Research Article
BibTex RIS Cite

Sağlıklı bireylerde spinal stabilizasyon egzersizleri ve kayropraktik spinal manipulasyonun etkinliklerinin karşılaştırılması: Randomize kontrollü çalışma

Year 2023, Volume: 9 Issue: 2, 82 - 94, 30.08.2023
https://doi.org/10.30569/adiyamansaglik.1268397

Abstract

Amaç: Egzersiz, manipulasyon ve kombine uygulamasının endurans, kas kuvveti, eklem pozisyon hissi ve denge üzerindeki etkilerini araştırmaktı.
Gereç ve Yöntem: Çalışmaya 18-45 yaş arası 80 sağlıklı kişi alındı. Bireyler kayropraktik manipulasyon, stabilizasyon egzersizleri, kombine uygulama ve kontrol grubu olarak ayrıldı. Katılımcılar uygulama öncesi, uygulama sonrası ve uygulamadan 1 ay sonra endurans, kas kuvveti, eklem pozisyon hissi ve denge testleri ile değerlendirildi.
Bulgular: Uygulama sonrasında Grup 3'te endurans parametrelerinde diğer gruplara göre anlamlı iyileşme gözlendi. Tüm gruplarda kuadriseps kas kuvvetinde Grup 4'e göre anlamlı artış saptandı.
Sonuç: Kombine uygulanan program, kas dayanıklılığını ve dengesini geliştirmede diğer programlara göre daha etkili olabilir. Tüm eğitim programları, kuadriseps kas gücünü geliştirmede etkilidir, ancak diz eklemi pozisyon hissi üzerinde aynı etkiye sahip değildir.

