PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1996 - Vol. 4, No. 4
* this issue only available in Hardcopy format
Lumbar Facets: An Anatomic Framework for Low Back Pain
James W. Bellew MS, PT
Abstract: Low back pain patients may be the largest population seen in orthopedic clinical setting. Each encounter with a new patient suffering pain in the low back poses a challenge to the treating clinician. Successful treatment is predicted upon proper identification of the cause of discount. Facet joints of the lumbar spine have often been overshadowed by the Intervertebral disc when consideration is given to the pain origins. The anatomical specialization of the facet joints reveals the inherent capability for their involvement in the production of low back pain. Recent immunohistologic investigations have revealed free nerve endings within the facet joint receptive to pain stimuli. The intent of this reviews is to provide evidence for the potentiating role of the lumbar facets in low back pain.
The Journal of Manual & Manipulative Therapy Vol. 4 No.4 (1996 ), 149 - 156
A Clinical Review of the Literature on the Anatomy and Biomechanics of the Sacroiliac Joint
William L. Oldeive MSC, BA, MCSP, DIP TP
Abstract: A critical review of the literature on the anatomy and biomechanics of the sacroiliac joint revealed considerable variation in descriptions of its classifications, articular surfaces, ligaments and muscles. This was reflected in the differences in the accounts of the types and magnitude of movement occurring at the joint, and the biomechanics of the pelvis. Some possible implications of these findings were drawn, and some recommendations for further research were made.
The Journal of Manual & Manipulative Therapy Vol. 4 No.4 (1996 ), 157 - 165
A Prospective Study of Complications of Cervical Spine Manipulation
Darren A. Rivett B App Sc (Phty), Grad Dip Manip Ther, M App Sc (Manip Phty)
Abstract: Complications or adverse responses to cervical spine manipulation, particularly Neurovascular compromise, are well documented in the literature. However, the rate of incidence of such adverse responses in manipulative physiotherapy has not been documented, indicating a need for well-designed prospective studies to accurately determine the associated risk of these procedures. To this end, a pilot study trialing a prospective adverse response reporting system was undertaken over a three month period in New Zealand. Twenty manipulative physiotherapists were approached to participate by reporting and describing any adverse responses to cervical spine manipulation they experienced over this time. Nine manipulative physiotherapists were able to participate and reported only a minor incident, a temporary, mild exacerbation of the neck pain. It was calculated that the incidence rate for this study was 0.21% per manipulation and 0.42% per patient. The sole notable problem encountered with methodology was moderate response rate.
The Journal of Manual & Manipulative Therapy Vol. 4 No.4 (1996 ), 166 - 170
* this issue only available in Hardcopy format
