Skip to main content

Advertisement

Table 2 Summary of the SM dose-physiological response relationship in human studies. (N=Newton)

From: Spinal manipulation frequency and dosage effects on clinical and physiological outcomes: a scoping review

Studies Dosage parameters Spine level Sample size Outcomes measures Results
[19] Colloca et al, 2003 Thrust forces: 30 N, 150 N L4 N = 4 PAIN PRESSURE THRESHOLD NO DIFFERENCES
[23] Krouwel et al, 2010 Thrust forces: 50, 200 N L5 N = 30 NO DIFFERENCES
Thrust durations: 1,5 Hz or sustained pressure
[28] Pentelka et al, 2012 Thrust durations: 30s,60s L3 N = 19 NO DIFFERENCES
[29] Willett et al, 2010 Thrust durations: 1 Hz, 2 Hz L1 to L3 N = 30 NO DIFFERENCES
[19] Colloca et al, 2003 Thrust forces: 30 N, 150 N L1 to L3 N = 4 MUSCULAR RESPONSE AMPLITUDE Data suggest higher responses with maximum thrust force setting
[22] Keller et al, 2000 Thrust forces: 19,5 N,190 N Bilateral PSIS, sacrum, S1 and L5, L4, L2, T12 and T8 N = 40 Increase after SM treatment
SMT showed a greater increasing than control group and sham treatment
[25] Nougarou et al, 2014 Preload forces: 5 N,50 N, 95 N, 140 N T6 to T8 N = 23 Decrease during preload
Increase during thrust
[26] Nougarou et al, 2016 Combination of thrust forces / thrust durations: 57 ms/150 N, 80 ms/200 N, 102 ms,250 N, 125 ms/300 N T6 to T8 N = 25 NO DIFFERENCES
[24] Nougarou et al, 2013 Thrust forces: 80,130,180, 255 N T6,T8 N = 26 Increase in thrust phase and resolution phase
[10] Pagé et al, 2016 Thrust forces: 75 N,125 N,175 N, 225 N L3 N = 51 Increase with increasing thrust force
[19] Colloca et al, 2003 Thrust forces: 30 N, 150 N L1 to L3 N = 4 VERTEBRAL DISPLACEMENT Data suggest an increase when greater force is applied
[20] Colloca et al, 2004 Thrust forces: 30 N, 88 N, 117 N, 150 N L3 to S2 N = 9 Increase with increasing thrust force
[22] Keller et al, 2000 Thrust forces: 19,5 N,190 N Bilateral PSIS, sacrum, S1 and L5, L4, L2, T12 and T8 N = 40 increase after any treatment
SMT showed a greater increasing than control group and sham treatment
[25] Nougarou et al, 2014 Preload forces: 5 N,50 N, 95 N, 140 N T6 to T8 N = 23 Linear decrease with force during thrust phase Increase in preload phase with increasing preload
[26] Nougarou et al, 2016 Combination of thrust forces / thrust durations: 57 ms/150 N, 80 ms/200 N, 102 ms,250 N, 125 ms/300 N T6 to T8 N = 25 Increase in thrust phase with increasing thrust force
[27] Pagé et al, 2014 Thrust durations: 125 ms, 175 ms, 275 ms T7,T8 N = 20 NO DIFFERENCES