References

  • Takmaz SA. Approach and evaluation methods for patients with chronic back and neck pain. Journal of the Turkish Orthopaedic and Traumatological Association 2017; 16 (2): 81-88 (in Turkish). https://doi.org/10.14292/totbid.dergisi.2017.14
  • Safiri S, Kolahi AA, Cross M, Hill C, Smith E et al. Prevalence, deaths, and disability-adjusted life years due to musculoskeletal disorders for 195 countries and territories 1990-2017. Arthritis Rheumatology 2021; 73 (4): 702-714. https://doi.org/10.1002/art.41571
  • Corp N, Mansell G, Stynes S, Wynne-Jones G, Morsø L et al. Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. European Journal of Pain 2021; 25 (2): 275-295. https://doi.org/10.1002/ejp.1679
  • Özcan, E., S.H. Hatik, and D. Tekin, Kronik bel ağrılı bireylerde kayropraktik manipülasyonu ile mulligan mobilizasyonu tekniğinin ağrı ve fonksiyonellik üzerine etkisinin karşılaştırılması. Ahi Evran Medical Journal, 2021. 6(1): p. 55-63.
  • Johnson PJ, Jou J, Rhee TG, H.Rockwood T, M.Upchurc D. Complementary health approaches for health and wellness in midlife and older US adults. Maturitas 2016; 89: 36-42. https://doi.org/10.1016/j.maturitas.2016.04.012
  • Bruno P. The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review. The Journal of the Canadian Chiropractic Association 2014; 58 (2): 119-130.
  • Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders 1992; 5 (4): 383-389. https://doi.org/10.1097/00002517-199212000-00001
  • Yilmaz, E.A., Dinamik Nöromüsküler Stabilizasyon (DNS). Research in Sport Education Sciences, 2022. 24(2): p. 60-64.
  • Toprak Çelenay, Ş. and D. Özer Kaya, Relationship of spinal curvature, mobility, and low back pain in women with and without urinary incontinence. Turk J Med Sci, 2017. 47(4): p. 1257-1262.
  • Vera-Garcia, F.J., et al., Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol, 2007. 17(5): p. 556-67.
  • Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. American Journal of Physical Medicine & Rehabilitation 2005; 84 (6): 473-480. https://doi.org/10.1097/01.phm.0000163709.70471.42
  • World Health Organization. General guidelines for methodologies on research and evaluation of traditional medicine. Geneva. 2000.
  • Marshall P, Murphy B. The effect of sacroiliac joint manipulation on feed-forward activation times of the deep abdominal musculature. Journal of Manipulative and Physiological Therapeutics 2006; 29 (3): 196-202. https://doi.org/10.1016/j.jmpt.2006.01.010
  • R.Holt K, Haavik H, L.Lee AC, Murphy B, Elley R. Effectiveness of chiropractic care to improve sensorimotor function associated with falls risk in older people: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics 2016; 39 (4): 267-78. https://doi.org/10.1016/j.jmpt.2016.02.003
  • T.Çelenay Ş, Ö.Kaya D. An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students:a randomized controlled study. Turkish Journal of Medical Sciences 2017; 47 (2): 504-513. https://doi.org/10.3906/sag-1511-155
  • L.Grindstaff T, Hertel J, R.Beazell J, M.Magrum E, D.Ingersolla C. Effects of lumbopelvic joint manipulation on quadriceps activation and strength in healthy individuals. Manual Therapy 2009; 14 (4): 415-420. https://doi.org/10.1016/j.math.2008.06.005
  • Düzgün İ, Ö.Kaya D, Baltacı G, Karacan S, Çolakoğlu FF. Improving the hamstrings-to-quadriceps strength ratio in sedentary women: comparison of stabilization training and aerobic training after a 6-months follow-up. Clinical and Experimental Health Sciences 2017; 7 (2): 45-51. https://doi.org/10.5152/clinexphealthsci.2017.132
  • Paredes R, Crasto C, Magalhães B, Carvalho P. Short-term effects of global pelvic manipulation on knee joint position sense in asymptomatic participants: a double-blind randomized controlled trial. Journal of Manipulative and Physiological Therapeutics 2020; 43 (7): 675-682. https://doi.org/10.1016/j.jmpt.2018.11.036
  • Junker D, Stöggl T. The training effects of foam rolling on core strength endurance, balance, muscle performance and range of motion: a randomized controlled trial. Journal of Sports Science & Medicine 2019; 18 (2): 229-238.
  • Carneiro É, Moraes G, Terra G. Effects of isha hatha yoga on core stability and standing balance. Advances in Mind-Body Medicine 2016; 30 (3): 4-10.
  • Atalay G, Kafa N. Sporcu sağlığı. Ankara. 2017. Hipokrat kitabevi (in Turkish).
