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WFC 2011 Award Winning Paper| Volume 35, ISSUE 1, P38-44, January 2012

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Effect of Cervical Spine Manipulative Therapy on Judo Athletes' Grip Strength

Published:November 14, 2011DOI:https://doi.org/10.1016/j.jmpt.2011.09.005

      Abstract

      Objective

      The objective of this study was to perform an investigation evaluating if cervical spinal manipulative therapy (SMT) can increase grip strength on judo athletes in a top 10 national-ranked team.

      Methods

      A single-blinded, prospective, comparative, pilot, randomized, clinical trial was performed with 18 athletes of both sexes from a judo team currently competing on a national level. The athletes were randomly assigned to 2 groups: chiropractic SMT and sham. Three interventions were performed on each of the athletes at different time points. Force measurements were obtained by a hydraulic dynamometer immediately before and after each intervention at the same period before training up to 3 weeks with at least 36 hours between interventions.

      Results

      Analysis of grip strength data revealed a statistically significant increase in strength within the treatment group after the first intervention (6.95% right, 12.61% left) as compared with the second (11.53% right, 17.02% left) and the third interventions (10.53% right, 16.81% left). No statistically significant differences were found in grip strength comparison within the sham group. Overall differences in strength were consistently significant between the study groups (P = .0025).

      Conclusion

      The present study suggests that the grip strength of national level judo athletes receiving chiropractic SMT improved compared to those receiving sham.

      Key Indexing Terms

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      References

        • Stump JL
        • Redwood D
        The use and role of sport chiropractors in the National Football League: a short report.
        J Manipulative Physiol Ther. 2002; 25: 1-4
        • Nichols AW
        • Harrigan R
        Complementary and alternative medicine usage by intercollegiate athletes.
        Clin J Sport Med. 2006; 16: 232-237
        • Kazemi M
        • Sherer H
        Chiropractic utilization in Taekwondo athletes.
        J Can Chiropr Assoc. 2008; 52: 96-102
        • Al Bedah A
        • Amigoni M
        • Caizzi
        • et al.
        Diretrizes da OMS sobre a formação básica e a segurança em Quiropraxia. Organizacao Mundial de Saude/Feevale, Genebra2006
        • Chapman-smith D
        Quiropraxia uma profissão na área da saúde.
        São Paulo, Anhembi Morumbi2001
        • Lawrence DJ
        • Meeker WC
        Chiropractic and CAM utilization: a descriptive review.
        Chirop and Ostopa. 2007; 15: 2
        • Bigos S
        • Bower O
        • Braen G
        • et al.
        Acute low back problems in adults. Clinical practice guideline, number 14. US department of Health and Human Services, Public Health Service, Agency for Helth Care Policy and Research, Rockeville, MD1994 ([AHCPR Publication No. 95-0642])
        • Wilkey A
        • Gregory M
        • Byfield D
        • McCarthy PW
        A comparison between chiropractic management and pain clinic management for chronic low-back pain in a national health service outpatient clinic.
        J Altern Complement Med. 2008; 14: 465-473
        • Santilli V
        • Beghi E
        • Finucci S
        Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protusion: a randomized double-blind clinical trial of active and simulated spinal manipulations.
        Spine J. 2006; 6: 131-137
        • Hoiriis KT
        • Pfleger B
        • McDuffie FC
        • et al.
        A randomized clinical trial comparing chiropractic adjustments to muscle relaxants for subacute low back pain.
        J Manipulative Physiol Ther. 2004; 27: 388-398
        • Giles LG
        • Muller R
        Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation.
        Spine. 2003; 28: 1490-1502
        • Giles LG
        • Muller R
        Chronic spinal pain syndromes: a clinical pilot trial comparing acupuncture, a nonsteroidal anti-inflammatory drug, and spinal manipulation.
        J Manipulative Physiol Ther. 1999; 22: 376-381
        • Meade TW
        • Dyer S
        • Browne W
        • et al.
        Low back pain of mechanical origin: randomized comparison of chiropractic and hospital outpatient treatment.
        J Orthop Sports Phys Ther. 1991; 13: 278-287
        • Hurwitz EL
        • Morgenstern H
        • Harber P
        • Kominski GF
        • Belin TR
        • Yu F
        • et al.
        University of California-Los Angeles. A randomized clinical trial of medical care with and without physical therapy and chiropractic care with and without physical modalities for patients with low back pain: 6-month follow-up outcomes from the UCLA low back pain study.
        Spine. 2002; 27: 2193-2204
        • Rubinstein SM
        • Leboeuf-Yde C
        • Koekkoek TE
        • et al.
        Predictors of adverse events following chiropractic care for patients with neck pain.
        J Manipulative Physiol Ther. 2008; 31: 94-103
        • Rubinstein SM
        • Peerdeman SM
        • Van Tulder MW
        • et al.
        A systematic review of the risk factors for cervical artery dissection.
        Stroke. 2005; 36: 1575-1580
        • Haldeman S
        • Kohlbeck FJ
        • McGregor M
        Stroke, cerebral artery dissection, and cervical spine manipulation therapy.
        J neurol. 2002; 249: 1098-1104
        • Carstensen M
        Letters to the editor.
        J Manipulative Physiol Ther. 2004; 27: 69-70
        • Rothwell PM
        • Norris JW
        Cerebrovascular complications of therapeutic neck manipulation the need for reliable data on risks and risks factors.
        J Neurol. 2002; 249: 1105-1106
        • Nook BC
        • Nook DD
        Demographics of athletes and support personnel who used chiropractic physicians at the 6th all African games.
        J Sports Chirop Rehabil. 1997; 11: 136-139
        • Green CM
        • Petrou MJ
        • Fogarty-Hover ML
        • Rolf CG
        Injuries among judokas during competition.
        Scand J Med Sci Sports. 2007; 17: 205-210
        • Colloca CJ
        • Keller TS
        Electromyographic reflex responses to mechanical force, manually assisted spinal manipulative therapy.
        Spine. 2001; 26: 1117-1124
        • Hillerman B
        • Gomes AN
        • Korporaal C
        • et al.
        A pilot study comparing the effects of spinal manipulative therapy with those of extra-spinal manipulative therapy on quadriceps muscle strength.
        J Manipulative Physiol Ther. 2006; 29: 145-149
        • Teodorczyk-Injeyan JA
        • Injeyan S
        • Ruegg R
        Spinal manipulative therapy reduces inflammatory cytokines but not substance P production in normal subjects.
        J Manipulative Physiol Ther. 2006; 26: 14-21
        • Song X
        • Gan Q
        • Cao J
        • et al.
        Spinal manipulation reduces pain and hyperalgesia after lumbar intervertebral foramen inflammation in the rat.
        J Manipulative Physiol Ther. 2006; 29: 5-13
        • Dishman JD
        • Burke J
        Spinal reflex excitability changes after cervical and lumbar spinal manipulation: a comparative study.
        Spine J. 2003; 3: 204-212
        • Sedliak M
        • Finni T
        • Cheng S
        • et al.
        Diurnal variation in maximal and submaximal strength, power and neural activation of leg extensors in men: multiple sampling across two consecutive days.
        Intern J Sports Med. 2008; 29: 217-224
        • Colloca CJ
        • Keller TS
        • Gunzburg R
        Biomechanical and neurophysiological responses to spinal manipulation in patients with lumbar radiculopathy.
        J Manipulative Physiol Ther. 2004; 27: 1-15
        • Netter FH
        Atlas de anatomia humana.
        2nd ed. Porto Alegre, Artmed2000