Abstract

Objectives To analyze the kinematics of cervical rotation-traction manipulation (CRTM). Methods An experimental study measuring the kinematics of CRTM was conducted. A total of 18 healthy volunteers participated in the study. A single manipulator operated the CRTM for all subjects. Motion capture technology was adopted to track the trajectory during the CRTM operation. Results The manipulated side did not influence the cervical spine motion. The motion ranges obtained during CRTM were well below the active range of motion reported in the literature. The head rotation angle after thrusting was less than the angle of the rotary-position (P < 0.05). There was no significant difference in the head rotation angle between pretraction and upward-thrust. The thrust direction of CRTM was mainly upward. The thrust operation was of high-velocity and low-amplitude (thrust velocity: 203.06 ± 49.95 mm/s; thrust acceleration: 3836.27 ± 1262.28 mm/s2; thrust displacement: 3.25 ± 1.30 mm). Conclusions CRTM has clear operation steps and repeatability that is suitable for clinical application.

Highlights

  • Cervical rotational manipulation (CRM) is one of the effective treatments for cervical spondylosis [1, 2]

  • The CRM techniques used clinically in China can be mainly divided into unfixed point rotational manipulation and fixed point rotational manipulation [3]

  • The results demonstrated differences in the kinematics between the two techniques

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Summary

Introduction

Cervical rotational manipulation (CRM) is one of the effective treatments for cervical spondylosis [1, 2]. There are many kinds of CRM around the world. CRM has a long history of use in China. Spinal manipulation was used medicinally as early as 2700 BC in ancient Chinese medicine. The CRM techniques used clinically in China can be mainly divided into unfixed point rotational manipulation and fixed point rotational manipulation [3]. The two kinds of manipulations have their own characteristics. Unfixed point rotational manipulation has a wider action range and better effects for the upper cervical spine, while fixed point rotational manipulation has a limited action range and is adopted for the lower cervical spine [6]

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