A randomised controlled study investigating the effect of the high-velocity thrust (HVT) and balanced ligamentous tension (BLT) techniques on the internal carotid artery (lCA) peak systolic flow volume (PSFV) with patients suffering from mild mechanical n
Item
- Title
- A randomised controlled study investigating the effect of the high-velocity thrust (HVT) and balanced ligamentous tension (BLT) techniques on the internal carotid artery (lCA) peak systolic flow volume (PSFV) with patients suffering from mild mechanical n
- Author(s)
- Suomilammi, E
- Abstract
- Background The safety of manipulation techniques has been questioned due to a lack of evidence supporting the effectiveness of the manual techniques and concerns for possible adverse events. There is disparity in the literature as to the risk/benefit ratio for cervical spine (Csp) manipulation, which remains unclear. Objective: To determine whether BLT or HVT applied at the C2 level has an effect on ICA PSFV or mechanical neck pain. Study Design: A randomized controlled experimental study. Method: Participants were allocated randomly to BLT, HW or control groups. The participants in the experimentalgroups received the allocated intervention (BLT or HVT) from the primary researcher (a student with 1-2 years of experience in these techniques), while those in the control group received no treatment and lay supine for two minutes. Outcome measurements (lCA PSFV and subjective pain rating scale) were recorded both before and after the intervention. A Shapiro-Wilks test was used to test normality; Kruskal-Wallis test was then used to test for significance within the collected data. A Mann-whitney-U test was used to test for any intergroup significance. Results: 60 subjects were recruited from the European School of Osteopathy (ESO). Baseline characteristics showed no difference between groups, which allowed comparison of the outcome measures. No significant difference was found in ICA PSFV before (P=0.1224) and after (P=0.4572) intervention in all groups. However, the results showed a significant difference in the subjective pain rating scale post-intervention between treatment groups (P=0.002) compared to control group (P=<0.0001). Discussion; Neither technique had an effect on ICA PSFV post-intervention, which supports its safety for usage in a screened population. Significant change was measured in pain rating scale, post-intervention, which demonstrates immediate benefits of these techniques. Several factors may have limited this study. Conclusion: The results of this study support the safety and effectiveness in application of BLT and HW techniques with mild mechanical neck pain. Further research is needed to identiff the effectiveness of similar techniques.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16068
- Inst-Identifier
- 1229
- Keywords
- Balanced ligamentous tension, Doppler ultrasound, High velocity thrust, internal carotid artery
- Recommended
- 0
- Item sets
- Thesis
Suomilammi, E, “A randomised controlled study investigating the effect of the high-velocity thrust (HVT) and balanced ligamentous tension (BLT) techniques on the internal carotid artery (lCA) peak systolic flow volume (PSFV) with patients suffering from mild mechanical n”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathic-research.com/s/orw/item/469