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Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes

Year 2023, , 888 - 900, 31.12.2023
https://doi.org/10.33459/cbubesbd.1326015

Abstract

The aim of this study is to examine the acute effects of thoracic manipulation on trunk flexion and balance characteristics in athletes. 60 male team athletes with a mean age of 22.60±0.32 years participated in the study voluntarily. Trunk flexion values and balance levels of all participants were determined before manipulation. After the measurements, the participants were randomly divided into two groups as the thoracic manipulation group (TMG) and the placebo manipulation group (PMG). Then, as a single session, thoracic manipulation was applied to the TMG group and placebo thoracic manipulation was applied to the PMG group. The trunk flexions and balance levels of each participant were remeasured after the application, and the differences before and after the application were examined. Since the data analyzed via SPSS 25.0 package program showed normal distribution, paired-t test was used to evaluate the pre-application and post-application results. The results were analyzed at the p<0.05 significance level. In the results of the study, it was determined that there was a significant improvement in the standard deviation of forward and backward sway (FBSD), medial-lateral sway (MLSD) and used perimeter (P) parameters in post-application static balance. A significant improvement in the mean balance error monitoring (ATE) parameter in the post-application dynamic balance was also determined. An increase in trunk flexion values was observed in the TMG group after the application. As a result, it is concluded that high-velocity, low-amplitude (HVLA) thoracic manipulation application provides instant positive contributions to trunk mobility and balance feature in athletes.

References

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  • Dvorak, H., Kujat, C., & Brumitt, J. (2011). Effect of therapeutic exercise versus manual therapy on athletes with chronic low back pain. Journal of Sport Rehabilitation, 20(4), 494-504. https://doi.org/10.1123/jsr.20.4.494
  • El-Khoury, G. Y., & Whitten, C. G. (1993). Trauma to the upper thoracic spine: anatomy, biomechanics, and unique imaging features. American Journal of Roentgenology, 160(1), 95-102. https://doi.org/10.2214/ajr.160.1.8416656
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  • Haavik, H., & Murphy, B. (2012). The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology, 22(5), 768-776. https://doi.org/10.1016/j.jelekin.2012.02.012
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  • Honoré, M., Leboeuf-Yde, C., & Gagey, O. (2018). The regional effect of spinal manipulation on the pressure pain threshold in asymptomatic subjects: A Systematic literature review. Chiropractic & Manual Therapies, 26(1), 1-18. https://doi.org/10.1186/s12998-018-0181-3
  • Hrysomallis, C. (2011). Balance ability and athletic performance. Sports Medicine, 41(3), 221-232. https://doi.org/10.2165/11538560-000000000-00000
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Sporcularda Torakal Manipülasyonun Gövde Fleksiyonu ve Dengeye Akut Etkilerinin İncelenmesi

Year 2023, , 888 - 900, 31.12.2023
https://doi.org/10.33459/cbubesbd.1326015

Abstract

Bu araştırmanın amacı, torakal manipülasyon uygulamasının sporcularda gövde fleksiyonu ve denge özelliklerine olan akut etkilerinin incelenmesidir. Araştırmaya yaş ortalamaları 22,60±0,2 yıl olan 60 erkek takım sporcusu gönüllü olarak katılmıştır. Tüm katılımcıların manipulasyon öncesi gövde fleksiyon değerleri ve denge düzeyleri belirlenmiştir. Ölçümler sonrası katılımcılar randomize şekilde, torakal manipülasyon uygulanan grup (TMG) ve plasebo manipülasyon uygulanan grup (PMG) olarak iki gruba ayrılmıştır Daha sonra tek seans olarak, TMG grubuna torakal manipülasyon, PMG grubuna ise plasebo torakal manipülasyon uygulaması yapılmıştır. Her katılımcının uygulama sonrası gövde fleksiyonları ve denge düzeyleri yeniden ölçülmüş, uygulama öncesi ve sonrası farklılıklar incelenmiştir. SPSS 25.0 paket program aracılığıyla, verilerin normalliği sınanmış, veriler normal dağılım gösterdiğinden uygulama öncesi ve sonrası sonuçların değerlendirilmesinde paired-t testi kullanılmıştır. Sonuçlar p<0.05 anlamlılık düzeyinde analiz edilmiştir. Araştırmanın sonuçlarında, uygulama sonrası statik dengede, ileri ve geri salınımın standart sapması (FBSD), medial-lateral salınımın standart sapması (MLSD) ve kullanılan çevre (P) parametrelerinde, dinamik dengede de ortalama denge hatası izleme (ATE) parametresinde anlamlı iyileşme olduğu tespit edilmiştir. Gövde fleksiyon değerlerinde ise, TMG grubunda uygulama sonrasında artış olduğu görülmüştür. Sonuç olarak, sporcularda yüksek hızlı, düşük amplitüdlü (HVLA) torakal manipülasyon uygulamasının gövde mobilitesine ve denge özelliğine anlık olumlu katkılar sunduğu kanaatine varılmaktadır.