  • Selvaganapathy K, Rajappan R, Balachanthran CM. The Relationship between trunk muscles endurance and normal bmi among university students with sedentary lifestyle. International Journal of Physiotherapy 2017; 4 (6): 358-362. https://doi.org/10.15621/ijphy/2017/v4i6/163923
  • A.Telci E, B.Aslan Ü, Cavlak U. Intrarater and interrater reliability of hand held dynamometer for healthy quadriceps femoris: the effect of muscle strength. Clinical and Experimental Health Sciences 2011; 1 (2): 124-128.
  • Erden Z. Is there any difference in joint position sense among different knee angles? Joint Diseases and Related Surgery 2009; 20 (1): 47-51.
  • J.Plisky P, P.Gorman P, J.Butler R, B.Kiesel K, B.Underwoodet F, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy 2009; 4 (2): 92.
  • Otman A, Köse N. Egzersiz tedavisinde temel prensipler ve yöntemler. Ankara. 2006. Meteksan AŞ (in Turkish).
  • Özer D. The Effects of stabilization training of the different segments of spine to the upper and lower extremity functions and balance. Doctorate Thesis, Hacettepe University, Ankara, 2009.
  • Stevens G, Campeanu M, T.Sorrento A, Ryu J, Burke J. Retrospective demographic analysis of patients seeking care at a free university chiropractic clinic. Journal of Chiropractic Medicine 2016; 15 (1): 19-26. https://doi.org/10.1016/j.jcm.2016.02.001
  • Fuhr A. Activator methods chiropractic technique. ABD. 1997. Mosby Incorporated.
  • Kabul EG, B.Çalik B, B.Aslan Ü, Ünver F. Effects of short-term dynamic stabilization training on flexibility, muscle endurance, and dynamic balance in healthy young people: a randomized controlled study. Journal of Exercise Therapy and Rehabilitation 2018; 5 (1): 1-8.
  • Haavik H, Kumari N, Holt K, K.Niazi I, Amjadet I, et al. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. European Journal of Applied Physiology 2021; 121 (10): 2675-2720. https://doi.org/10.1007/s00421-021-04727-z
  • Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. The Journal of Strength & Conditioning Research 2011; 25 (1): 252-261. https://doi.org/10.1519/JSC.0b013e3181b22b3e
  • D.Chilibeck P, M.Cornish S, Schulte A, Jantz N, R.A.Magnus C, et al. The effect of spinal manipulation on imbalances in leg strength. The Journal of the Canadian Chiropractic Association 2011; 55 (3): 183-192.
  • Lo CN, Ng C, Au CK, W.Lim EC. The Effectiveness of spinal manipulation in increasing muscle strength in healthy individuals: A systematic review and meta-analysis. Journal of Manipulative and Physiological Therapeutics 2019; 42 (2): 148-158. https://doi.org/10.1016/j.jmpt.2018.10.003
  • Dıraçoğlu D, Aydın AR, Başkent A. Comparison of the sensation of proprioception between healthy persons and patients with knee osteoarthritis. Turkish Journal of Physical Medicine and Rehabilitation 2005; 51: 90-93 (in Turkish).
  • Ergen E, Ulkar B, Eraslan A. Proprioception and Coordination. Turkish Journal of Sports Medicine 2007; 42: 57-83.
  • Vining R, R.Long C, Minkalis A, Gudavalli MR, Xia T, et al. Effects of chiropractic care on strength, balance, and endurance in active-duty u.s. military personnel with low back pain: a randomized controlled trial. The Journal of Alternative and Complementary Medicine 2020; 26 (7): 592-601. https://doi.org/10.1089/acm.2020.0107
  • Gong W. Effects of cervical joint manipulation on joint position sense of normal adults. Journal of Physical Therapy Science 2013; 25 (6): 721-3. https://doi.org/10.1589/jpts.25.721
  • Hawk C, Cambron J. Chiropractic care for older adults: effects on balance, dizziness, and chronic pain. Journal of Manipulative and Physiological Therapeutics 2009; 32 (6): 431-437. https://doi.org/10.1016/j.jmpt.2009.06.009
  • Farazdaghi MR, Motealleh A, Abtahi F, Panjan A, Šarabon N, et al. Effect of sacroiliac manipulation on postural sway in quiet standing: a randomized controlled trial. Brazilian Journal of Physical Therapy 2018; 22 (2): 120-126. https://doi.org/10.1016/j.bjpt.2017.09.002
  • Nejati P, Safarcherati A, Karimi F. Effectiveness of exercise therapy and manipulation on sacroiliac joint dysfunction: a randomized controlled trial. Pain Physician 2019; 22 (1): 53-61. https://doi.org/10.36076/ppj/2019.22.53
  • Bronfort G, Roni E, Brian N, Peter A, Charles G, et al. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001; 26 (7): 788-797. https://doi.org/10.1097/00007632-200104010-0002

