Effects of Manual Versus Instrumental Spinal Manipulation on Blood Flow of the Vertebral and Internal Carotid Arteries in Participants With Chronic Nonspecific Neck Pain: a Single-Blind, Randomized Study

dc.authorid Guven, Koray/0000-0001-8572-1998
dc.authorid Kocabey, Burcu/0000-0002-1339-0445
dc.authorscopusid 57817813700
dc.authorscopusid 57817142600
dc.authorscopusid 15845884200
dc.authorscopusid 57202995221
dc.authorscopusid 57817957100
dc.authorwosid Güven, Koray/X-1308-2018
dc.contributor.author Karagözoğlu Coşkunsu, Dilber
dc.contributor.author Coskunsu, Dilber Karagozoglu
dc.contributor.author Guven, Koray
dc.contributor.author Agaoglu, Mustafa H.
dc.contributor.author Yuce, Selvi
dc.contributor.other Fizyoterapi Ve Rehabilitasyon Bölümü
dc.date.accessioned 2025-01-11T13:04:17Z
dc.date.available 2025-01-11T13:04:17Z
dc.date.issued 2023
dc.department Fenerbahçe University en_US
dc.department-temp [Kocabey, Burcu] Bahcesehir Univ, Inst Hlth Sci, Ihlamur Yildiz Caddesi 8, TR-34353 Istanbul, Turkiye; [Coskunsu, Dilber Karagozoglu] Fenerbahce Univ, Dept Physiotherapy & Rehabil, Fac Hlth Sci, Istanbul, Turkiye; [Guven, Koray] Acibadem Univ, Dept Radiol, Fac Med, Istanbul, Turkiye; [Yuce, Selvi] Hacettepe Univ, Inst Hlth Sci, Ankara, Turkiye; [Agaoglu, Mustafa H.] AECC Univ Coll, Sch Chiropract, Parkwood Campus,Parkwood Rd, Bournemouth BH5 2DF, England en_US
dc.description Guven, Koray/0000-0001-8572-1998; Kocabey, Burcu/0000-0002-1339-0445 en_US
dc.description.abstract Objective: The aim of this study was to compare the hemodynamic effects of manual spinal manipulation (MSM) and instrumental spinal manipulation (ISM) on the vertebral artery (VA) and internal carotid artery (ICA) in participants with chronic nonspecific neck pain (NNP). Methods: Thirty volunteers aged 20 to 40 years old with NNP over 3 months duration were included. Participants were randomly divided into the following 2 groups: (1) MSM group (n = 15) and (2) ISM group (n = 15). Ipsilateral (intervention side) and contralateral (opposite side of intervention) VAs and ICAs were evaluated using spectral color Doppler ultrasound before and immediately after manipulation. Measurements were recorded by visualizing the ICA carotid sinus (C4 level) and the VA at the V3 segment (C1-C2 level). The blood flow parameters of peak systolic velocity (PSV), end-diastolic velocity, resistive index, and volume flow (only for VA) were evaluated. The spinal segment, in which biomechanical aberrant movement was detected by palpation in the upper cervical spine, was manually manipulated in the MSM group. The same methodology was performed for the ISM group using an Activator V instrument (Activator Methods). Results: Intragroup analysis exhibited no statistically significant difference between the MSM and ISM groups in terms of PSV, end-diastolic velocity, resistive index of ipsilateral and contralateral ICA and VA, in addition to volume flow of both VAs preintervention and postintervention (P > .05). Within the intergroup analysis, there was a significant difference in ipsilateral ICA PSV (P = .031) (preintervention vs postintervention difference was -7.9 & PLUSMN; 17.2 cm/s [95% confidence interval, -17.4 to 1.6] in the ISM group and 8.7 & PLUSMN; 22.5 cm/s [95% confidence interval, -3.6 to 21.2]) in the MSM group (P < .05). Other parameters did not show any significant difference (P > .05). Conclusion: Manual and instrumental spinal manipulations applied to the upper cervical spine in participants with chronic NNP did not appear to alter blood flow parameters of the VAs and ICAs. en_US
dc.description.woscitationindex Emerging Sources Citation Index
dc.identifier.citation 1
dc.identifier.doi 10.1016/j.jcm.2022.05.006
dc.identifier.endpage 10 en_US
dc.identifier.issn 0899-3467
dc.identifier.issn 1556-3715
dc.identifier.issue 1 en_US
dc.identifier.pmid 36844987
dc.identifier.scopus 2-s2.0-85134835299
dc.identifier.scopusquality Q3
dc.identifier.startpage 1 en_US
dc.identifier.uri https://doi.org/10.1016/j.jcm.2022.05.006
dc.identifier.uri https://hdl.handle.net/20.500.14627/343
dc.identifier.volume 22 en_US
dc.identifier.wos WOS:001022091900001
dc.language.iso en en_US
dc.publisher Elsevier inc en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 2
dc.subject Blood Flow Velocity en_US
dc.subject Chiropractic en_US
dc.subject Carotid Artery en_US
dc.subject Internal en_US
dc.subject Manipulation en_US
dc.subject Spinal en_US
dc.subject Vertebral Artery en_US
dc.title Effects of Manual Versus Instrumental Spinal Manipulation on Blood Flow of the Vertebral and Internal Carotid Arteries in Participants With Chronic Nonspecific Neck Pain: a Single-Blind, Randomized Study en_US
dc.type Article en_US
dc.wos.citedbyCount 1
dspace.entity.type Publication
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