The Journal of Manual & Manipulative Therapy is pleased to announce the following Manual Therapy Award winners for 2003.

The Cardon Award

For Excellence in a Published Research Article

Lorimer Moseley for his article, Joining Forces

The Cardon Award for Excellence in a Published Research Article is awarded to Lorimer Moseley for his article Joining Forces -- Combining Cognition, Targeted Motor Control Training with Group or Individual Pain Physiology Education: A Successful Treatment for Chronic Low Back Pain that appeared in volume 11, number 2, pages 88-94.

Abstract: Chronic unremittent low back pain (LBP) is characterised by cognitive barriers to treatment. Combining a motor control training approach with individualised education about pain physiology is effective in this group of patients. This randomized comparative trial (i) evaluates an approach to motor control acquisition and training that considers the complexities of the relationship between pain and motor output, and (ii) compares the efficacy and cost of individualized and group pain physiology education. After an "ongoing usual treatment" period, patients participated in a 4-week motor control and pain physiology education program. Patients received four one-hour individualized education sessions (IE) or one 4-hour group lecture (GE). Both groups reduced pain (numerical rating scale) and disability (Roland Morris Disability Questionnaire). IE showed bigger decreases, which were maintained at 12 months (P >0.05 for all). The combined motor control and education approach is effective. Although group education imparts a lesser effect, it may be more cost-efficient.

Lorimer Moseley is a clinical and research physiotherapist with a special interest in chronic and complex pain syndromes. After working as a manual and sports physiotherapist, where he developed a special interest in chronic pain and the neural mechanisms involved in treatment, he was awarded the NSW Motor Accidents Authority post-graduate award in 1998. In 2001 completed his PhD in psychophysiology of pain and movement, through the Department of Anaesthesia and Pain Management, University of Sydney. He was awarded a prestigious Clinical Research Fellowship from the National Health & Medical Research Council of Australia and is a Conjoint Research Fellow at the University of Queensland & Royal Brisbane & Women's Hospital. In 2003 he was awarded best paper at the WCPT scientific conference. He has over 25 publications in international journals, over 30 invited lectures and more than 50 published abstracts at national and international conferences. He has co-authored two books on explaining pain and several chapters in international texts.

The OPTP Award

For Excellence in a Published Review of the Literature

Chad Cook for his article Coupling Behavior of the Lumbar Spine: A Literature Review

The OPTP Award for Excellence in a Published Review of the Literature is awarded to Chad Cook for his article Coupling Behavior of the Lumbar Spine: A Literature Review that appeared in volume 11, number 3, pages 137-145.

Abstract: Coupling behavior has been described as fundamental to the theory of lumbar biomechanics. Different manual therapy approaches use discrepant coupling biomechanical models. Despite these inconsistencies, coupling models have been frequently used in the management of low back pain. The purpose of this paper is to investigate evidence for the use of coupling biomechanical modeling in manual therapy assessment and treatment. The findings of this paper suggest that use of a single dogmatic lumbar spinal coupling approach utilizing a side-bend initiation may not be appropriate and could lead to unreliable findings. The use of rotation initiation needs further consideration. Coupling behavior may be more consistent if rotation is initiated first, however there is insufficient evidence to substantiate this view.

Chad Cook graduated with a d BS in physical therapy from Maryville University, St. Louis, Mo. USA, in 1990. He received a MBA from the University of Phoenix, Phoenix, AZ, USA in 1999 and completed a PhD at Texas Tech University, Lubbock, Texas, USA in Human Sciences in 2003. Chad received post-graduate certifications in manual therapy from Maitland/Australian Physiotherapy Seminars in 2001 and is a senior instructor with that group. He was board certified as an orthopedic specialist by the APTA in 2002. Chad is an Assistant Professor and Program Director of the Master of Science in Rehabilitation Sciences program at Texas Tech University. He teaches in the areas of clinic management, orthopedics, and research. Chad is actively involved in research associated with the spine, balance and falls, and outcomes. He maintains clinical practice in all forms of rehabilitation settings but specializes in outpatient orthopedics.

The TherEx Award

For Excellence in a Published Case Study

Bruce A. Franke Jr. for his article Formative Dynamics: The Pelvic Girdle

The TherEx Award for Excellence in a Published Case Study is awarded to Bruce A. Franke Jr. for his article Formative Dynamics: The Pelvic Girdle that appeared in volume 11, number 1, pages 12-40.

Abstract: Altered mechanics and/or forces related to the lumbar/pelvic/hip regions may result in pelvic-girdle dysfunction and or instability, which then may contribute to the development, persistence, or reoccurrence of low back pain (LBP). This series of three case studies outlines an integrated biomechanical clinical evaluation and treatment approach utilizing manual care, education, and exercise in the treatment of patients with chronic pelvic-girdle dysfunction and/or instability.

This integrated approach was used on three patients with a primary diagnosis of sacroiliac joint (SIJ) dysfunction. These patients had similar patterns of altered mechanics, movement patterns, and muscle imbalances. The treatment they received was an integration of three components:
1. restoration of optimal soft tissue/joint mechanics to the thoracic/lumbar/pelvic region and lower quarters;
2. patient education in specific self-stretching/mobilization exercises, spinal/pelvic stabilization exercises, and body mechanics training;
3. pelvic external bracing and/or prolotherapy injections (sclerosing) for those patients with hypermobile/unstable, chronic and recurring pelvic girdle dysfunction.
Treatment varied from 24 to 35 visits over a 3-4 month period. The treatment outcomes demonstrated a correlation between improved patient function and pain reduction after restoring optimal mobility, functional strength, and movement patterns. These benefits lasted well beyond the course of treatment. Further research is needed to determine whether patients with chronic pelvic-girdle dysfunction and/or instability who receive this integrated approach will consistently achieve lasting pain relief and restoration of function when compared with no treatment or other treatment approaches.

Bruce A Franke Jr. received his Bachelors degree in Physical Therapy from the College of St. Scholastica, in Duluth MN in 1987, and his Master of Science degree in Orthopedic Physical Therapy through the University of St. Augustine, in 2001. Mr Franke is a Board Certified Clinical Specialist in Orthopedic Physical Therapy (OCS) with the American Physical Therapy Association and a Fellow in the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT). Bruce has been instructing courses in manual therapy and therapeutic exercise for the spine, rib cage and pelvis for more than 10 years. Mr Franke currently practices in an outpatient private practice in Tucson AZ, specializing in orthopedic manual therapy and spinal rehabilitation. His clinical and research interests include management of chronic pain associated to lumbar and pelvic instability, as well as scoliosis.