The effect of lumbar high velocity thrust on cervical range of movement

Item

Title
The effect of lumbar high velocity thrust on cervical range of movement
Author(s)
Morton Suzanna
Abstract
Objective: To investigate the immediate effect of lumbar high velocity thrust (HVT) technique on cervical spine range of movement as quantified by the cervical range of movement goniometer.
Background: HVT techniques are widely used within osteopathic treatment to increase local range of movement. Recent studies have linked HVT treatment of the cervical spine with effects on the lumbar spine. Proposed mechanisms for this effect include spinal reflexes, the tonic neck reflex and a dural mechanism. However, current research on the effect of lumbar spine HVT predominantly concerns the regional effects.
Setting: Exercise Physiology Laboratory, British College of Osteopathic Medicine. London. U.K.
Design: A controlled, same subject, pre and post test experimental design. All subjects took part in both the control and intervention procedure. The base (pre control) measurements were taken followed by a control, where the subject lay side lying for 60 seconds. The post control measurements were then recorded before the intervention procedure. The intervention was a single unilateral HVT to the mid lumbar spine, following which the cervical range of movement was again recorded.
Subjects: 30 asymptomatic osteopathic college students, 15 male and 15 female. The age range was from 20-36 years (mean 26.5 years, SD 4.61).
Method: Cervical Range of Movement (CROM) was used to record the pre and post control and post HVT active range of movement of the cervical spine in flexion, extension, left and right side bending and left and right rotation.
Results: In the control test, statistical analysis by means of a paired two-tailed t-tests revealed there was no statistically significant (p>0.05) change in any vector of cervical spine range of movement, indicating there was no measurement effect. Statistical analysis of the intervention data, using paired two-tailed t-tests, revealed that there was a statistically significant (p<0.05) increase in extension, left and right side bending, and left and right rotation range of movement. There was however no significant change (p>0.05) in flexion range of movement.
Conclusion: The results of this study revealed that the application of a single unilateral HVT to the mid lumbar spine, in asymptomatic subjects, produces a statistically significant increase in all vectors of cervical spine movement except flexion.
Date Accepted
0
Date Submitted
1.1.1970 00:00:00
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
13648
Inst-Identifier
1076
Recommended
0
Item sets
Thesis

Morton Suzanna, “The effect of lumbar high velocity thrust on cervical range of movement”, Osteopathic Research Web, accessed April 25, 2024, https://www.osteopathic-research.com/s/orw/item/1109