Spinal mobilization force-time characteristics: A scoping literature review.

<h4>Background</h4>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 po...

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Main Authors: Lindsay M Gorrell MChiroprac, Luana Nyirö, Mégane Pasquier, Isabelle Pagé, Nicola R Heneghan, Petra Schweinhardt, Martin Descarreaux
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0289462&type=printable
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author Lindsay M Gorrell MChiroprac
Luana Nyirö
Mégane Pasquier
Isabelle Pagé
Nicola R Heneghan
Petra Schweinhardt
Martin Descarreaux
author_facet Lindsay M Gorrell MChiroprac
Luana Nyirö
Mégane Pasquier
Isabelle Pagé
Nicola R Heneghan
Petra Schweinhardt
Martin Descarreaux
author_sort Lindsay M Gorrell MChiroprac
collection DOAJ
description <h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.
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spelling doaj-art-d79342016e8b464399e48b53ca312d6e2025-02-05T05:32:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011811e028946210.1371/journal.pone.0289462Spinal mobilization force-time characteristics: A scoping literature review.Lindsay M Gorrell MChiropracLuana NyiröMégane PasquierIsabelle PagéNicola R HeneghanPetra SchweinhardtMartin Descarreaux<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0289462&type=printable
spellingShingle Lindsay M Gorrell MChiroprac
Luana Nyirö
Mégane Pasquier
Isabelle Pagé
Nicola R Heneghan
Petra Schweinhardt
Martin Descarreaux
Spinal mobilization force-time characteristics: A scoping literature review.
PLoS ONE
title Spinal mobilization force-time characteristics: A scoping literature review.
title_full Spinal mobilization force-time characteristics: A scoping literature review.
title_fullStr Spinal mobilization force-time characteristics: A scoping literature review.
title_full_unstemmed Spinal mobilization force-time characteristics: A scoping literature review.
title_short Spinal mobilization force-time characteristics: A scoping literature review.
title_sort spinal mobilization force time characteristics a scoping literature review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0289462&type=printable
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