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    The effect of cervical spine manipulation on the postural sway of patients with non-specific neck pain

    Fisher, Alison

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    Alison Fisher 17.10.13.pdf (1.371Mb)
    Date
    2013
    Citation:
    Fisher, A. (2013). The effect of cervical spine manipulation on the postural sway of patients with non-specific neck pain. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/2358
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/2358
    Abstract
    OBJECTIVE: Neck pain has been associated with impaired proprioceptive performance which may be improved by cervical manipulation. This crossover study aimed to determine whether a high velocity, low amplitude manipulation affected postural sway in adults with nonspecific neck pain.METHODS: Ten participants received, in random order, 7-days apart, a high velocity, low amplitude manipulation applied to a dysfunctional spinal segment and a passive head-movement control. Four parameters of postural sway were measured before, immediately following, and at 5 and 10 minutes after each procedure. RESULTS: Results showed no differences between interventions in change in any of the parameters. When changes before and immediately following each procedure were analysed separately, only the control showed a significant change in the length of centre of pressure path (an increase from median = 118 mm; IQR = 93 – 137 mm to an increase to 132 mm; 112 – 147; p = 0.02).CONCLUSION: This study failed to show any evidence that manipulation of a dysfunctional cervical segment influences postural sway. Given the ability of the postural control system to reweight the hierarchy of sensory information in order to compensate for inadequacies in any one component, it is possible that any improvements in the mechanisms controlling postural sway elicited by the manipulative intervention may have been concealed.
    Keywords:
    neck pain, central nervous system, cervical manipulation, neuronal plasticity, balance, postural
    ANZSRC Field of Research:
    119999 Medical and Health Sciences not elsewhere classified
    Degree:
    Master of Osteopathy
    Supervisors:
    Bacon, Catherine; Mannion, Jamie
    Rights:
    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use: Any use you make of these documents or images must be for research or private study purposes only, and you may not make them available to any other person. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
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    • Osteopathy Dissertations and Theses [195]

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