Maximum respiratory pressure alterations after spinal manipulation

Silva, Pedro Henrique Lazarin da; Ré, Daniela De; Behne, Graziela Rayciki; Vazatta, Mariana Paula; Carvalho, Alberito Rodrigo de

doi:10.3109/21679169.2013.780096

Cited by 3 publications

(8 citation statements)

References 27 publications

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“…In the fourth study, Da Silva et al [33] examined the effect of cervical, thoracic, combination SMT (cervical and thoracic) and extremity mobilization (placebo group) on maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP) and total lung capacity (TLC) in healthy University students [33]. There were no significant between-group differences reported and we did not calculate mean change and 95% CI from this study [33].…”

Section: Resultsmentioning

confidence: 96%

“…Methodological weaknesses in these studies included no disclosure of concealment methodology ( n = 12), lack of participant or investigator blinding ( n = 7), similarities at baseline (n = 1) (Table 4). We calculated between group mean change and 95% CI for all but four studies [33, 34, 38, 41].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported on adverse events [30, 36, 40, 44]. Four studies reported on physiological outcomes [30, 33, 42, 47], 16 studies reported on biomechanical outcomes [13, 14, 31, 34–46], three of which also reported on sport-specific outcomes [40, 42, 45], and one additional study reported on performance variables for specific sports [32, 42].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies investigated the effect of SMT on physiological outcomes in asymptomatic subjects [30, 33, 42, 47] (Table 1). There was no significant effect of thoracic SMT on resting heart rate (HR) or HR variability and no effect of lumbar SMT on exercising HR [30, 42, 47].…”

Section: Resultsmentioning

confidence: 99%

“…Adverse events.Mean differences between groups SMT-Sham:HR: − 0.24 bpm (− 4.15, 3.67)LFab: − 50.5 (− 126.09, 25.09)LFn: − 4.99 (− 11.54, 1.56)HFab: 122.2 (− 242.49, 486.89)HFn: 4.43 (− 2.22, 11.08)LF/HF: − 0.2578 (− 0.61, 0.09)Adverse events: Sham: 1 subject, 3.8/10 on VAS. SM: 2 subjects, 1.3 and 1.4/10 on VAS. Da Silva et al, 2013 [33]Healthy university students, no regular physical activity; 20–30 years; Brazil; n = 67; Single-blind placebo-controlled clinical trial.Cervical SMT group: supine rotary SMT of C3. n = 15Thoracic SMT group: side-lying rotary thrust of T12.…”

Section: Methodsmentioning

confidence: 99%

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The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

et al. 2019

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Introduction The effectiveness of spinal manipulative therapy (SMT) for improving athletic performance in healthy athletes is unclear. Assessing the effect of SMT on other performance outcomes in asymptomatic populations may provide insight into the management of athletes where direct evidence may not be available. Our objective was to systematically review the literature on the effect of SMT on performance-related outcomes in asymptomatic adults. Methods MEDLINE, CINAHL, SPORTDiscus, and Cochrane Central Register of Controlled Trials were systematically searched from 1990 to March 23, 2018. Inclusion criteria was any study examining a performance-related outcome of SMT in asymptomatic adults. Methodological quality was assessed using the SIGN criteria. Studies with a low risk of bias were considered scientifically admissible for a best evidence synthesis. We calculated the between group mean change and 95% confidence intervals. Results Of 1415 articles screened, 20 studies had low risk of bias, seven were randomized crossover trials, 10 were randomized controlled trials (RCT) and three were RCT pilot trials. Four studies showed SMT had no effect on physiological parameters at rest or during exercise. There was no effect of SMT on scapular kinematics or transversus abdominus thickness. Three studies identified changes in muscle activation of the upper or lower limb, compared to two that did not. Five studies showed changes in range of motion (ROM). One study showed an increase lumbar proprioception and two identified changes in baropodometric variables after SMT. Sport-specific studies show no effect of SMT except for a small increase in basketball free-throw accuracy. Conclusion The preponderance of evidence suggests that SMT in comparison to sham or other interventions does not enhance performance-based outcomes in asymptomatic adult population. All studies are exploratory with immediate effects. In the few studies suggesting a positive immediate effect, the importance of such change is uncertain. Further high-quality performance specific studies are required to confirm these preliminary findings. Electronic supplementary material The online version of this article (10.1186/s12998-019-0246-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

et al. 2019

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Effects of Cervical High-Velocity Low-Amplitude Techniques on Range of Motion, Strength Performance, and Cardiovascular Outcomes: A Review

Galindez-Ibarbengoetxea¹,

Setuain

Andersen

et al. 2017

The Journal of Alternative and Complementary Medicine

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The review shows that cervical HVLA manipulation treatment results in a large effect size (d > 0.80) on increasing cervical range of motion and mouth opening. In patients with lateral epicondylalgia, cervical HVLA manipulation resulted in increased pain-free handgrip strength, with large effect sizes (1.44 and 0.78, respectively). Finally, in subjects with hypertension the blood pressure seemed to decrease after cervical HVLA manipulation. Higher quality studies are needed to develop a stronger evidence-based foundation for HVLA manipulation techniques as a treatment for cervical conditions.

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Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke

Kim

Park

2021

Medicina

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Background and Objectives: Patients with stroke have a forward neck posture due to neurological damage and often have impaired pulmonary function. This study investigated the effect of diaphragmatic breathing with cervical mobilization to improve pulmonary function cervical alignments. Materials and Methods: This study used a one-group pre-test–post-test design including 20 patients with stroke. Two types of cervical joint mobilization techniques, consisting of left and right lateral glide mobilization and posterior–anterior mobilization, were utilized. During joint mobilization, the patients performed diaphragmatic breathing. The measurements were performed immediately after the intervention. Pulmonary function was evaluated using a spirometer to measure the forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF). The craniovertebral angle (CVA) was measured using lateral photographs. Results: After diaphragm breathing with cervical joint mobilization, subjects had significantly increased FEV1, FVC, PEF and CVA. Conclusion: Diaphragm breathing with cervical joint mobilization are possible interventions to increase pulmonary function and improve the craniovertebral angle in patients with stroke. However, a complete conclusion can be reached only after a follow-up study has been conducted with a comparison of more subjects and controls.

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Maximum respiratory pressure alterations after spinal manipulation

Cited by 3 publications

References 27 publications

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

Effects of Cervical High-Velocity Low-Amplitude Techniques on Range of Motion, Strength Performance, and Cardiovascular Outcomes: A Review

Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke

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