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Table 6 Summary of studies reporting on the force-time characteristics of spinal manipulation (SM) delivered to the lumbopelvic spine of humans (n = 12) and inanimate objects (e.g. human analogue manikins, instrumented tools) (n = 7)

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

Hessell et al.

1990, Canada38

Clin

Chiro (2)

NR

NR (6)

SIJ

Thompson

technique

Clin-pat

Force pad

No

Herzog et al.

1993, Canada35

Clin

Chiro (60)

NR

NR (58)

SIJ

PA drop-piece

Clin-pat

Force pad

No

Triano & Schultz

1997, USA59

Clin

Chiro (6)

Mixed

Adult (11)

Lumbar/

SIJ

Mamillary push/ hypothenar ischial/

long lever lumbar

Pat-table

Force plate

No

Rogers & Triano

2003, USA53

Stud

Chiro (16)

NR (2nd sem)

NR (16)

L5

Mamillary push

Pat-table

Force plate

No

Van Zoest & Gosselin

2003, England65

Clin

Chiro (2)

> 5y

Adult (10)

SIJ

Diversified

Clin-pat

Force sensor

Yes

Triano et al.

2004, USA/Canada60

Clin & Stud

Chiro (85)

Clin: >5y

Stud: ~100 h

Adult (85)

L4

Mamillary push

Pat-table

Force plate

No

Triano et al.

2006, USA61

Stud

Chiro (40)

NR (2nd y)

Adult (40)

L4

Mamillary push

Pat-table

Force plate

No

Gudavalli et al.

2013, USA31

Clin

Chiro (3)

> 5y

Adult (5)

NR

Side posture

Clin-pat &

Clin-ground

Force transducer

& Force plate

No

Gudavalli

2014, USA32

Clin

Chiro (3)

NR

NR (5)

Lumbar/

SIJ

Side-lying

Clin-pat

Force transducer

No

Gudavalli & Rowell

2014, USA33

Clin

Chiro (2)

NR

Adult (5)

Lumbar/

SIJ

Side-lying

Clin-pat

Force transducer

No

Currie et al.

2016, USA15

Clin

Chiro (2)

> 5y

Adult (17)

L3/SIJ

Hypothenar

side-lying

Clin-pat &

Pat-table

Force transducer

& Force plate

No

Mourad et al.

2019, Italy46

Clin

Physio (1)

> 5y

Adult (34)

L5/S1

Mamillary process

body drop

Skin-mounted

accelerometers

NA

No

Inanimate objects

Adams et al.

1984, USA1

Clin

Chiro (37)

Mixed

Rigid tabletop / Manikin (1)

Ilium/L5

Thompson technique/ single hand contact

Clin-table/

Clin-man

Force transducer

No

Adams & Wood

1984, USA2

Clin & Stud

Chiro (74)

Clin: Mixed

Stud: NR (8th quart)

Manikin (1)

Ilium/L5

Pisiform contact/

Thompson technique

Clin-man

Force transducer

No

Adams & Wood

1985, NR3

Clin & Stud

Chiro (148)

Clin: Mixed

Stud: NR (8th /10th /

12th quart)

Manikin (1)

PSIS/L5

Thomson technique

Clin-man

Force transducer

No

Gudavalli et al.

2013, USA31

Clin

Chiro (2)

> 5y

Force transducer (1)

NR

HVLA

Clin-force transducer

Force transducer on force plate

No

Owens et al.

2016, USA47

Clin

Chiro (11)

Mixed

Manikin (1)

PSIS/L5

Prone/side-posture Gonstead

Man-table

Force plate

No

Owens et al.

2017, USA48

Clin

Chiro (11)

Mixed

Manikin (1)

L3

Reinforced pisiform Gonstead

Man-table

Force plate

No

Triano et al.

2017, Canada64

Clin

Chiro (1)

> 5y

Manikin (2)

Lumbar/

SIJ

Prone-assisted/

lateral recumbent

Clin-man &

Man-table

Load cell &

Force plate

Yes

  1. All superscript numbers in the first column refer to Appendix 2. Abbreviations: Chiro: chiropractor, Clin: clinician, h: hours, HVLA: high velocity low amplitude, L: lumbar, Man: manikin, Mixed: experience of clinicians both > and < 5 years, (n): number of participants, NR: not reported, PA: posterior-anterior, Pat: patient, Physio: physiotherapist, PSIS: posterior superior iliac spine, quart: quarter, sem: semester, SIJ: sacroiliac, SM: spinal manipulation, Stud: students, y: years, >: greater than