PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1998 - Vol. 6, No. 3
* this issue only available in Hardcopy format
Thoracic Outlet Syndrome
Jennifer Ault, PT, Kristia Suutala, PT
Abstract: This paper provides a clear understanding of both the history and the evolution of TOS. A specific anatomic review of the inlet is included as well as common sites of entrapment and congenital or acquired morphological anomalies that may cause compression. The current controversy with anatomic, physiologic, and clinical tests for TOS is presented. A "typical" subjective and objective clinical presentation of a "non-specific neurogenic TOS" patient is also provided. Most importantly, the existence of non-specific neurogenic TOS is debated and other common diagnoses similar in clinical presentation are listed. We also comment on how to begin differentiating possible sources of upper extremity neurovascular symptoms. With this knowledge, the reader may evaluate, assess, and treat such patients.
The Journal of Manual & Manipulative Therapy Vol. 6 No. 3 (1998), 118 - 129
Intratester Reliability of the Palpation Meter (PALM) in Measuring Pelvic Position
Marshall Hagins, PT, Martha Brown, PT Clare Cook, PT Karen Gstalder, PT Michael Kam, PT, Gene Kominer, PT, Katesel Strimbeck, PT
Abstract: This study determined the intra- and intertester reliability of the Palpation Meter (PALM) in measuring frontal and sagittal plane pelvic positions among asymptomatic adults during static standing. Four examiners measured 24 physical therapy students in two trials. The sagittal plane measurement was taken as the angle formed by a line connecting the ASIS and PSIS versus the horizontal. The frontal plane measurement was taken as' the angle formed by a line connecting the superior border of the iliac crests versus the horizontal. Unlike previous studies, this study attempted to replicate the realities of clinical practice by using the PALM to perform measurements over clothing without applying adhesive markers for landmarks, and without controls for postural sway. lntraclass correlation coefficients suggest intratester reliability was high for both frontal (0.84) and sagittal plane measures (0.98), and intertester reliability was high for sagittal plane measures (0.89) but moderate for frontal plane measures (0.65). Standard error of the means for frontal and sagittal plane measures are presented, and clinicians are cautioned to observe the limitations of precision inherent in this device.
The Journal of Manual & Manipulative Therapy Vol. 6 No. 3 (1998), 130 - 136
Fact and Fiction of Disc Reduction: A Literature Review
Peter A. Huijbregts, MSc, MHSC, PT, OCS, MTC, CSCS
Abstract: This article reviews research on the effects of manipulation, traction, and McKenzie exercises on the position of herniated nuclear material in lumbar intervertebral discs. Conclusions based on this research are discussed as well as clinical relevance and avenues for future research.
The Journal of Manual & Manipulative Therapy Vol. 6 No. 3 (1998), 137 - 143
Fibromyalgia and Responses to Exercise
Anne Marit Mengshoel, PT, Specialist Manual Therapy, PhD
Abstract: The author examines whether exercise may challenge pathogenic mechanisms in patients with fibromyalgia (FM). Recent studies have shown normal oxygen consumption and no abnormal accumulation of metabolites during exercise. Thus, an early on-set of hypoxia during exercise is not found. Furthermore, little evidence supports the hypothesis that exercise may cause muscle injury. However, a hyporesponsiveness of the sympathetic nervous system and the hypothalamus-pituitary-adrenal axis during exercise might be present. Nevertheless, regular low-intensity exercise does not increase the symptoms in FM. Thus, patients with FM should be stimulated to stay physically active in order to avoid deconditioning and improve general health status.
The Journal of Manual & Manipulative Therapy Vol. 6 No. 3 (1998), 144 - 150
* this issue only available in Hardcopy format