Comparison of the effectiveness of spinal stabilization exercises and chiropractic spinal manipulation in healthy individuals: Randomized controlled trial

Year 2023, Volume: 9 Issue: 2, 82 - 94, 30.08.2023
https://doi.org/10.30569/adiyamansaglik.1268397

Abstract

Aim: The aim was to investigate the effects of exercise, manipulation and its combined application on endurance, muscle strength, joint position sense and balance.
Materials and Methods: Eighty healthy people aged 18-45 years were included in the study. Individuals were divided into chiropractic manipulation, stabilization exercises, combined application and control group. Participants were evaluated with endurance, muscle strength, joint position sense and balance tests before, after and 1 month after the application.
Results: After the application, significant improvement was observed in the endurance parameters in Group 3 compared to the other groups. There was a significant increase in quadriceps muscle strength in all groups compared to Group 4.
Conclusion: The combined program may be more effective than other programs in improving muscular endurance and balance. All training programs are effective in improving quadriceps muscle strength, but do not have the same effect on knee joint position sense.

References

  • Takmaz SA. Approach and evaluation methods for patients with chronic back and neck pain. Journal of the Turkish Orthopaedic and Traumatological Association 2017; 16 (2): 81-88 (in Turkish). https://doi.org/10.14292/totbid.dergisi.2017.14
  • Safiri S, Kolahi AA, Cross M, Hill C, Smith E et al. Prevalence, deaths, and disability-adjusted life years due to musculoskeletal disorders for 195 countries and territories 1990-2017. Arthritis Rheumatology 2021; 73 (4): 702-714. https://doi.org/10.1002/art.41571
  • Corp N, Mansell G, Stynes S, Wynne-Jones G, Morsø L et al. Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. European Journal of Pain 2021; 25 (2): 275-295. https://doi.org/10.1002/ejp.1679
  • Özcan, E., S.H. Hatik, and D. Tekin, Kronik bel ağrılı bireylerde kayropraktik manipülasyonu ile mulligan mobilizasyonu tekniğinin ağrı ve fonksiyonellik üzerine etkisinin karşılaştırılması. Ahi Evran Medical Journal, 2021. 6(1): p. 55-63.
  • Johnson PJ, Jou J, Rhee TG, H.Rockwood T, M.Upchurc D. Complementary health approaches for health and wellness in midlife and older US adults. Maturitas 2016; 89: 36-42. https://doi.org/10.1016/j.maturitas.2016.04.012
  • Bruno P. The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review. The Journal of the Canadian Chiropractic Association 2014; 58 (2): 119-130.
  • Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders 1992; 5 (4): 383-389. https://doi.org/10.1097/00002517-199212000-00001
  • Yilmaz, E.A., Dinamik Nöromüsküler Stabilizasyon (DNS). Research in Sport Education Sciences, 2022. 24(2): p. 60-64.
  • Toprak Çelenay, Ş. and D. Özer Kaya, Relationship of spinal curvature, mobility, and low back pain in women with and without urinary incontinence. Turk J Med Sci, 2017. 47(4): p. 1257-1262.
  • Vera-Garcia, F.J., et al., Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol, 2007. 17(5): p. 556-67.
  • Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. American Journal of Physical Medicine & Rehabilitation 2005; 84 (6): 473-480. https://doi.org/10.1097/01.phm.0000163709.70471.42
  • World Health Organization. General guidelines for methodologies on research and evaluation of traditional medicine. Geneva. 2000.
  • Marshall P, Murphy B. The effect of sacroiliac joint manipulation on feed-forward activation times of the deep abdominal musculature. Journal of Manipulative and Physiological Therapeutics 2006; 29 (3): 196-202. https://doi.org/10.1016/j.jmpt.2006.01.010
  • R.Holt K, Haavik H, L.Lee AC, Murphy B, Elley R. Effectiveness of chiropractic care to improve sensorimotor function associated with falls risk in older people: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics 2016; 39 (4): 267-78. https://doi.org/10.1016/j.jmpt.2016.02.003
  • T.Çelenay Ş, Ö.Kaya D. An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students:a randomized controlled study. Turkish Journal of Medical Sciences 2017; 47 (2): 504-513. https://doi.org/10.3906/sag-1511-155
  • L.Grindstaff T, Hertel J, R.Beazell J, M.Magrum E, D.Ingersolla C. Effects of lumbopelvic joint manipulation on quadriceps activation and strength in healthy individuals. Manual Therapy 2009; 14 (4): 415-420. https://doi.org/10.1016/j.math.2008.06.005
  • Düzgün İ, Ö.Kaya D, Baltacı G, Karacan S, Çolakoğlu FF. Improving the hamstrings-to-quadriceps strength ratio in sedentary women: comparison of stabilization training and aerobic training after a 6-months follow-up. Clinical and Experimental Health Sciences 2017; 7 (2): 45-51. https://doi.org/10.5152/clinexphealthsci.2017.132
  • Paredes R, Crasto C, Magalhães B, Carvalho P. Short-term effects of global pelvic manipulation on knee joint position sense in asymptomatic participants: a double-blind randomized controlled trial. Journal of Manipulative and Physiological Therapeutics 2020; 43 (7): 675-682. https://doi.org/10.1016/j.jmpt.2018.11.036
  • Junker D, Stöggl T. The training effects of foam rolling on core strength endurance, balance, muscle performance and range of motion: a randomized controlled trial. Journal of Sports Science & Medicine 2019; 18 (2): 229-238.
