Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis

Buzzatti, Luca; Provyn, Steven; Roy, Peter Van; Cattrysse, Erik

doi:10.1016/j.math.2015.03.006

Cited by 13 publications

(5 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The displacement induced with a combined motion technique (High Velocity Low Amplitude thrust into rotation) shows a mean value of 5.6 mm (˘2.9) if the whole movement from the neutral position to the end of the maneuver is taken into account. A mean displacement of 0.5 mm (˘0.5) was reported considering only the impulse phase [49]. Compering these values with those from active rotation of the head [46,47,50], it is possible to assume that the inter-vertebral movement induced with such combined motion technique is not able to endanger vital structures such as the vertebral arteries and the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Variability of Upper Cervical Anatomy: A Reflection on Its Clinical Relevance

Cattrysse

Buzzatti

Provyn

et al. 2016

JFMK

Self Cite

View full text Add to dashboard Cite

The upper cervical complex is a distinctive spinal area with a great need for mobility as well as stability. The specific anatomical morphology of the atlanto-occipital and of the atlanto-axial joints seems to support these complex functional demands. The present study reports on some systematic and non-systematic observations of specific morphological variations and variants of the upper cervical joint anatomy. They are reported with respect to morphological features of the transverse atlantal and alar ligaments, morphological features of the lateral atlanto-axial and atlanto-occipital joints, additional joint configurations of the atlanto-occipital junction, muscular attachments to the joint capsule of the lateral atlanto occipital joint, and the Processus styloideus in its relationship with movements of the upper cervical joints. The observations mainly confirm general anatomical descriptions from textbooks, although some confront with these basic anatomical configurations mainly due to large morphological variation. Additionally, specific anatomical variants may raise questions on the generally accepted functional anatomical features. Some of these specific morphological configurations may have major implications for the kinematics of the occipito-atlanto-axial complex. This paper intends to reflect on the functional impact of the observed upper cervical morphological variability.

show abstract

Section: Discussionmentioning

confidence: 99%

Variability of Upper Cervical Anatomy: A Reflection on Its Clinical Relevance

Cattrysse

Buzzatti

Provyn

et al. 2016

JFMK

Self Cite

View full text Add to dashboard Cite

show abstract

“…The choice of this particular bony landmark was assumed to better reflect the main objective of the task by depicting the glide features of the occipital condyle instead of the location of the condylar center as mentioned previously (Chancey et al, 2007). Similar considerations were recently debated for the atlanto-axial level during high velocity low amplitude manipulation (Buzzatti et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

3D motion reliability of occipital condylar glide testing: From concept to kinematics evidence

et al. 2016

View full text Add to dashboard Cite

“…These same models did not prove valid even with regard to the proposed therapeutic techniques. Indeed, sacroiliac [15], lumbar [15,86], thoracic [86], and cervical [87] manipulation techniques have been shown to produce clinical and biomechanical effects on different vertebral levels, which are therefore not specific to the target segment and lead the practitioner to produce unpredictable vertebral movements [88]. This data is confirmed by clinical studies that have shown an overlap between the therapeutic effect of manipulations theoretically directed at a single vertebral level and "global" manipulation techniques involving the lumbar spine of subjects with low back pain [89].…”

Section: Which Technique To Choose? Successful Predictors In Joint Mamentioning

confidence: 99%

Manual Therapy: Art or Science?

Bizzarri¹,

Foglia²

2020

Physical Therapy Effectiveness

View full text Add to dashboard Cite

Manual Therapy is one of the most widely used therapeutic solutions in the treatment of pain and musculoskeletal disorders. Its evolution began several centuries ago and culminated in the modern reference methods in the field of physiotherapy, osteopathy, and chiropractic, which mainly address the treatment of joint and myofascial tissues. The advent of evidence-based medicine and the ever-growing literature available in the field of Manual Therapy has led this therapeutic approach to be heavily criticized on the basis of studies that have shown its limitations with regard to manual and palpatory assessment techniques, the poor biomechanical validity of therapeutic methods, and the poor long-term results in the treatment of patients with musculoskeletal pain. A better understanding of the mechanisms underlying the effectiveness of Manual Therapy, as well as of the mediators of the medium-and long-term effectiveness of musculoskeletal rehabilitation processes, has made it possible to reconsider the role of Manual Therapy and the healthcare professionals specializing in manipulative therapy within the framework of the biopsychosocial model, which focuses on the patient and their functionality.

show abstract

Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis

Cited by 13 publications

References 55 publications

Variability of Upper Cervical Anatomy: A Reflection on Its Clinical Relevance

Variability of Upper Cervical Anatomy: A Reflection on Its Clinical Relevance

3D motion reliability of occipital condylar glide testing: From concept to kinematics evidence

Manual Therapy: Art or Science?

Contact Info

Product

Resources

About