PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1993 - Vol. 1, No. 4
* this issue only available in Hardcopy format
Scrutinizing Tacit Assumptions in Manual therapy
Gregory P. Grieve, FCSP, DipTP
Abstract: In this review, I have selected a few basic concepts and methods of practice, which, in my view, deserve some discussion. Among the issues discussed are referred pain, bilateral asymmetry, nomenclature, and manipulation accidents.
The Journal of Manual & Manipulative Therapy Vol. 1 No. 4 (1993) 123 - 133
Effects of Poster-Anterior Mobilization on Lumbar Extension and Flexion
CPT Rebecca L. McCollam, PT, MSA, LTC Cindy J. Benson, MPT
Abstract: This study was designed to determine the effects of the Maitland technique of central postero-anterior vertebral pressures (Pas) on lumbar flexion and extension mobility in an asymptomatic population. One hundred thirty active duty military males participated. Using the two fluid-based inclinometer method, the primary investigator measured standing neutral position, active end range flexion and active end range extension. Subjects were then sent to the secondary investigator who randomly assigned them to either treatment or control groups. The treatment group received three, one-minute series of Grade lV + Pas at the fifth, Fourth and third lumbar spinous processes for a total of nine minutes. The control group lay prone for nine minutes. Measurements were repeated post-treatment by the primary investigator. Subjects were measured again one week post- treatment after completing the questionnaire about changes in physical activity, occupational duties, new injuries and subjective changes involving the low back. The treatment group hade a significant gain in extension immediately post-treatment (p < .05) of 7.1 percent compared tp a 0.1 percent gain in extension in the control group. Flexion mobility varies less than 1 percent immediately post-treatment in both groups. Results indicate that nine minutes of PA mobilization significantly increased lumbar entension among asymptomatic subjects.
The Journal of Manual & Manipulative Therapy Vol. 1 No. 4 (1993) 134 - 141
The Effects of Mobilization on Forward Bending Range
Helen Gibson, BappSc (Phty) GradDipAppSc (Manip Phty), Jill Ross, BappSc (Phty) GradDipAppSc (Manip Phty), Jill Allen, BappSc (Phty) GradDipAppSc (Manip Phty), Jane Latimer, BappSc (Phty) GradDipAppSc (Manip Phty), Christopher Maher, BappSc (Phty) GradDipAppSc (Manip Phty), GradDipAppSc (Ex & Sports Sc)
Abstract: Passive physiological flexion is a spinal mobilization commonly used to restore forward bending range of movement, however there is little evidence to support the efficacy of this technique. The aim of this randomized controlled trial therefore, was to determine the effects of passive physiological flexion technique on forward bending range of motion in subjects with reduced range. Forty volunteer subjects with reduced range, were randomly assigned to experimental and control groups. Subjects in the control group lay supine, with the hips and knees flexed ( crook lying ) for an equivalent time period. An independent samples t test revealed a significant difference between the groups, the experimental group attaining a 3.79 cm increase in range, compared to a change 1.24 cms in the control group. This study provides support for the use of passive physiological flexion to increase forward bending range.
The Journal of Manual & Manipulative Therapy Vol. 1 No. 4 (1993), 142 - 147
* this issue only available in Hardcopy format