  • Carneiro É, Moraes G, Terra G. Effects of isha hatha yoga on core stability and standing balance. Advances in Mind-Body Medicine 2016; 30 (3): 4-10.
  • Atalay G, Kafa N. Sporcu sağlığı. Ankara. 2017. Hipokrat kitabevi (in Turkish).
  • Selvaganapathy K, Rajappan R, Balachanthran CM. The Relationship between trunk muscles endurance and normal bmi among university students with sedentary lifestyle. International Journal of Physiotherapy 2017; 4 (6): 358-362. https://doi.org/10.15621/ijphy/2017/v4i6/163923
  • A.Telci E, B.Aslan Ü, Cavlak U. Intrarater and interrater reliability of hand held dynamometer for healthy quadriceps femoris: the effect of muscle strength. Clinical and Experimental Health Sciences 2011; 1 (2): 124-128.
  • Erden Z. Is there any difference in joint position sense among different knee angles? Joint Diseases and Related Surgery 2009; 20 (1): 47-51.
  • J.Plisky P, P.Gorman P, J.Butler R, B.Kiesel K, B.Underwoodet F, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy 2009; 4 (2): 92.
  • Otman A, Köse N. Egzersiz tedavisinde temel prensipler ve yöntemler. Ankara. 2006. Meteksan AŞ (in Turkish).
  • Özer D. The Effects of stabilization training of the different segments of spine to the upper and lower extremity functions and balance. Doctorate Thesis, Hacettepe University, Ankara, 2009.
  • Stevens G, Campeanu M, T.Sorrento A, Ryu J, Burke J. Retrospective demographic analysis of patients seeking care at a free university chiropractic clinic. Journal of Chiropractic Medicine 2016; 15 (1): 19-26. https://doi.org/10.1016/j.jcm.2016.02.001
  • Fuhr A. Activator methods chiropractic technique. ABD. 1997. Mosby Incorporated.
  • Kabul EG, B.Çalik B, B.Aslan Ü, Ünver F. Effects of short-term dynamic stabilization training on flexibility, muscle endurance, and dynamic balance in healthy young people: a randomized controlled study. Journal of Exercise Therapy and Rehabilitation 2018; 5 (1): 1-8.
  • Haavik H, Kumari N, Holt K, K.Niazi I, Amjadet I, et al. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. European Journal of Applied Physiology 2021; 121 (10): 2675-2720. https://doi.org/10.1007/s00421-021-04727-z
  • Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. The Journal of Strength & Conditioning Research 2011; 25 (1): 252-261. https://doi.org/10.1519/JSC.0b013e3181b22b3e
  • D.Chilibeck P, M.Cornish S, Schulte A, Jantz N, R.A.Magnus C, et al. The effect of spinal manipulation on imbalances in leg strength. The Journal of the Canadian Chiropractic Association 2011; 55 (3): 183-192.
  • Lo CN, Ng C, Au CK, W.Lim EC. The Effectiveness of spinal manipulation in increasing muscle strength in healthy individuals: A systematic review and meta-analysis. Journal of Manipulative and Physiological Therapeutics 2019; 42 (2): 148-158. https://doi.org/10.1016/j.jmpt.2018.10.003
  • Dıraçoğlu D, Aydın AR, Başkent A. Comparison of the sensation of proprioception between healthy persons and patients with knee osteoarthritis. Turkish Journal of Physical Medicine and Rehabilitation 2005; 51: 90-93 (in Turkish).
  • Ergen E, Ulkar B, Eraslan A. Proprioception and Coordination. Turkish Journal of Sports Medicine 2007; 42: 57-83.
  • Vining R, R.Long C, Minkalis A, Gudavalli MR, Xia T, et al. Effects of chiropractic care on strength, balance, and endurance in active-duty u.s. military personnel with low back pain: a randomized controlled trial. The Journal of Alternative and Complementary Medicine 2020; 26 (7): 592-601. https://doi.org/10.1089/acm.2020.0107
  • Gong W. Effects of cervical joint manipulation on joint position sense of normal adults. Journal of Physical Therapy Science 2013; 25 (6): 721-3. https://doi.org/10.1589/jpts.25.721
  • Hawk C, Cambron J. Chiropractic care for older adults: effects on balance, dizziness, and chronic pain. Journal of Manipulative and Physiological Therapeutics 2009; 32 (6): 431-437. https://doi.org/10.1016/j.jmpt.2009.06.009
  • Farazdaghi MR, Motealleh A, Abtahi F, Panjan A, Šarabon N, et al. Effect of sacroiliac manipulation on postural sway in quiet standing: a randomized controlled trial. Brazilian Journal of Physical Therapy 2018; 22 (2): 120-126. https://doi.org/10.1016/j.bjpt.2017.09.002
  • Nejati P, Safarcherati A, Karimi F. Effectiveness of exercise therapy and manipulation on sacroiliac joint dysfunction: a randomized controlled trial. Pain Physician 2019; 22 (1): 53-61. https://doi.org/10.36076/ppj/2019.22.53
  • Bronfort G, Roni E, Brian N, Peter A, Charles G, et al. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001; 26 (7): 788-797. https://doi.org/10.1097/00007632-200104010-0002
There are 42 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Article
Authors

Mesut Arslan 0000-0002-4779-2442

Figen Yılmaz 0000-0002-0825-5169

Early Pub Date August 16, 2023
Publication Date August 30, 2023
Submission Date March 21, 2023
Acceptance Date June 21, 2023
Published in Issue Year 2023 Volume: 9 Issue: 2

Cite

AMA Arslan M, Yılmaz F. Comparison of the effectiveness of spinal stabilization exercises and chiropractic spinal manipulation in healthy individuals: Randomized controlled trial. ADYÜ Sağlık Bilimleri Derg. August 2023;9(2):82-94. doi:10.30569/adiyamansaglik.1268397