PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1994 - Vol. 2, No. 4
* this issue only available in Hardcopy format
Progressive Muscle Synergy and Synchronization in Movement Patterns: An Approach to the Treatment of Dynamic Lumbar Instability
Helen W.M. Lee, B.Sc..P.T.
Abstract: Patients with dynamic lumbar instability often present with a variety of clinical signs and symptoms. A possible assessment finding is the presence of abnormal movements during osteokinematic movement of the extremities. This paper discusses possible mechanisms involved in establishing normal and abnormal movement patterns. A unique approach to rehabilitating movement patterns in patients presenting with dynamic lumbar instability is discussed. The concepts of open and closed kinetic chain exercise for the treatment of dynamic lumbar instability are introduced.
The Journal of Manual & Manipulative Therapy Vol. 2 No. 4 (1994), 133 - 142
Professional Association Response to the Manga Report
Ontario Physiotherapy Association
Abstract: The report entitled "The Effectiveness and Cost- Effectiveness of Chiropractic Management of Low Back Pain" was funded by the Ontario Ministry of Health and undertaken by Pran Manga and Associates. Known as the Manga Report, for its lead author, economist Pran Manga, the report raises important issues related to the treatment of low back pain (LBP), a condition with major economic and quality of life implications. In this briefing not to the Ontario Ministry of Health regarding the Manga Report (MR), the Ontario Physiotherapy Association (OPA) questions the interpretation of the data and conclusions made by the authors of the report and expresses the belief that further analysis and discussion are required if appropriate health services policy decisions are to be made.
The Journal of Manual & Manipulative Therapy Vol. 2 No. 4 (1994), 143 - 148
The Effects of Muscle Energy Technique on Cervical Range of Motion
Ronald Schenk, PhD, PT, OCS, Kimberly Adelman, MS, PT, John Rousselle, EdD, AT, C
Abstract: The Purpose of this study was to determine if a four week treatment period of muscle energy technique (MET) would significantly increase cervical flexion, extension, sidbending, and rotation in asymptomatic persons with limited range of motion (ROM). Eighteen volunteers qualified as subjects foe the study following screening for neck ROM limitations. The subjects were then randomly assigned to either a control or MET group. A series of six, Mixed, Two-way, analysis variance (ANOVA) were used to test for significant cervical ROM increases. The two factors examined were Group 9MET vs. control) and Test (pre vs. post). Significant interactive effects for both left and right rotation were found (both F's > 4.8 and P's < 0.05) indicating a significantly greater ROM in the MET group. Trends toward significance were found for the remaining ranges of motion with the mean measures for each of the treatment groups showing an increase between pre-test and post-test. These results support MET as an effective technique for increasing cervical range of motion.
The Journal of Manual & Manipulative Therapy Vol. 2 No. 4 (1994), 149 - 155
Sympathetic Slump': The Effects of a Novel Manual Therapy Technique on Peripheral Sympathetic Nervous System Function
Helen Slater M. Appl. Sc., B. Appl. Sc. Phty., Grad. Dip. Adv. Manip. Ther., Bill vicenzino MSc., B. Phty., Grad. Dip. Sports Physio., Anthony Wright Phd, B. Sc. (Hons) Phty.
Abstract: The present study examined the physiological effects of the 'sympathetic slump' on the measures of peripheral sympathetic nervous system (SNS) function in normal volunteers. 'Sympathetic Slump' has been proposed (1) as a technique to load the sympathetic trunk (ST). It is suggested that mechanical stimulation of the ST will result in alterations in peripheral SNS function and/or target tissue sensitivity. This technique forms part of an overall examination and treatment protocol for patients with features of sympathetically maintained pain (2=13). the present study evaluated the effect of 'Sympathetic Slump" on two measures ( skin conductance and skin temperature) of the peripheral SNS function. Twenty-Two normal, asymptomatic subjects with no previous experience of manual therapy participated in the study. A randomised, repeated measures, double-blind, placebo controlled protocol was used to evaluate the effects of 'Sympathetic Slump', placebo and control conditions on skin conductance and skin temperature in the upper limbs. 'Sympathetic Slump' produced a significantly greater in skin conductance than either placebo or control. A greater increase in skin conductance was observed in the right upper limb compared to the left limb, in keeping with the fact that the technique used in this study was intended to bias the right ST. Significant changes in skin temperature occurred for both 'sympathetic slump' and placebo compared to control, however there was no significant difference between 'sympathetic slump' and placebo. 'Sympathetic Slum" did however appear to exert a greater differential effect between sides (R < L) than did the placebo technique. The results of this study demonstrate that the 'sympathetic slum' technique influences peripheral SNS function. The technique has the capacity to differentially increase sympathetic activity in the ipsilateral upper limb.
The Journal of Manual & Manipulative Therapy Vol. 2 No. 4 (1994), 156 - 162
* this issue only available in Hardcopy format
