PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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2000 - Vol. 8, No. 3
* this issue only available in Hardcopy format
An Extensive Literature Review of the Lumbar Multifidus: Anatomy
Alec G. Kay, DMT MSPT MOMT ATC
Abstract: Understanding the anatomy of the lumbar multifidus and its responses to low back pain and surgery are crucial steps toward the development of preventive and intervention strategies for patients and are the focus of this review. The anatomical literature is reviewed in regards to normal, pathological, gross and histological. The histological review includes metabolism and muscle spindle density.
The Journal of Manual & Manipulative Therapy Vol. 8 No.3 (2000 ), 102 - 114
Effectiveness of the Auto Edema Reduction (AER) Boot for Treatment of Edema in Acute Ankle Sprains: A Single Case Study
Audrey Owens, MSPT Rachel Menasche, MSPT John Kenney, MSPT John M. Medeiros, PT, PhD Richard Rutt, PT, PhD.
Abstract: This case study illustrates the use of the Auto Edema Reduction (AER) Boot in the treatment of an acute ankle sprain. The effectiveness of the AER Boot was determined by assessing pain, ankle volume, girth, and range of motion before and after a five-day treatment period. A 22-year-old female was evaluated within 24 hours of injury. She was non-weight bearing on the left lower extremity. Observation revealed marked discoloration distal to both the malleoli and diffuse swelling. Initial pain assessment was 3.4 on the visual analogue scale. The amount of displaced water during volumetric measurement was 985 milliliters. Two consecutive figure-eight girth measurements averaged 47.25 cm. Active range of motion for dorsiflexion averaged minus 15.5' and 60.5' for plantarflexion. After initial measurements were taken, the injured foot and ankle were placed into the AER Boot. Once adequate pressure was obtained, the subject was asked to perform 20 "pump presses" every five minutes throughout the 20-minute treatment. On the following four treatment days stretching and walking in the AER Boot were added to the protocol. Final measurements following the five day study revealed a pain rating of 0.8, 870 milliliters through volumetry, 45.25 cm girth, 9' of dorsiflexion, and 64.5' of plantarflexion. The patient was full weight bearing, ankle discoloration was improved, and she had resumed her normal activities. The AER Boot appears to be effective in reducing pain and edema in acute ankle sprains.
The Journal of Manual & Manipulative Therapy Vol. 8 No.3 (2000 ), 115 - 126
The Anatomical and Physiological Variations in the Sacroiliac Joint of the Male and Female: Clinical Implications
Deepak Sebastian PT, MHS
Abstract: Mechanical dysfunction of the sacroiliac joint is a condition commonly encountered by the physical therapist. Variations exist in the form and function of the sacroiliac joint between the male and female; hence, the treating clinician may require a better understanding of the anatomical, physiological and biomechanical variations in the sacroiliac joint of the male and female. This literature review enumerates the variation in anatomical structure, surface morphology, mobility pattern and physiological adaptations in the sacroiliac joint of the male and female and speculates that the sacroiliac joint in the female is more susceptible to mechanical dysfunction. The influence of these variations on the biomechanical and functional makeup of the sacroiliac joint is described to support that speculation and the possible clinical implications are outlined.
The Journal of Manual & Manipulative Therapy Vol. 8 No.3 (2000 ), 127 - 134
* this issue only available in Hardcopy format