References

  • Adams, G., & Sim, J. (1998). A Survey of UK manual therapists' practice of and attitudes towards manipulation and its complications. Physiotherapy Research International, 3(3), 206-227. https://doi.org/10.1002/pri.141
  • Atchison, J. W., Tolchin, R. B., Ross, B. S., & Eubanks, J. E. (2021). Manipulation, traction, and massage. In: Cifu D. X., Ed., Braddom's physical medicine and rehabilitation (pp. 316-337). Elsevier.
  • Cardinale, M., Boccia, G., Greenway, T., Evans, O., & Rainoldi, A. (2015). The acute effects of spinal manipulation on neuromuscular function in asymptomatic individuals: A Preliminary study. Physical Therapy in Sport, 16(2), 121-126. https://doi.org/10.1016/j.ptsp.2014.06.004
  • Cho, J., Lee, E., & Lee, S. (2017). Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: A Randomized clinical trial. BMC Musculoskeletal Disorders, 18(1), 1-10. https://doi.org/10.1186/s12891-017-1889-2
  • Cohen J. (1992) Quantitative methods in psychology a power primer. Psychological Bulletin, 112(1), 55-159. https://doi.org/10.1037//0033-2909.112.1.155
  • Corso, M., Mior, S. A., Batley, S., Tuff, T., da Silva-Oolup, S., Howitt, S., & Srbely, J. (2019). The Effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: A Systematic review of best evidence. Chiropractic & Manual Therapies, 27(1), 1-18. https://doi.org/10.1186/s12998-019-0246-y
  • Cuesta-Vargas, A. I., García-Romero, J. C., Arroyo-Morales, M., Diego-Acosta, Á. M., & Daly, D. J. (2011). Exercise, manual therapy, and education with or without high-intensity deep-water running for nonspecific chronic low back pain: A Pragmatic randomized controlled trial. American Journal of Physical Medicine & Rehabilitation, 90(7), 526-538. https://doi.org/10.1097/PHM.0b013e31821a71d0
  • Deutschmann, K. C., Jones, A. D., & Korporaal, C. M. (2015). A Non-randomised experimental feasibility study into the immediate effect of three different spinal manipulative protocols on kicking speed performance in soccer players. Chiropractic & Manual Therapies, 23(1), 1-10. https://doi.org/10.1097/PHM.0b013e31821a71d0
  • Donatelli, R., Dimond, D., & Holland, M. (2012). Sport-specific biomechanics of spinal injuries in the athlete (throwing athletes, rotational sports, and contact-collision sports). Clinics in Sports Medicine, 31(3), 381-396. https://doi.org/10.1016/j.csm.2012.03.003
  • Duray, M., Gülşen, Ç., Altuğ, F., Baskan, E., & Cavlak, U. (2018). Nörolojik hastalara bakım verenlerin bakım yükünün gövde kas kuvveti, enduransı ve esnekliği üzerine etkisi. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 29(3), 79-84. https://doi.org/10.21653/tfrd.343067
  • Durmus, D., Durmaz, Y., & Canturk, F. (2010). Effects of therapeutic ultrasound and electrical stimulation program on pain, trunk muscle strength, disability, walking performance, quality of life, and depression in patients with low back pain: a randomized-controlled trial. Rheumatology International, 30(7), 901-910. https://doi.org/10.1007/s00296-009-1072-7
  • Dvorak, H., Kujat, C., & Brumitt, J. (2011). Effect of therapeutic exercise versus manual therapy on athletes with chronic low back pain. Journal of Sport Rehabilitation, 20(4), 494-504. https://doi.org/10.1123/jsr.20.4.494
  • El-Khoury, G. Y., & Whitten, C. G. (1993). Trauma to the upper thoracic spine: anatomy, biomechanics, and unique imaging features. American Journal of Roentgenology, 160(1), 95-102. https://doi.org/10.2214/ajr.160.1.8416656
  • Espí-López, G. V., López-Martínez, S., Inglés, M., Serra-Añó, P., & Aguilar-Rodríguez, M. (2018). Effect of manual therapy versus proprioceptive neuromuscular facilitation in dynamic balance, mobility and flexibility in field hockey players. A randomized controlled trial. Physical Therapy in Sport, 32, 173-179. https://doi.org/10.1016/j.ptsp.2018.04.017
  • Gyer, G., Michael, J., Inklebarger, J., & Tedla, J. S. (2019). Spinal manipulation therapy: Is it all about the brain? A Current review of the neurophysiological effects of manipulation. Journal of Integrative Medicine, 17(5), 328-337. https://doi.org/10.1016/j.joim.2019.05.004
  • Haavik, H., & Murphy, B. (2012). The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology, 22(5), 768-776. https://doi.org/10.1016/j.jelekin.2012.02.012
  • Harrison, D. E., Cailliet, R., Harrison, D. D., Troyanovich, S. J., & Harrison, S. O. (1999). A review of biomechanics of the central nervous system—Part III: Spinal cord stresses from postural loads and their neurologic effects. Journal of Manipulative and Physiological Therapeutics, 22(6), 399-410. https://doi.org/10.1016/s0161-4754(99)70086-2
  • Honoré, M., Leboeuf-Yde, C., & Gagey, O. (2018). The regional effect of spinal manipulation on the pressure pain threshold in asymptomatic subjects: A Systematic literature review. Chiropractic & Manual Therapies, 26(1), 1-18. https://doi.org/10.1186/s12998-018-0181-3
  • Hrysomallis, C. (2011). Balance ability and athletic performance. Sports Medicine, 41(3), 221-232. https://doi.org/10.2165/11538560-000000000-00000
  • Huisman, P. A., Speksnijder, C. M., & de Wijer, A. (2013). The effect of thoracic spine manipulation on pain and disability in patients with non-specific neck pain: A Systematic review. Disability and Rehabilitation, 35(20), 1677-1685. https://doi.org/10.3109/09638288.2012.750689
  • Izzo, R., Guarnieri, G., Guglielmi, G., & Muto, M. (2013). Biomechanics of the spine. Part II: Spinal instability. European Journal of Radiology, 82(1), 127-138. https://doi.org/10.1016/j.ejrad.2012.07.023
  • Knudson, D. V. (2018). Warm-up and flexibility. In: Chandler T. J., Brown L. E., Eds., Conditioning for strength and human performance (pp. 212-231). Routledge.
  • Liebsch, C., & Wilke, H. J. (2018). Basic biomechanics of the thoracic spine and rib cage. In: F. Galbusera & H. J. Wilke (Eds.), Biomechanics of the spine (pp. 35-50). Academic Press.
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There are 54 citations in total.

