The Effect of Chiropractic Spinal Manipulation on the H-reflex and Muscle Strength in Children With Cerebral Palsy: A Feasibility Study
Date
Authors
Duehr, Jenna
Niazi, Imran Khan
Nedergaard, Rasmus Bach
Taylor, Denise
Haavik, Heidi
Supervisor
Item type
Journal Article
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Journal Title
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Publisher
F1000 Research Ltd
Abstract
Background: Children with cerebral palsy (CP) have deficits in various aspects of motor control, including motor neuron excitability, which can affect muscle strength, gait, and ability to perform activities of daily living. Previous research on chiropractic spinal manipulation in healthy adults, athletes, and a brain-injured population has indicated improvements in motor neuron excitability, muscle strength, and various aspects of motor control. Thus, chiropractic spinal manipulation may improve motor control in children with CP. Methods: Children with spastic diplegic CP, aged 8-13 years, were recruited for a randomized, controlled feasibility study. Feasibility was assessed in terms of recruitment strategy and rate, data collection procedures, equipment, intervention, and compliance. Results: Three children completed the data collection comprising pre- and post-measurements of the H reflex, V-wave, and muscle strength. The recruitment strategy and rate were not feasible. The data collection procedures were appropriate and complied with, except for the V-wave measurements. The H-reflex threshold decreased and s50 and slope increased in the participants who received chiropractic spinal manipulation; the opposite was seen in the control group. The changes in MVC force were inconsistent between subjects. Conclusion: This study answered some important feasibility questions regarding conducting a large-scale randomized controlled study with the same design. Some aspects proved feasible, such as H-reflex recordings, and some aspects, such as recruitment methods and V-wave recordings, need to be altered for future research in this area.Description
Keywords
4201 Allied Health and Rehabilitation Science, 42 Health Sciences, 4207 Sports Science and Exercise, 4208 Traditional, Complementary and Integrative Medicine, Brain Disorders, Physical Rehabilitation, Rehabilitation, Perinatal Period - Conditions Originating in Perinatal Period, Clinical Research, Pediatric Research Initiative, Clinical Trials and Supportive Activities, Complementary and Integrative Health, Neurosciences, Cerebral Palsy, Neurological, 0601 Biochemistry and Cell Biology, 1103 Clinical Sciences, 1112 Oncology and Carcinogenesis
Source
F1000Research, ISSN: 2046-1402 (Print); 2046-1402 (Online), F1000 Research Ltd, 13, 1093-1093. doi: 10.12688/f1000research.155618.1
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Copyright: © 2024 Duehr J et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.