Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18884
  Title A Randomized controlled trial of the effects of instrument-applied cervical manipulative therapy on cervical range of motion [poster presentation; the Association of Chiropractic Colleges' Thirteenth Annual Conference, 2006]
URL
Journal J Chiropr Educ. 2006 Spring;20(1):104
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Peer Review Yes
Publication Type Meeting Abstract
Abstract/Notes Introduction: Measures of cervical range of motion have been used to evaluate a wide range of cervical spine related conditions, with numerous assessment instruments showing good validity and reliability when properly used. Several chiropractic manipulative therapies (CMT) have been shown to increase cervical ranges of motion in symptomatic and asymptomatic populations. The current study investigated the effects of an instrument-applied manipulation, the Pro-Adjuster System„§, on cervical ranges of motion.

Methods:The Logan College of Chiropractic Institutional Review Board approved this investigation. This experiment was a randomized controlled trial of the effects of Pro-Adjuster System㤠on cervical ranges of motion. Forty asymptomatic consenting volunteers were randomly assigned to treatment or control groups of 20 each. Treatment and control groups underwent initial assessment of cervical ranges of motion with a dual inclinometer (JTech Dualer IQ); an intervention of either the Pro-Adjuster System㤠or a control condition; and finally a post-intervention cervical range of motion assessment. Data analysis was by a series of one-tailed paired t-tests comparing pre and post cervical ranges of motion measures of the treatment and control groups. Two hypotheses were tested: that the treatment group would have significant cervical ranges of motion increases; and that the control group would have no cervical ranges of motion changes.

Results:The treatment group achieved statistically significant increases in all cervical ranges of motion while the controls had no cervical ranges of motion changes.

Discussion:Both hypotheses were supported by data analysis. The results of this investigation offer several implications for chiropractic research and practice. Scientific, legal and economic forces are changing chiropractic through evidence-based practice and best practices initiatives. New technology like the Pro-Adjuster System㤠should be subjected to rigorous empirical investigation to provide educators and practitioners with information as to its clinical efficacy.

Conclusion:Further investigation of the Pro-Adjuster System㤠is warranted.

This abstract is reproduced with the permission of the publisher.
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