Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial
| العنوان: | Immediate impact of extremity manipulation on dual task performance: a randomized, crossover clinical trial |
|---|---|
| المؤلفون: | Katherine A. Pohlman, Joshua Haworth, Dean L. Smith, Christopher A. Malaya |
| المصدر: | Chiropractic & Manual Therapies, Vol 29, Iss 1, Pp 1-8 (2021) Chiropractic & Manual Therapies |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, Physical Therapy, Sports Therapy and Rehabilitation, Chiropractic manipulation, Task (project management), Young Adult, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Motor control, Task Performance and Analysis, Postural Balance, Humans, Medicine, Cross-Over Studies, Manipulation, Chiropractic, business.industry, Research, Work (physics), Extremities, lcsh:Chiropractic, 030229 sport sciences, Sample entropy, Complementary and alternative medicine, Coronal plane, Coordination, Postural balance, lcsh:RZ201-275, Female, Chiropractics, lcsh:RC925-935, business, Extremity, 030217 neurology & neurosurgery, Center of pressure (fluid mechanics) |
| الوصف: | Background Previous research demonstrated that manipulation of the extremities was associated with changes in multisegmental postural sway as well as improvement in a lower extremity balancing task. We were interested if these effects would extend to an upper extremity task. Our aim in this study was to investigate whether extremity manipulation could influence dual task performance where the explicit suprapostural task was balancing a water filled tube in the frontal plane. Methods Participants were healthy volunteers (aged 21–32 years). Upper- or lower-extremity manipulations were delivered in a participant and assessor blinded, randomized crossover, clinical trial. Postural (center of pressure) and suprapostural (tube motion) measurements in the frontal plane were made pre-post manipulation under eyes open and eyes closed conditions using a BTrackS™ force plate and a Shimmer inertial measurement unit, respectively. Pathlength, range, root mean square and sample entropy were calculated to describe each signal during the dual task performance. Results There was no main effect of manipulation or vision for the suprapostural task (tube motion). However, follow-up to interaction effects indicates that roll pathlength, range and root means square of tube motion all decreased (improvement) following lower extremity manipulation with eyes open. Regarding the postural task, there was a main effect of manipulation on mediolateral center of pressure such that pathlength reduced with both upper and lower extremity manipulation with larger decreases in pathlength values following upper extremity manipulation. Conclusion Our findings show that manipulation of the extremities enhanced stability (e.g. tube stabilization and standing balance) on performance of a dual task. This furthers the argument that site-specific manipulations influence context specific motor behavior/coordination. However, as this study focused only on the immediate effects of extremity manipulation, caution is urged in generalizing these results to longer time frames until more work has been done examining the length of time these effects last. Trial registration Clinicaltrials.gov, NCT03877367, Registered 15 March 2019. Data collection took place July 2019. |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4539834720a70a84c1e61c5cc5384a9 https://doaj.org/article/da7ea944fe08498e85dcff07b6e137c5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f4539834720a70a84c1e61c5cc5384a9 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |