Does the application site of spinal manipulative therapy alter spinal tissues loading?
Does the application site of spinal manipulative therapy alter spinal tissues loading?
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DOI：
10.1016/j.spinee.2018.01.008
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发表时间：
2018-06-01
期刊：
影响因子：
4.5
通讯作者：
Kawchuk, Gregory N.
中科院分区：
文献类型：
--
作者：
Funabashi, Martha;Nougarou, Francois;Kawchuk, Gregory N.
背景背景：先前的研究发现，椎间盘（IVD）在脊柱推拿治疗（SMT）期间承受最大的负荷。目的：基于此。本研究旨在确定SMT施加部位的改变是否会显著改变脊髓组织所承受的载荷。研究设计：生物力学机器人系列解剖研究。样本：13个猪尸体运动片段。结果测量：腰椎组织承受的力。方法：一个伺服控制的线性执行器为猪腰椎的6个不同皮肤部位：L2-L3和L3-L4小关节（FJ）提供了标准化的300 N SMT模拟。L3和L4横突（TVP）， fj和TVP之间的间隙（BTW）。利用留置骨钉光学跟踪椎体运动学；运动段被移除并安装在一个装有六轴称重传感器的并联机器人上。机器人用完整的标本，在连续切除脊髓韧带、fj和IVD后，在每个部位重复每个SMT应用程序的运动。记录了SMT所产生的力，并利用线性混合模型对特定轴进行了分析。结果：分析得出了显著差异(p
BACKGROUND CONTEXT: Previous studies found that the intervertebral disc (IVD) experiences the greatest loads during spinal manipulation therapy (SMT).PURPOSE: Based on that. this study aimed to determine if loads experienced by spinal tissues are significantly altered when the application site of SMT is changed.STUDY DESIGN: A biomechanical robotic serial dissection study.SAMPLE: Thirteen porcine cadaveric motion segments.OUTCOME MEASURES: Forces experienced by lumbar spinal tissues.METHODS: A servo-controlled linear actuator provided standardized 300 N SMT simulations to six different cutaneous locations of the porcine lumbar spine: L2-L3 and L3-L4 facet joints (FJ). L3 and L4 transverse processes (TVP), and the space between the FJs and the TVPs (BTW). Vertebral kinematics were tracked optically using indwelling bone pins; the motion segment was removed and mounted in a parallel robot equipped with a six-axis load cell. Movements of each SMT application at each site were replayed by the robot with the intact specimen and following the sequential removal of spinal ligaments, FJs and IVD. Forces induced by SMT were recorded, and specific axes were analyzed using linear mixed models.RESULTS: Analyses yielded a significant difference (p