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1994 - Vol. 2, No. 1

* this issue only available in Hardcopy format

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. 2 No. 1 (1994) 3 - 6

Update on Headache Classification and the implications for Orthopaedic Physical Therapists

Howard W Makofsky, MS, PT, OCS

Abstract: The purpose of this article is to provide an update on headache diagnosis and classification relative to the role of orthopaedic physical therapy. This article uses the terminology accepted by the International Headache Society in 1988 and attempts to define the role of physical therapy in various categories of headache mentioned. In some headache categories, for example, tension-type; there is an obvious place for the utilization of manipulative and other orthopaedic approaches can be useful. Also mentioned are those headaches which require an immediate medical referral. Because of the various complications of various drug use many physicians and dentists are looking more to the physical therapy profession for assistance in managing recurring headache patients. Therefore, we, as physical therapists, must be familiar with their terminology and confident with our clinical skills within the practice of physical therapy.

The Journal of Manual & Manipulative Therapy Vol. 2 No. 1 (1994) 7 - 10

Validation of a Non-Invasive Method of Measuring the Surface Curvature of the Erect Spine

Sally Raine Bsc (Hons), Grad Dip Phthy, Lance T. Twomey B App Sc Bsc (Hons) Ph D

Abstract: Although non invasive instruments used to measure the surface curvature of the spine have been widely described in the literature, there is inconclusive evidence to substantiate a relationship between their measurement of the erect thoracolumbar spine and measurements taken from radiograph. In addition, such instruments evaluate surface curvature of the spine by measuring the angle between tangents taken at two surface points along the back, and thus may not precisely quantify the visible shape of the spinal curve. This paper described a non-invasive method of evaluating the surface curvature of the spine in a sagittal plane which quantifies the shape of a curve more precisely, according to the mathematical definition of curvature. The method is shown to accurately measure the magnitude of a curve and to provide a surface measurement of spinal curvature that bears a reasonable relationship to the curvature of the underlying vertebral column.

The Journal of Manual & Manipulative Therapy Vol. 2 No. 1 (1994) 11 - 21

The Role of Vertebral Movement in Gait: Implications for Manual Therapy

Margaret P. Yekutiel, PT, PhD

Abstract: Gait studies tend to focus on the lower limbs and pay less attention to the movements of the trunk. The kinematics and kinetics of the lower limbs have been studied by treating the remaining two-thirds of the body as a rigid structure ('HAT') Energy-Saving angular movements of the pelvis in all the planes are made possible by compensatory spinal movements. This interaction of the pelvis and spine is discussed for horizontal rotation, for which some data are available. Loss of intervertabral rotation, due to chronic low back pain, leads to cancellation of pelvic rotation and a less efficients gait. The assessment and rehabilitation of patients with chronic low back pain should include attention to spinal function in waking.

The Journal of Manual & Manipulative Therapy Vol. 2 No. 1 (1994) 22 - 27

* this issue only available in Hardcopy format