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Table 4 Summary of studies reporting on the force-time characteristics of spinal manipulation (SM) delivered to the thoracic spine of humans (n = 27)

From: Spinal manipulation characteristics: a scoping literature review of force-time characteristics

Author/s

Year, Country

SM delivery

Profession (n)

Experience

Recipient/s (n)

Location/s

Technique/s

Interface/s

Measurement equipment

Metrological data

Humans

Brennan et al.

1991, USA6

Clin

Chiro (NR)

NR

Adult (80)

T1-6

PA

Pat-table

Force plate

No

Brennan et al.

1992, USA7

Clin

Chiro (NR)

NR

Adult (6)

T2-6

HVLA

Pat-table

Force plate

No

Conway et al.

1993, Canada14

Clin

Chiro (1)

NR

NR (10)

T4

UL hypothenar

Clin-pat

Pressure pad

No

Herzog et al.

1993, Canada35

Clin

Chiro (60)

NR

NR (58)

T4

PA hypothenar

Clin-pat

Force pad

No

Gal et al.

1994, Canada27

Clin

Chiro (1)

NR

Cadaver (2)

T11

Hypothenar

Clin-pat

Pressure pad

No

Cohen et al.

1995, USA11

Clin & Stud

Chiro (30)

Clin: Mixed

Stud: NR

NR (15)

T3-T10

BL transverse thenar

Pat-table

Force platform

No

Herzog et al.

1995, Canada36

Clin

Chiro (1)

NR

Adult (2)

T3/T7/T9

PA hypothenar

Clin-pat

Force pad

No

Gal et al.

1997, Canada28

Clin

Chiro (1)

NR

Cadaver (2)

T10-12

PA hypothenar

Clin-pat

Pressure pad

No

Kirstukas & Backman

1999, USA43

Clin

Chiro (2)

> 5y

Adult (7)

T6-T9

UL thoracic

Clin-pat &

Pat-table

Pressure sensor &

Load cells

Yes

Herzog et al.

2001, Canada37

Clin

Chiro (1)

< 5y

Adult (20)

T3-10

PA hypothenar

Clin-pat

Force pad

No

Van Zoest et al.

2003, England65

Clin

Chiro (2)

> 5y

Adult (10)

T1-2/T4-5/ T8-9

Diversified

Clin-pat

Piezoelectric force sensor

Yes

Forand et al.

2004, Canada25

Clin

Chiro (28)

Mixed

NR (9)

T4/T9

PA (clin choice)

Clin-pat

Sensor pad

No

Campbell & Snodgrass

2010, Australia9

Clin

Physio (1)

> 5y

Adult (24)

T3-T10

Anterior AP

Pat-table

Load cells

Yes

Triano et al.

2011, Canada62

Clin & Stud

Chiro (50)

Clin: >5y

Y1: 102 h

Y2: 218 h

Y3: 326 h

Y4: 409 h

NR (50)

Upper

Hypothenar transverse push

Pat-table

Force plate

Yes

Cambridge et al.

2012, Canada8

Clin

Chiro (3)

> 5y

Adult (19)

T4-12

NR

Pat-table

Force plate

Yes

Gudavalli

2014, USA32

Clin

Chiro (3)

NR

NR (5)

Thoracic

PA

Clin-pat

Force transducer

No

Williams & Cuesta-Vargas

2014, Spain66

Clin

NR (2)

> 5y

Adult (13)

T5/6

PA

Clin-pat

Inertial sensor

No

Dunning et al.

2017, Italy22

Clin

Physio (1)

> 5y

Adult (32)

T1/2

Lateral break

Skin mounted accelerometers

Accelerometer

No

Engell et al.

2019, Canada24

Clin

Chiro (1)

> 5y

Adult (9)

T7

BL hypothenar push/Carver bridge

Clin-pat &

Pat-table

Load cells &

Force plate

No

Beyer et al.

2020, Belgium5

Clin & Stud

NR (4)

Clin: NR

Stud: NR (5th y)

Adult (16)

NR

AP

Pat-ground

Force plate

No

Dugailly et al.

2020, Belgium21

Clin & Stud

NR (30)

Clin: NR

Stud: NR

Adult (12)

NR

AP

Pat-ground

Force platform

No

Gorrell et al.

2020, Canada29

Clin

Chiro (1)

> 5y

Adult (27)

T1/T4

PA

Clin-pat

Pressure pad

No

Joo et al.

2020, Korea39

Clin

Physio (1)

NR

Adult (32)

T3/T7/T12

AP clenched fist/PA BL knife

Pat-table

Force plate

No

Pasquier et al.

2020, France51

Stud

Chiro (136)

NR (3rd -6th y)

Adult (136)

NR

BL thenar push/modified pisiform

Pat-table

Force plate

Yes

Funabashi et al.

2021, Canada26

Clin

Chiro (1)

> 5y

Geriatric (18)

T1-12

Clin choice

Clin-pat &

Pat-table

Load cells &

Force plate

Yes

Duarte et al.

2022, Canada20

Clin

Chiro (1)

NR

Adult (19)

T6-9

PA

Pat-table

Force plate

Yes

Thomas et al.

2022, Canada58

Clin

Chiro (1)

> 5y

Adult (40)

T7

Cross BL

Clin-pat &

Pat-table

Load cells &

Force plate

Yes

  1. All superscript numbers in the first column refer to Appendix 2. Abbreviations: AP: anterior-posterior, BL: bilateral, Chiro: chiropractor, Clin: clinician, h: hours, HVLA: high velocity low amplitude, Mixed: experience of clinicians both > and < 5 years, (n): number of participants, NR: not reported, PA: posterior-anterior, Pat: patient, Physio: physiotherapist, SM: spinal manipulation, Stud: students, T: thoracic, UL: unilateral, Upper: upper thoracic spine, y: years, >: greater than, <: less than