The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function

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dc.authoridhttps://orcid.org/0000-0001-7182-2085en_US
dc.authoridhttps://orcid.org/0000-0001-8752-7224en_US
dc.authoridhttps://orcid.org/0000-0002-2824-0079en_US
dc.authoridhttps://orcid.org/0000-0003-1688-4448en_US
dc.authoridhttps://orcid.org/0000-0001-9962-075Xen_US
dc.contributor.authorHaavik, Heidi
dc.contributor.authorKumari, Nitika
dc.contributor.authorHolt, Kelly
dc.contributor.authorNiazi, Imran Khan
dc.contributor.authorAmjad, Imran
dc.contributor.authorPujari, Amit N.
dc.contributor.authorTürker, Kemal Sıtkı
dc.contributor.authorMurphy, Bernadette
dc.date.accessioned2023-07-29T21:00:39Z
dc.date.available2023-07-29T21:00:39Z
dc.date.issued2021en_US
dc.departmentDiş Hekimliği Fakültesien_US
dc.description.abstractPurpose There is growing evidence that vertebral column function and dysfunction play a vital role in neuromuscular control. This invited review summarises the evidence about how vertebral column dysfunction, known as a central segmental motor control (CSMC) problem, alters neuromuscular function and how spinal adjustments (high-velocity, low-amplitude or HVLA thrusts directed at a CSMC problem) and spinal manipulation (HVLA thrusts directed at segments of the vertebral column that may not have clinical indicators of a CSMC problem) alters neuromuscular function. Methods The current review elucidates the peripheral mechanisms by which CSMC problems, the spinal adjustment or spinal manipulation alter the aferent input from the paravertebral tissues. It summarises the contemporary model that provides a biologically plausible explanation for CSMC problems, the manipulable spinal lesion. This review also summarises the contemporary, biologically plausible understanding about how spinal adjustments enable more efcient production of muscular force. The evidence showing how spinal dysfunction, spinal manipulation and spinal adjustments alter central multimodal integration and motor control centres will be covered in a second invited review. Results Many studies have shown spinal adjustments increase voluntary force and prevent fatigue, which mainly occurs due to altered supraspinal excitability and multimodal integration. The literature suggests physical injury, pain, infammation, and acute or chronic physiological or psychological stress can alter the vertebral column’s central neural motor control, leading to a CSMC problem. The many gaps in the literature have been identifed, along with suggestions for future studies. Conclusion Spinal adjustments of CSMC problems impact motor control in a variety of ways. These include increasing muscle force and preventing fatigue. These changes in neuromuscular function most likely occur due to changes in supraspinal excitability. The current contemporary model of the CSMC problem, and our understanding of the mechanisms of spinal adjustments, provide a biologically plausible explanation for how the vertebral column’s central neural motor control can dysfunction, can lead to a self-perpetuating central segmental motor control problem, and how HVLA spinal adjustments can improve neuromuscular function.en_US
dc.identifier.doi10.1007/s00421-021-04727-zen_US
dc.identifier.endpage2720en_US
dc.identifier.issn1439-6319
dc.identifier.issn1439-6327
dc.identifier.issue10en_US
dc.identifier.pmid34164712en_US
dc.identifier.scopus2-s2.0-85108604954en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2675en_US
dc.identifier.urihttps://hdl.handle.net/11363/5133
dc.identifier.urihttps://doi.org/
dc.identifier.volume121en_US
dc.identifier.wosWOS:000664813900001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTürker, Kemal Sıtkı
dc.language.isoenen_US
dc.publisherSPRINGER, ONE NEW YORK PLAZA, SUITE 4600 , NEW YORK, NY 10004, UNITED STATESen_US
dc.relation.ispartofEuropean Journal of Applied Physiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectChiropracticen_US
dc.subjectSpinal manipulationen_US
dc.subjectMuscle strengthen_US
dc.subjectNeuromuscular functionen_US
dc.titleThe contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular functionen_US
dc.typeArticleen_US

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