ArticleEvidence-based complementary and alternative medicine : eCAM2018
Biomechanical Effects of Lateral Bending Position on Performing Cervical Spinal Manipulation for Cervical Disc Herniation: A Three-Dimensional Finite Element Analysis.
Article in Evidence-based complementary and alternative medicine : eCAM, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Technologies to investigate the mechanisms of force-based manipulations: a narrative methods review.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
- Finite element analysis of the effects of different ossification types and spinal canal occupancy rates on dynamic spinal cord stress in cervical ossification of the posterior longitudinal ligament.Frontiers in bioengineering and biotechnology · 2026Article
- Exploring the biomechanical mechanisms of cervical rotation manipulation in different lateral bending positions: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Correlation between sagittal and inclined angles of cervical facet joints and cervical disc herniation: a radiological observational study.Frontiers in surgery · 2025Article
- Spinal Cord Image Denoising Using Dncnn Algorithm.Current medical imaging · 2025Article
- The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology.BMC musculoskeletal disorders · 2024Article
- Biomechanical effect of endplate defects on the intermediate vertebral bone in consecutive two-level anterior cervical discectomy and fusion: a finite element analysis.BMC musculoskeletal disorders · 2023Article
- Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis.Frontiers in bioengineering and biotechnology · 2023Article
- Effect of cervical spine motion on displacement of posterolateral annulus fibrosus in cervical spondylotic radiculopathy with contained posterolateral disc herniation: a three-dimensional finite element analysis.Journal of orthopaedic surgery and research · 2022Article
- Evaluation the association of facet tropism in multi-sports athletes with cervical disc hernia.BMC musculoskeletal disorders · 2022Article
- Effects of cervical rotatory manipulation on the cervical spinal cord: a finite element study.Journal of orthopaedic surgery and research · 2021Article
- The relationship between facet tropism and cervical disc herniation.Journal of anatomy · 2020Article
- Investigating the mechanical effect of the sagittal angle of the cervical facet joint on the cervical intervertebral disc.Digital healthArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost studies report that the common position of cervical spinal manipulation (CSM) for treating symptomatic cervical disc herniation (CDH) is lateral bending to the herniated side. However, the rationality of lateral bending position on performing CSM for CDH is still unclear.
objectiveThe purpose of this study is to investigate the biomechanical effects of lateral bending position on performing CSM for CDH.
methodsA finite element (FE) model of CDH (herniated on the left side) was generated in C5-6 segment based on the normal FE model. The FE model performed CSM in left lateral bending position, neutral position, and right lateral bending position, respectively. Cervical disc displacement, annulus fiber stress, and facet joint stress were observed during the simulation of CSM.
resultsThe cervical disc displacement on herniated side moved forward during CSM, and the maximum forward displacements were 0.23, 0.36, and 0.45 mm in left lateral bending position, neutral position, and right lateral bending position, respectively. As the same trend of cervical disc displacement, the annulus fiber stresses on herniated side from small to large were 7.40, 16.39, and 22.75 MPa in left lateral bending position, neutral position, and right lateral bending position, respectively. However, the maximum facet stresses at left superior cartilage of C6 in left lateral bending position, neutral position, and right lateral bending position were 6.88, 3.60, and 0.12 MPa, respectively.
conclusionCompared with neutral position and right lateral bending position, though the forward displacement of cervical disc on herniated side was smaller in left lateral bending position, the annulus fiber stress on herniated side was declined by sharing load on the left facet joint. The results suggested that lateral bending to the herniated side on performing CSM tends to protect the cervical disc on herniated side. Future clinical studies are needed to verify that.
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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.