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首页> 外文期刊>Journal of bodywork and movement therapies >Immediate effects and associations between interoceptive accuracy and range of motion after a HVLA thrust on the thoracolumbar junction: A randomised controlled trial
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Immediate effects and associations between interoceptive accuracy and range of motion after a HVLA thrust on the thoracolumbar junction: A randomised controlled trial

机译：HVLA推力在Thoracolumbar交界处的HVLA推力后的间接效果和术之间的效果和关联：随机对照试验

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Background: There is paucity in the literature regarding the role of interoceptive accuracy (IAc) at predicting the effectiveness of osteopathic techniques which increase spinal mobility when directed specifically at the thoracolumbar junction (TLJ). Aims: The study aimed to explore whether a high velocity, low amplitude (HVLA) thrust of the TLJ would increase spinal mobility (measured through Range of Motion; ROM) and change IAc. Also, whether baseline IAc correlated with the post-ROM measures and change in ROM. Method: 21 asymptomatic participants were allocated into three conditions in a randomised order. These were; (1) a high velocity low amplitude manipulation of the TLJ; (2) sham (basic touch); and (3) a control (laying supine on a plinth). Before and following each intervention, the participants' spinal ROM was measured using an Acumar digital inclinometer. In addition to this an ECG was used to measure their pre and post condition IAc. Results: There were significant increases in ROM for all condition, however, the HVLA thrust led to a significantly greater increase in ROM (p < 0.001) when compared to the control and sham. Baseline IAc was inversely associated with post-ROM but there was no association with change in ROM. The HVLA thrust did not significantly change IAc scores from pre to post intervention. Conclusions. HVLA thrust over the TLJ is a useful intervention for increasing spinal ROM. IAc maybe a useful predictor for intervention effectiveness of this technique and spinal area which could in the future be utilised by osteopaths as part of their diagnostics.
机译：背景：文献中的缺乏关于中断精度（IAC）在预测骨疗法技术的有效性时，在特异性在胸腰椎连接（TLJ）时增加了骨质疗法技术的有效性。目的：研究旨在探讨TLJ的高速，低振幅（HVLA）推力是否会增加脊柱迁移率（通过运动范围测量; ROM）并改变IAC。此外，基线IAC是否与后ROM措施和ROM的变化相关。方法：以随机顺序分配21种无症状参与者。这些曾经是; （1）TLJ的高速低幅度操纵; （2）假（基本触摸）; （3）一种对照（在柱上铺设仰卧）。在每次干预之前和之后，使用尖锐数字倾斜度计测量参与者的脊髓。除此之外，ECG用于测量其前后和后期条件IAC。结果：与对照和假相比，所有条件都有显着增加，HVLA推力导致ROM的显着增加（P <0.001）。基线IAC与邮政邮政的关系相反，但没有与ROM的变化相关联。 HVLA推力并没有显着改变Prep of Post干预的IAC分数。结论。 HVLA在TLJ上推动是增加脊髓罗马克的有用干预。 IAC可能是这种技术的干预效果的有用预测因素，并且在未来可以通过骨疗法作为其诊断的一部分使用的脊髓区域。

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