PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY

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1995 - Vol. 3, No. 3

* this issue only available in Hardcopy format


Muscle & Pelvic Clutch

Thomas A dorman , MD, S. Brierly, BS, J. Fray, BS, K.Pappani, BS

Abstract: The forward bending test has served manual medicine practitioners foe many years in determining the side of a stiff sacroiliac joint in cases of somatic dysfunction. This study evaluated the frequency of an apparently 'abnormal' forward bending test in a cohort of young individuals, without back pain. Pseudo-leg length discrepancy from asymlocation (asymmetric, but not dysfunctional positional asymmetry, of the sacoiliac articulations) was assessed. The ease in which the asymlocation could be changed, in this apparently healthy cohort, was recorded. Finally the strength of the abductors of the hip was measured in the short and long position of the legs ( anterior and posterior positions of the ilia). The observations led to the postulate that the abductors of the hip play a physiologic role in initiating force closure with heel strike in human walking.


The Journal of Manual & Manipulative Therapy Vol. 3 No.3 (1995 ), 85 - 90


Relationship of Forward Head Posture and Cervical Backward Bending to Neck Pain

Laura J. Haughie, MS, PT, Ira M. Fiebert, PhD, PT, Kathryn E. Roach, PhD, PT

Abstract: The purpose of this study was to investigate the relationship of forward head posture and cervical backward bending to neck pain. The subjects were fifty-four volunteer office workers, who spent at least four hours of their work day at a computer terminal (17 males and 37 females). Since all subjects reported having pain, the subjects who reported pain in four areas or more were considered the case group and those who reported pain in three areas or less were considered the control group. Measurements of forward posture and cervical backward bending in both the natural sitting position and the erect sitting position were recorded by the Cervical Range of Motion Institute (CROM). The results showed that compared to the control group, the case group subjects had more pain over the last thirty days, visited medical professionals more frequently during the past twelve months, and when describing a typical day reported greater pain. Additionally, members of the case group had greater head posture and less cervical backward bending in the natural sitting position and the erect sitting position. The results of this study supported the belief that a relationship of forward head posture and cervical backward bending to neck pain exists.


The Journal of Manual & Manipulative Therapy Vol. 3 No.3 (1995 ), 91 - 97


The Effects if Immobilization on Connective Tissue

Tom Hendricks, PT

Abstract: Details of the composition and structure of connective tissue are covered along with the effects of mechanical stress and immobilization on these tissues. The purpose of the paper is to describe the biomechanical and biomechanical effects of immobilization on periarticular connective tissue, ligaments, tendons and articular cartilage. Implications for treatment and suggestions for further research are presented.


The Journal of Manual & Manipulative Therapy Vol. 3 No.3 (1995 ), 98 - 103


Kinematic Analysis of the Lumbar Lateral Flexion and Lumbar Lateral Shift Movement Techniques

Kara Mulvein BSc(Hons) MohtySt, Gwendolen Jull Mphty< Grad Dip Manip Ther, FACP

Abstract: Clinicians advocate that the lumbar lateral shift may more readily detect low lumbar spine dysfunction and provide a more effective treatment movement than conventional lateral flexion. No previous studies have analyzed these movements to investigate whether they have a different effect on the lumbar spine. In the first instance, a group of normal, healthy volunteers with no history of back pain were studied with a three dimensional non-invasive measurement technique. Results demonstrated that lumbar lateral flexion incurred a mean of 16.6 degrees of lateral flexion at the upper lumbar levels (L1-L4) and 3.6 degrees at the lower levels (L4-S1). Comparatively, lumbar shift produced 5.5 degrees of lateral flexion at the upper levels constituting a reduction of movement, but there was no significant difference in the magnitude of lateral flexion at the lower levels (2.5) Lumbar shift may therefore be more effective in the assessment and treatment of patients with low back pain, as the movement is focused to the lower lumbar levels which are more frequently pathognomonic.


The Journal of Manual & Manipulative Therapy Vol. 3 No.3 (1995 ), 104 - 109


* this issue only available in Hardcopy format