Evidence map›Paper›PMID 25856263›Full record

ArticleSpine2015

Paraspinal Muscle Spindle Response to Intervertebral Fixation and Segmental Thrust Level During Spinal Manipulation in an Animal Model.

William R Reed, Joel G Pickar

Open access · greenAbstract readComparative Study
In one paragraph

Article in Spine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

William R ReedFrom the Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA.
Joel G Pickar
Palmer College of Chiropractic · US

Funding

Mechanisms of plasticity and repair after SCIP30GM103507 · NIGMS · UNIVERSITY OF LOUISVILLE · PI WHITTEMORE, SCOTT R · 2012 to 2015
$4.2M
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 K01AT005935NCRR NIH HHS C06 RR015433NCRR NIH HHS C06RR15433NIGMS NIH HHS 8P30GM103507NIGMS NIH HHS P30 GM103507
6 · The paper itself

Abstract

STUDY

designIn vivo cat model study.

objectiveTo determine whether intervertebral facet joint fixation and segmental thrust level alter paraspinal muscle spindle activity during simulated spinal manipulation. SUMMARY OF BACKGROUND DATA: Intervertebral motion is commonly assessed by manual therapy practitioners during clinical evaluation and treatment. Mechanoreceptor activity elicited during spinal manipulation has been theorized as a potential mechanism of its efficacy. The degree to which intervertebral fixation and segmental thrust level alter paraspinal muscle spindle activity during high velocity low amplitude spinal manipulation (HVLA-SM) is unclear.

methodsIntervertebral fixation was created by inserting facet screws through the left L(5-6) and L(6-7) and left L(4-5), L(5-6), and L(6-7) facet joints of a cat spine. Changes in the mean instantaneous frequency of L6 muscle spindle discharge were determined during 5 HVLA-SM thrust durations (0-control, 75, 100, 150, 250 ms) delivered at the L4 or L6 spinous process in each of the 3 conditions within the same preparation: laminectomy-only (surgical control; n = 23), L(5-6) and L(6-7) fixations (n = 20), and L(4-5), L(5-6), and L(6-7) fixations (n = 7). Comparisons were made between thrust levels, thrust durations, and spinal joint conditions using a linear mixed model.

resultsInsertion of facet screws compared with laminectomy-only significantly increased (P < 0.001) lumbar spinal stiffness during L6 HVLA-SM. Compared with laminectomy-only, both the 2 facet screw (100 ms; P < 0.05) and 3 screw conditions [75 ms and 100 ms (P < 0.001), 150 ms (P < 0.005), and 250 ms (P < 0.05)] significantly decreased L6 spindle response during the L6 HVLA-SM. HVLA-SM-delivered 2 segments rostral to the level of muscle spindle input significantly decreases spindle response compared with HVLA-SM-delivered at-level; however, nontarget HVLA-SM still elicits 60% to 80% of at-level muscle spindle response.

conclusionIntervertebral fixation decreases paraspinal muscle spindle response during L6 HVLA-SM in a cat model. Whereas HVLA-SM target accuracy maximizes spindle response, nontarget HVLA-SM still elicits substantial levels of muscle spindle activity. LEVEL OF EVIDENCE: N/A.

Indexed as

Manipulation, SpinalSpinal FusionAction PotentialsAnimalsBiomechanical PhenomenaBone ScrewsCatsElectric StimulationLaminectomyLinear ModelsLumbar VertebraeMaleModels, AnimalParaspinal MusclesRange of Motion, ArticularTime Factors

Identifiers

PMID25856263
PMCPMC4567492
OpenAlexW2071014599

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.