Evidence map›Paper›PMID 24387888›Full record

ArticleJournal of manipulative and physiological therapeutics2014

Neural responses to the mechanical parameters of a high-velocity, low-amplitude spinal manipulation: effect of preload parameters.

William R Reed, Cynthia R Long, Gregory N Kawchuk, Joel G Pickar

Registry-linked trialAbstract read
In one paragraph

Article in Journal of manipulative and physiological therapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04347551 (Motor Performance of Asymptomatic and Chronic Neck Pain Participants Pre- and Post-spinal Manipulation Using an Eye and Head Movement Fitts' Task), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04347551 nacompletednot on this mapstarted 2021, after this paper: background citation

Motor Performance of Asymptomatic and Chronic Neck Pain Participants Pre- and Post-spinal Manipulation Using an Eye and Head Movement Fitts' Task

TypeinterventionalSponsorUniversity of ManitobaRan2021 to 2021Enrolled40ConditionsChronic Neck PainArmsHigh velocity/low amplitude cervical spine manipulation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

William R ReedAssociate Professor, Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa.
Cynthia R LongProfessor, Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa.
Gregory N KawchukAssociate Professor, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Joel G PickarProfessor Emeritus, Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa. Electronic address: jgpickar@live.com.

Funding

Vertebral Displacements & Ligament Strains during Simul. Spinal Mani./Gudavalli,RU19AT004137 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI PICKAR, JOEL G · 2007 to 2010
$4.5M
RENOVATION OF PALMER CENTER FOR CHIROPRACTIC RESEARCHC06RR015433 · NCRR · PALMER COLLEGE OF CHIROPRACTIC · PI MEEKER, WILLIAM C · 2000 to 2000
$1.3M
Effect of Lumbar Hypo & Hypermobility on Sensory Responses to Spinal ManipulationK01AT005935 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI REED, WILLIAM RAY · 2010 to 2014
$638k
NCCIH NIH HHS K01 AT005935NCCIH NIH HHS U19 AT004137NCCIH NIH HHS U19AT004137NCRR NIH HHS C06 RR015433NCRR NIH HHS C06RR15433
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine how the preload that precedes a high-velocity, low-amplitude spinal manipulation (HVLA-SM) affects muscle spindle input from lumbar paraspinal muscles both during and after the HVLA-SM.

methodsPrimary afferent activity from muscle spindles in lumbar paraspinal muscles were recorded from the L6 dorsal root in anesthetized cats. High-velocity, low-amplitude spinal manipulation of the L6 vertebra was preceded either by no preload or systematic changes in the preload magnitude, duration, and the presence or absence of a downward incisural point. Immediate effects of preload on muscle spindle responses to the HVLA-SM were determined by comparing mean instantaneous discharge frequencies (MIF) during the HVLA-SM's thrust phase with baseline. Longer lasting effects of preload on spindle responses to the HVLA-SM were determined by comparing MIF during slow ramp and hold movement of the L6 vertebra before and after the HVLA-SM.

resultsThe smaller compared with the larger preload magnitude and the longer compared with the shorter preload duration significantly increased (P = .02 and P = .04, respectively) muscle spindle responses during the HVLA-SM thrust. The absence of preload had the greatest effect on the change in MIF. Interactions between preload magnitude, duration, and downward incisural point often produced statistically significant but arguably physiologically modest changes in the passive signaling properties of the muscle spindle after the manipulation.

conclusionBecause preload parameters in this animal model were shown to affect neural responses to an HVLA-SM, preload characteristics should be taken into consideration when judging this intervention's therapeutic benefit in both clinical efficacy studies and in clinical practice.

Indexed as

AnimalsCatsLumbar VertebraeManipulation, SpinalMuscle SpindlesParaspinal MusclesCatChiropracticDosage FormsMuscle SpindlesNeurophysiologySpinal ManipulationSpine

Identifiers

PMID24387888
PMCPMC3946664

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.