SMT4 Numbers

Question 1

Rate force application for HVLAT

Answer 1

1368 N/sec

Question 2

How much preload mean force for thoracic HVLAT

Answer 2

24N

Question 3

Mean peak force for T-spine HVLAT

Answer 3

248 N - Herzog

Question 4

Average peak thrust velocity

Answer 4

127°/sec

Question 5

What acceleration is needed for HVLAT

Answer 5

2183°/sec2

Question 6

What is the mean peak force of C-Spine HVLAT

Answer 6

118N

Question 7

Force required to break the “fixation” of a joint after it is focused in CS/TS

Answer 7

150N CS

500N TS

Question 8

What % Of dissections had a Hx of minor mechanical neck trauma 3 weeks prior

Answer 8

64%

Question 9

What percent of agreement of normal joint as painless in Jull et al 1994

Answer 9

98%

Question 10

What was the percent agreement in Smedmark et al study

Answer 10

77%

Question 11

When did mechanical failure of the vertebral artery occur?

Answer 11

139-162% greater than at rest

Question 12

What was the kappa coefficient of Smedmatk et al 2000 study

Answer 12

0.28 & 0.43

Question 13

According to Lee et al 1995, what % of neurologists reported at least one case of stroke

Answer 13

21%

Question 14

During Cs HVLAT, what % of strain is found on vertebral artery

Answer 14

6.2% greater than at rest

Question 15

During CS HVLAT, what percentage of strain is noted on the vertebral artery

Answer 15

6.2% greater than at rest

Question 16

What % of ICA dissection patients is Horner’s syndrome present in

Answer 16

82%

Question 17

What did the 16.4% of minor events consist of according the Theil et al 2007

Answer 17

HA and neck pain

Question 18

What was the reported estimate of CVA’s from Danish Chiros

Answer 18

1 in 1.3,000,000 CS Treatments

Question 19

What were the results of Carlesso et al 2010 systematic review of adverse events after cervical manipulation or mobilization?

Answer 19

Theil et al 2008 reported no major or catastrophic outcomes in CS HVLAT. Average 16.3 of minor events across all studies

Question 20

According to Ernst 2019, how many Chiro SMT’s have resulted in death?

Answer 20

26

Question 21

In cadavers, Symons et al 2002 found what % of strain from CS ROM testing of vertebral artery?

Answer 21

1.2-12.5% greater than at rest

Question 22

What percent of Australian PT’s use pre-manipulation stress test according to Osmotherly & Robert 2011

Answer 22

Rarely 54.5%

Never 62.4%

Question 23

Gal et al 1997 mvmts in TS

Answer 23

Sagittal 6-12 mm
Lat 3-6mm
Axial .4-1.2%
Sagittal rot 0.8-1.5%

Question 24

What year did the international headaches Society diagnose CGH

Answer 24

1988, 2004

Question 25

According to Nilsson et al & Pfaffenrath & Kaubel 1990, what is the prevalence of CGH

Answer 25

15 to 20% of all chronic and recurrent HA’s

Question 26

Oliphant found what ratio of worsening of lumbar spine with SMT

Answer 26

1 in 3.7 million

Question 27

What is the difference in mm between sub adjacent transverse processes in the Fernandez de las Pẽnas 2005

Answer 27

3.44mm less on the hypomobile side

Question 28

In Fernandez de las Peñas et al 2005 what were the overall results

Answer 28

84% had TrPs

Question 29

In Fernandez de las Penas wt al 2005 what Percent were the ipsilateral joint dysfunction

Answer 29

97%

Question 30

In Fernandez de las Penas wt al 2005 what Percent had dysfunction at C3

Answer 30

61%

Question 31

In Fernandez de las Penas et al 2005 what Percent had dysfunction at C4

Answer 31

74%

Question 32

In Fernandez de las Penas et al 2005 what Percent were active TrPs

Answer 32

28%

Question 33

In Fernandez de las Penas et al 2005 what Percent were latent TrPs

Answer 33

56%

Question 34

Laslett 2003

Answer 34

Sensitivity 91% Specificity 87%

Question 35

Laslett 2005

Answer 35

Sensitivity 94% Specificity 78%

Question 36

Van dur Wuff

Answer 36

Sensitivity 85% Specificity 79%

Question 37

Treatment duration, child’s versus Hancock

Answer 37

2 vs 8-12

Question 38

Difference between child, versus Hancock duration of symptoms

Answer 38

27 vs 5

Question 39

Loss of follow up child’s versus Hancock

Answer 39

30% vs 2%

Question 40

Danneels —> 10 weeks stabilization program O’Sullivan versus concentric/eccentric versus concentric/eccentric/isometric (need 70% MVC)

Answer 40

Results: needs 70% MVC to see changes in LM

Question 41

Myers —> contrast T2 MRI with GHD trunk extension 40/50/60% MVC

Answer 41

Results: need 70% MVC to see changes in LM

Question 42

Koumantakis -> drawing in maneuver versus TrA & LM cocontraction (specific stabilization VS general exercises)

Answer 42

Results: no difference between the two groups

Question 43

Absolute contraindications of SMT

Answer 43

Vascular - aneurism, CAD Bone - tumor, osteomalacia, long term, cortical, steroid use, fracture Neurological – Cauda equina, CS myelopathy

Question 44

Relative contraindications of SMT

Answer 44

Pregnant, herniated disc, osteoporosis, RA, Spondy, DDD