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The Effects of Pelvis, Lumbar Spine and Cervical Spine Manipulation on Joint Position Sense in Healthy Adults 원문보기

Journal of international academy of physical therapy research, v.9 no.1, 2018년, pp.1381 - 1386  

Gong, Wontae (Korea Nazarene University)

Abstract AI-Helper 아이콘AI-Helper

The purpose of this study is to investigate the effect of pelvic, Lumbar spine and Cervical spine manipulation on the joint position sense in normal adults. Thirty normal adults were divided into an experimental group of 15 subjects and a control group of 15 subjects. The experimental group was trea...

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제안 방법

  • After the subjects were trained twice to find precise locations of the Fle 35°, Ext 35°, LLF 30°, RLF 30°, LR 45°, and RR 45° in a neutral position with passive movement under the direction of the tester, they were directed to find the location of each of the six directions with active movement alone without guidance by the tester.
  • Since the increased ROM of the capsule of the facet joint has led to improvement in proprioception functions, thereby enhancing JPS, this study examined the effects of the concurrent application of pelvic, L-spine, and C-spine manipulation on healthy adults’ JPS.
  • The experimental group received pelvic, L-spine, and C-spine manipulation and massage for 30 minutes each session with three sessions per week for four weeks. The control group received only massage.

대상 데이터

  • The subjects who participated in this study were 30 students at N university in Korea. They were equally divided into an experimental group (five males and ten females) and a control group (five males and ten females).
  • To examine the effects of the pelvic, lumbar spine, and cervical spine manipulations on the joint position sense of normal adults, subjects were classified into the experimental group and the control group of 15 members each. The experimental group received L-spine and C-spine manipulation with massage, and the control group received only massage.

데이터처리

  • 0 KO (SPSS, Chicago, IL, USA). After the general characteristics of the subjects were determined, paired t-tests were used to compare the changes in the Fle, Exe, LLF, RLF, LR and RR for the pre-test and post-test in each group. The differences between the two groups were tested using independent t-tests.
  • After the general characteristics of the subjects were determined, paired t-tests were used to compare the changes in the Fle, Exe, LLF, RLF, LR and RR for the pre-test and post-test in each group. The differences between the two groups were tested using independent t-tests. The statistical significance level, α, was set at .

이론/모형

  • For lumbar mobilization, the mobilization of all five joints on the left and right sides of the lumbar vertebrae was performed using Gong’s mobilization technique 11).
  • For the pelvis, a high-velocity, low-amplitude technique in a prone position was employed according to Gonstead’s theory, and when the impact was applied, the therapist overlapped both hands and placed them on the posterior superior iliac spine or the ischial tuberosity and applied shock three times using the therapist’s weight, gravity, and acceleration14,15).
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참고문헌 (21)

  1. Greene HS, Cholewicki J, Galloway MT, et al. A history of low back injury is a risk factor for recurrent back injuries in varsity athletes. Am J Sports Med. 2001; 29(6): 795-800. 

  2. Treleaven J, Jull G, LowChoy N. The relationship of cervical joint position error to balance and eye movement disturbances in persistent whiplash. Man Ther. 2006; 11(2): 99-106. 

  3. Hewitt BA, Refshauge KM, Kilbreath SL. Kinesthesia at the knee: the effect of osteoarthritis and band age application. Arthritis Rheum. 2002; 47(5): 479-83. 

  4. Sjolander P, Johansson H, Djupsjobacka M. Spinal and supraspinal effects of activity in ligament afferents. J Electromyogr Kinesiol. 2002; 12(3): 167-76. 

  5. Gandevia SC, McCloskey DI, Burke D. Kinaesthetic signals and muscle contraction. Trends Neurosci. 1992; 15(2): 62-5. 

  6. Laskowski ER, Newcomer-Aney K, Smith JJ. Refining rehabilitation with proprioception training: expediting return to play. Phys Sportsmed. 1997; 25(10): 89-104. 

  7. Johnston V, Jull G, Souvlis T, et al. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine. 2008; 33(5): 555-63. 

  8. Lanuzzi A, Pickar JG, Khalsa PS. Relationships between joint motion and facet joint capsule strain during cat and human lumbar spinal motions. J Manipulative Physiol Ther. 2011;34(7):420-31. 

  9. Georgy EE. Lumbar Repositioning Accuracy as a Measure of Proprioception in Patients with Back Dysfunction and Healthy Controls. Asian Spine Journal. 2011; 5(4): 201-7. 

  10. Silfies SP, Cholewicki J, Reeves NP. Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study. BMC Musculoskeletal Disorders. 2007; 8: 129, doi:10.1186/1471-2474-8-129. 

  11. Gong WT. The Influence of lumbar joint mobilization on joint position sense in normal adults. J Phys Ther Sci. 2014; 26(12): 1985-7. 

  12. Gong WT. Effects of Cervical Joint Manipulation on Joint Position Sense of Normal Adults. J Phys Ther Sci. 2013; 25(6): 721-3. 

  13. Jull G, Falla D, Treleaven J, et al. Retraining cervical joint position sense: The effect of two exercise regimes. J Ortho Res. 2007; 25(3): 404-12. 

  14. Gong WT, Ro HL, Park GD, et al. The influence of pelvic adjustment on functional leg length inequality and foot pressure. J Phys Ther Sci. 2011; 23(1): 17-9. 

  15. Gong WT. The influence of pelvic adjustment on vertical jump height in female university students with functional leg length inequality. J Phys Ther Sci. 2015; 27(1): 251-3. 

  16. Gong WT, HwangBo G, Lee YM. The effects of Gong's mobilization on Cervical Lordosis, Forward Head Posture, and Cervical ROM in Abnormal Posture of the Cervical Spine of College Students. J Phys Ther Sci. 2011; 23(3): 531-4. 

  17. Gong WT, Lee SY, Lee YM. The Effects of Cervical ROM and Muscle Endurance on Cervical Joint Mobilization of Normal Adults. J korean soc phys med. 2010; 5(1): 7-13. 

  18. Lee YH, Kwon WA, Kim HS, at al. Effects of joint mobilization on the range of motion and pain of patient with chronic low back pain. J korean soc phys med. 2007; 2(2): 113-24. 

  19. Treleaven J, Jull G, Sterling M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med. 2003; 35(1): 36-43. 

  20. Konstantinou K, Foster N, Rushton A, et al. Flexion Mobilizations with Movement Techniques: the Immediate Effects on Range of Movement and Pain in Subjects with Low Back Pain. J Manipulative Phys Ther. 2007; 3(3): 178-85. 

  21. Simon B, Paul C, Roeland L, et al. The Role of Paraspinal Muscle Spindles in Lumbosacral Position Sense in Individuals With and Without Low Back Pain. Spine. 2000; 25(8): 989-94. 

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