PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1996 - Vol. 4, No. 2
* this issue only available in Hardcopy format
Predicting Ankle Sprain
Kenneth W. Bush, PT, Phd
Abstract: The purpose of this study was to assess predictors of ankle sprain from a measure of balance ability, ankle evertor strength, ankle dorsiflexion range of motion and ankle proprioception. Twenty five male athletes who had sustained an ankle sprain were compared with a matched group of subjects. Ankle evertor strength was measured with a strain gauge, ankle dorsiflexion range of motion was measured with an inclinometer, balance ability was measured with a force plate and proprioception was measured by having the subject duplicate ankle position on a platform which measured inversion and eversion. Both previously sprained ankle and the unaffected ankle of the injured group had less ankle evertor strength could correctly identify injured and uninjured subjects in 72% of the cases.
The Journal of Manual & Manipulative Therapy Vol. 4 No.2 (1996 ), 54 - 58
Use of Specific End-of-Range Position for threatening a Patient with a Knee Dysfunction
Gerda Diekmeyer, BScPT
Abstract: A case history of non-irritable knee joint dysfunction is presented to illustrate the importance of recognizing specific end-of-range positions (e.o.r.ps.). E.o.r.ps. are defined as the extremes of functional movement patterns tested passively. This case history is intended to demonstrate the value of recognizing these positions as far as effectiveness of treatment is concerned. No attempt is made here to describe the e.o.r.ps. of joints other than the knee. Knowing exactly how to test joints in cases of pain with apparent full range movement and knowing how to treat the patient when range of movement is lost enhances both effectiveness and efficiency of diagnosis and treatment.
The Journal of Manual & Manipulative Therapy Vol. 4 No.2 (1996 ), 59 - 64
Spinal Accessory Nerve Palsy
Cheryl M. Petersen, MS, PT
Abstract: This 46 year old female sustained a right humeral Golstein fracture without radial nerve complications related to a ski fall. She also sustained a left spinal accessory nerve traction injury which was undiagnosed until six weeks post-fracture. There was significant denervation of the left upper, middle and lower trapezius muscles. With reinnervation, she achieved muscle strength grades ranging from poor to good minus seven months after injury. Eight months post fracture with spinal accessory nerve involvement, she functionally resumed skiing without any limitations. One year after the skiing accident, muscle strength grades ranged from poor ( upper trapezius muscle) to good (middle and lower trapezius muscles).
The Journal of Manual & Manipulative Therapy Vol. 4 No.2 (1996 ), 65 - 69
Can the Force Platform be Used to Measure the forces Applied During a PA Mobilization of the Lumbar Spine?
Nicola Jane Petty, MSc, MCSP, SRP, GradDipManipTher, MMACP, Neil Messenger, BSc, PhD
Abstract: The purpose of this study was determine the validity of using a force platform to measure the force applied during a PA mobilization of the lumbar spine. An experienced Physiotherapist stood on a force platform and applied a simulated PA mobilization for 20 seconds to one arm of a Digital Pinch Grip Analyzer (PGA) which was secured to a portable treatment couch. The test was repeated 10 times and minimums and maximum forces for each oscillation were measured simultaneously by the PGA and force platform. The amplitudes and frequencies of oscillation where determined and two tailed paired t tests were carried out to compare the readings from the PGA and force platform. The force platform overestimated the applied force by less than 4N, an error of less than 4%. The force platform underestimated the amplitude of oscillation by less than 1N, an error of less than 3%. These errors were considered to be small. The force platform accurately measured the frequency of the oscillation. It was concluded that the force platform is a valid tool which to quantity the forces applied whilst investigating the effects of PA mobilization.
The Journal of Manual & Manipulative Therapy Vol. 4 No.2 (1996 ), 70 - 76
* this issue only available in Hardcopy format
