Starmer David J, Guist Brett P, Tuff Taylor R, Warren Sarah C, Williams Matthew G R
Education Coordinator, Simulation Lab, Canadian Memorial Chiropractic College, Toronto, ON, Canada; Chair, Faculty Council, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
Research Assistant, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
J Manipulative Physiol Ther. 2016 May;39(4):311-7. doi: 10.1016/j.jmpt.2016.02.010. Epub 2016 Apr 6.
The purpose of this study was to analyze differences in peak force modulation and time-to-peak thrust in posterior-to-anterior (PA) high-velocity-low-amplitude (HVLA) manipulations in first-year chiropractic students prior to and following a 12-week detraining period.
Chiropractic students (n=125) performed 2 thrusts prior to and following a 12-week detraining period: total peak force targets were 400 and 600 N, on a force-sensing table using a PA hand contact of the participant's choice (bilateral hypothenar, bilateral thenar, or cross bilateral). Force modulation was compared to defined target total peak force values of 600 and 400 N, and time-to-peak thrust was compared between data sets using 2-tailed paired t-tests.
Total peak force for the 600 N intensity varied by 124.11 + 65.77 N during the pre-test and 123.29 + 61.43 N during the post-test compared to the defined target of 600 N (P = .90); total peak force for the 400 N intensity varied by 44.91 + 34.67 N during the pre-test and 44.60 + 32.63 N during the post-test compared to the defined target of 400 N (P = .57). Time-to-peak thrust for the 400 N total peak force was 137.094 + 42.47 milliseconds during the pre-test and 125.385 + 37.46 milliseconds during the post-test (P = .0004); time-to-peak thrust for the 600 N total peak force was 136.835 + 40.48 milliseconds during the pre-test and 125.385 + 33.78 milliseconds during the post-test (P = .03).
The results indicate no drop-off in the ability to modulate force for either thrust intensity, but did indicate a statistically significant change in time-to-peak thrust for the 400 N total peak force thrust intensity in first-year chiropractic students following a 12-week detraining period.
本研究旨在分析一年级整脊学生在为期12周的停训期前后,从后向前(PA)高速低幅(HVLA)手法操作中的峰值力调制和达到峰值推力时间的差异。
整脊学生(n = 125)在为期12周的停训期前后各进行2次推力操作:在力感应台上,根据参与者选择的PA手部接触方式(双侧小鱼际、双侧大鱼际或交叉双侧),总峰值力目标分别为400 N和600 N。将力调制与定义的目标总峰值力值600 N和400 N进行比较,并使用双尾配对t检验比较数据集之间的达到峰值推力时间。
与定义目标600 N相比,600 N强度的总峰值力在测试前变化为124.11 + 65.77 N,测试后变化为123.29 + 61.43 N(P = 0.90);与定义目标400 N相比,400 N强度的总峰值力在测试前变化为44.91 + 34.67 N,测试后变化为44.60 + 32.63 N(P = 0.57)。400 N总峰值力的达到峰值推力时间在测试前为137.094 + 42.47毫秒,测试后为125.385 + 37.46毫秒(P = 0.0004);600 N总峰值力的达到峰值推力时间在测试前为136.835 + 40.48毫秒,测试后为125.385 + 33.78毫秒(P = 0.03)。
结果表明,两种推力强度下的力调制能力均未下降,但确实表明一年级整脊学生在为期12周的停训期后,400 N总峰值力推力强度的达到峰值推力时间有统计学上的显著变化。