Details

Primary Language English
Subjects Sports Training
Journal Section Articles
Authors

Nihat Sarıalioğlu 0000-0002-0914-7338

Rıdvan Türkeri 0000-0003-4319-5525

Early Pub Date December 30, 2023
Publication Date December 31, 2023
Submission Date July 11, 2023
Acceptance Date December 20, 2023
Published in Issue Year 2023

Cite

APA Sarıalioğlu, N., & Türkeri, R. (2023). Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes. CBÜ Beden Eğitimi Ve Spor Bilimleri Dergisi, 18(2), 888-900. https://doi.org/10.33459/cbubesbd.1326015
AMA Sarıalioğlu N, Türkeri R. Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes. CBÜ BESBD. December 2023;18(2):888-900. doi:10.33459/cbubesbd.1326015
Chicago Sarıalioğlu, Nihat, and Rıdvan Türkeri. “Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes”. CBÜ Beden Eğitimi Ve Spor Bilimleri Dergisi 18, no. 2 (December 2023): 888-900. https://doi.org/10.33459/cbubesbd.1326015.
EndNote Sarıalioğlu N, Türkeri R (December 1, 2023) Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes. CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi 18 2 888–900.
IEEE N. Sarıalioğlu and R. Türkeri, “Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes”, CBÜ BESBD, vol. 18, no. 2, pp. 888–900, 2023, doi: 10.33459/cbubesbd.1326015.
ISNAD Sarıalioğlu, Nihat - Türkeri, Rıdvan. “Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes”. CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi 18/2 (December 2023), 888-900. https://doi.org/10.33459/cbubesbd.1326015.
JAMA Sarıalioğlu N, Türkeri R. Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes. CBÜ BESBD. 2023;18:888–900.
MLA Sarıalioğlu, Nihat and Rıdvan Türkeri. “Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes”. CBÜ Beden Eğitimi Ve Spor Bilimleri Dergisi, vol. 18, no. 2, 2023, pp. 888-00, doi:10.33459/cbubesbd.1326015.
Vancouver Sarıalioğlu N, Türkeri R. Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes. CBÜ BESBD. 2023;18(2):888-900.