Lindsay%20M&rft.date=2023-11-14&rft.volume=18&rft.issue=11&rft.spage=e0289462&rft.epage=e0289462&rft.pages=e0289462-e0289462&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0289462&rft_dat=%3Cgale_plos_%3EA772825103%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3069280533&rft_id=info:pmid/37963125&rft_galeid=A772825103&rft_doaj_id=oai_doaj_org_article_b35515e381424be0b3f2076a1f2e2117&rfr_iscdi=true |