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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aut.relation.endpage2720
aut.relation.issue10
aut.relation.journalEuropean Journal of Applied Physiology
aut.relation.startpage2675
aut.relation.volume121
dc.contributor.authorHaavik, H
dc.contributor.authorKumari, N
dc.contributor.authorHolt, K
dc.contributor.authorNiazi, IK
dc.contributor.authorAmjad, I
dc.contributor.authorPujari, AN
dc.contributor.authorTürker, KS
dc.contributor.authorMurphy, B
dc.date.accessioned2023-06-13T04:39:16Z
dc.date.available2023-06-13T04:39:16Z
dc.date.issued2021-06-23
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 afferent 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 efficient 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, inflammation, 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 identified, 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.
dc.identifier.citationEuropean Journal of Applied Physiology, ISSN: 1439-6319 (Print); 1439-6327 (Online), SPRINGER, 121(10), 2675-2720. doi: 10.1007/s00421-021-04727-z
dc.identifier.doi10.1007/s00421-021-04727-z
dc.identifier.issn1439-6319
dc.identifier.issn1439-6327
dc.identifier.urihttps://hdl.handle.net/10292/16268
dc.languageeng
dc.publisherSPRINGER
dc.relation.urihttps://link.springer.com/article/10.1007/s00421-021-04727-z
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectChiropractic
dc.subjectMuscle strength
dc.subjectNeuromuscular function
dc.subjectSpinal manipulation
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPhysiology
dc.subjectSport Sciences
dc.subjectChiropractic
dc.subjectSpinal manipulation
dc.subjectMuscle strength
dc.subjectNeuromuscular function
dc.subjectLOW-BACK-PAIN
dc.subjectSUBCLINICAL NECK PAIN
dc.subjectTRANSCRANIAL MAGNETIC STIMULATION
dc.subjectSPINAL MANIPULATIVE THERAPY
dc.subjectCERVICOCEPHALIC KINESTHETIC SENSIBILITY
dc.subjectANTICIPATORY POSTURAL ADJUSTMENTS
dc.subjectMECHANICAL ACTIVATION THRESHOLDS
dc.subjectIMPROVE SENSORIMOTOR FUNCTION
dc.subjectINTERVERTEBRAL DISC LESION
dc.subjectLUMBAR PARASPINAL MUSCLES
dc.subject42 Health Sciences
dc.subject4208 Traditional, Complementary and Integrative Medicine
dc.subjectNeurosciences
dc.subjectPain Research
dc.subjectNeurological
dc.subject1106 Human Movement and Sports Sciences
dc.subjectSport Sciences
dc.subject3202 Clinical sciences
dc.subject3208 Medical physiology
dc.subject4207 Sports science and exercise
dc.subject.meshChiropractic
dc.subject.meshHumans
dc.subject.meshLumbar Vertebrae
dc.subject.meshManipulation, Spinal
dc.subject.meshMotor Activity
dc.subject.meshMuscle Strength
dc.subject.meshNeuromuscular Junction
dc.subject.meshLumbar Vertebrae
dc.subject.meshNeuromuscular Junction
dc.subject.meshHumans
dc.subject.meshManipulation, Spinal
dc.subject.meshMotor Activity
dc.subject.meshChiropractic
dc.subject.meshMuscle Strength
dc.subject.meshChiropractic
dc.subject.meshHumans
dc.subject.meshLumbar Vertebrae
dc.subject.meshManipulation, Spinal
dc.subject.meshMotor Activity
dc.subject.meshMuscle Strength
dc.subject.meshNeuromuscular Junction
dc.titleThe Contemporary Model of Vertebral Column Joint Dysfunction and Impact of High-Velocity, Low-Amplitude Controlled Vertebral Thrusts on Neuromuscular Function
dc.typeJournal Article
pubs.elements-id432530
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