PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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2004 - Vol. 12, No. 3
* this issue only available in PDF format
Association Between Lateral Pelvic Tilt and Asymmetry in Sitting Pressure Distribution
Einas Al-Eisa, PT, MSc, David Egan, PT, PhD, Anne Fenety, PT, PhD
Abstract: Physical therapists commonly associate lateral pelvic tilt (LPT) with a variety of musculoskeletal adaptations, syndromes and altered function. Such musculoskeletal adaptations have been suggested in many reports to cause unequal sitting pressure distribution (SPD) at the buttock/chair interface. However, those reports have failed to provide objective evidence to support that hypothesis. This study was conducted to examine the relationship between LPT and SPD in a sample of healthy female volunteers. Subjects were tested for pelvic symmetry using an anthropometric frame, then assigned to two groups: symmetrical (n = 36) and LPT (n = 9). SPD was measured in an upright sitting posture using an interface pressure mat. Although the results indicated that there were no significant differences between the two groups in the magnitude and position of the peak pressure, there was a greater variability among subjects in the LPT group than the symmetrical group. This observation is worth further investigation as it tends to indicate that persons with LPT are less likely able to maintain a steady sitting position.
The Journal of Manual & Manipulative Therapy Vol. 12 No. 3 (2004), 133 - 142
Effectiveness of Neural Mobilization in the Treatment of a Patient with Lower Extremity Neurogenic Pain: A Single-Case Design
Joshua Cleland, DPT, OCS, Gary C. Hunt, DPT, OCS, CPed, Jessica Palmer, SPT
Abstract: It is postulated that neural tissue mechanosensitivity contributes to symptoms associated with peripheral neurogenic pain disorders. However, there is a paucity of literature regarding the most effective clinical practices for managing pain of peripheral neurogenic origin. As clinical use of neural mobilization continues to flourish in the management of these pain syndromes, it is imperative to document outcomes associated with these techniques. The purpose of this single-case A1-B1-A2-B2 design was to investigate the effectiveness of neural mobilization in the management of a 29-year-old female patient with symptoms suggestive of peripheral neurogenic involvement. The intervention phases (B1 and B2) consisted of neural mobilizations specifically directed at the sciatic continuum. Outcome measures (degrees of hip flexion during the straight-leg-raise and pain) demonstrated both visual improvement and statistically significant improvements following implementation of the neural mobilization techniques. This single-case design provides a measure of scientific support for the use of neural mobilizations with patients presenting with lower extremity neurogenic pain disorders. However, generalizability is poor, and further methodologically sound clinical trials are necessary to investigate the effectiveness of neural mobilization in a larger patient population.
The Journal of Manual & Manipulative Therapy Vol. 12 No. 3 (2004), 143 - 152
Investigation of a Consistent Pattern of Motion Restriction in Patients with Adhesive Capsulitis
Jeff Mitsch, MPT, Jennifer Casey, MPT, Rachel McKinnis, MPT, Sam Kegerreis, PT, MS, ATC, Jill Stikeleather, PT, PhD
Abstract: The purpose of this study was to evaluate patients diagnosed with adhesive capsulitis for the presence of a measurable pattern of capsular restriction. Thirty patients receiving physical therapy at an outpatient clinic in the Indianapolis, Indiana area were included in the study. Exclusion criterion were (1) conditions affecting glenohumeral ROM of the uninvolved shoulder, (2) history of rheumatoid arthritis or mastectomy, and (3) symptoms due to trauma. Each subject's involved and uninvolved shoulder abduction (ABD), external rotation (ER), and internal rotation (IR) measurements were taken with an MIE fluid inclinometer and goniometer. The involved limb's percentage of motion of the uninvolved limb was determined for each of the three measures. Dependent t-tests were used to determine the differences between the involved and uninvolved limbs. A repeated measures ANOVA was used to compare differences across motion. Results showed that the involved limb had significantly less motion than the involved limb across all motions (F=13.692, p=.00). Post -hoc analysis showed that ER was significantly limited when compared to IR and ABD, while ABD and IR were not seen to be different.
The Journal of Manual & Manipulative Therapy Vol. 12 No. 3 (2004), 153 - 159
* this issue only available in PDF format
