PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
Subscribers to the print version of the Journal of Manual & Manipulative Therapy have full access to the available online versions of the journal. Subscribe now. If you are already a subscriber, please login here for full access.
Downloaded articles are protected by copyright and may not be reproduced or utilized in any form, electronic or mechanical, without the written permission from the editor.
All articles are in Adobe PDF format unless otherwise indicated.
2002 - Vol. 10, No. 3
* this issue only available in PDF format
The Effect of Pectoralis Muscle Stretching on the Resting Position of the Scapula in Persons with Varying Degrees of Forward Head/Rounded Shoulder Posture
Toni S. Roddey, PT, PhD, OCS, FAAOMPT, Sharon L. Olson, PT, PhD, Susan E. Grant, BS, MSPT
Abstract: The purpose of this study was to evaluate whether a stretching program for the pectoralis muscle will affect the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture (FHRSP). A convenience sample of healthy participants (n=38) with varying degrees of FHRSP was utilized. Each participant was classified into one of three groups: mild FHRSP/control, mild FHRSP/stretching, or moderate FHRSP/stretching. Resting scapular position was measured using the DiVeta technique. Those in the stretching group completed a twice-daily pectoralis stretching program for 14 days. All participants' scapular positions were re-measured. An ANCOVA was completed to evaluate whether post-intervention differences in the TSD were present among the three groups of participants. There were no differences among the three groups before intervention. Differences were found in the TSD among the three groups after intervention: between the control and moderate FHRSP/stretching group (p<0.0005) and between the mild and moderate FHRSP stretching groups (p=0.05). Persons with moderate FHRSP demonstrate improved resting scapular position following a two-week pectoralis stretching program.
The Journal of Manual & Manipulative Therapy Vol. 10 No. 3 (2002), 124 - 128
Reliability of Detecting a Relevant Lateral Shift in Patients with Lumbar Derangement: A Pilot Study
Ron Seymour, PT, PhD, Thom Walsh, PT, MS, Dip. MDT, Chris Blankenberg, PT, MS, Anthony Pickens, PT, MS, Heath Rush PT, MS
Abstract: The purpose of this study was to examine the reliability between McKenzie-trained therapists (having completed two postgraduate courses) in recognizing the presence of a relevant lateral shift deformity when classifying low back pain (LBP) using the McKenzie assessment. Fifteen subjects met the inclusion/exclusion criteria and agreed to participate in the study. The study was conducted by McKenzie-trained therapists who had completed two postgraduate courses and who participated in a training session by a diplomaed McKenzie therapist. After the training session, the therapists were paired by convenience to separately evaluate each subject. The result of each evaluation was recorded independently without discussion between the therapists. The amount of agreement was measured with the Kappa statistic. Agreement was 0.56, which is consistent with a moderate strength of agreement. The McKenzie method of determining the relevance of a lateral shift may be more reliable than found in previous studies.
The Journal of Manual & Manipulative Therapy Vol. 10 No. 3 (2002), 129 - 135
Diagnosis and Management of Cervicogenic Headache and Local Cervical Syndrome with Multiple Pain Generators
Phillip S. Sizer Jr., MEd, PT, MOMT, PhD, Valerie Phelps, PT, MOMT, Jean-Michel Brismee, MS, PT, OCS, COMT
Abstract: Numerous pain generators can be responsible for cervicogenic headache and pain in both the cervical and thoracic regions. A 45-year-old female presented in the clinic with a 20-year history of cervicogenic and migraine headaches, accompanied by a prolonged history of local cervical and interscapular pain. The cervicogenic symptoms were attributed to secondary disc-related changes in the cervical spine, as evidenced by specific provocation behaviors and segmental limitation patterns. The patient was educated regarding the presenting problems, and ergonomic changes were initiated. The limitations were addressed with joint-specific mobilization techniques, accompanied by specific home exercises. The patient demonstrated initial rapid improvements that were characterized by reduced symptoms and increased motion, followed by gradual full motion recovery and resolution of cervicogenic symptoms. This recovery pattern suggests the efficacy of manual techniques in the management of cervicogenic headaches and local cervical syndrome, even in the context of rather prolonged symptoms.
The Journal of Manual & Manipulative Therapy Vol. 10 No. 3 (2002), 136 - 152
* this issue only available in PDF format
