Abstract：
OBJECTIVES:To examine beliefs about cracking sounds heard during high-velocity low-amplitude (HVLA) thrust spinal manipulation in individuals with and without personal experience of this technique. METHODS:We included 100 individuals. Among them, 60 had no history of spinal manipulation, including 40 who were asymptomatic with or without a past history of spinal pain and 20 who had nonspecific spinal pain. The remaining 40 patients had a history of spinal manipulation; among them, 20 were asymptomatic and 20 had spinal pain. Participants attended a one-on-one interview during which they completed a questionnaire about their history of spinal manipulation and their beliefs regarding sounds heard during spinal manipulation. RESULTS:Mean age was 43.5±15.4years. The sounds were ascribed to vertebral repositioning by 49% of participants and to friction between two vertebras by 23% of participants; only 9% of participants correctly ascribed the sound to the formation of a gas bubble in the joint. The sound was mistakenly considered to indicate successful spinal manipulation by 40% of participants. No differences in beliefs were found between the groups with and without a history of spinal manipulation. CONCLUSIONS:Certain beliefs have documented adverse effects. This study showed a high prevalence of unfounded beliefs regarding spinal manipulation. These beliefs deserve greater attention from healthcare providers, particularly those who practice spinal manipulation.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Demoulin C,Baeri D,Toussaint G,Cagnie B,Beernaert A,Kaux JF,Vanderthommen Mdoi
10.1016/j.jbspin.2017.04.006subject
Has Abstractpub_date
2018-03-01 00:00:00pages
239-242issue
2eissn
1297-319Xissn
1778-7254pii
S1297-319X(17)30083-0journal_volume
85pub_type
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