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.
2005 - Vol. 13, No. 1
* this issue only available in PDF format
Free Content:
- Editorial - Past and Future: Responsibility and Opportunity
Abstracts:
Use of Translatoric Mobilization in a Patient with Cervical Spondylotic Degeneration: A Case Report
Douglas S. Creighton, DPT, OCS, FAAOMPT, James Viti, DPT, OCS, FAAOMPT; John Krauss, MS, PT, OCS, FAAOMPT
Abstract: Cervical spondylotic changes have been found in more than 80% of persons over the age of 55 years. Advanced spondylotic changes can narrow the vertebral and intervertebral foramina and restrict cervical mobility. This case report describes movement analysis and the clinical decision- making used prior to the application of translatoric mobilization to an 80-year-old male with severe movement restriction secondary to cervical spondylosis. Joint specific non-rotatory mobilization techniques were used to increase cervical range of motion. Left cervical rotation improved by 60°; right rotation by 30°; and backward bending by 22°. Medical literature regarding conservative treatment options for cervical spondylosis make no mention of referral to an orthopedic manual physical therapist for movement analysis or for manual intervention using translatoric mobilization techniques. This case demonstrates the potential effectiveness of non-rotational mobilization techniques in a patient with significant movement restriction due to severe cervical spondylosis. Translatoric mobilization was effective in reducing symptoms, increasing cervical ROM, and improving function in this patient.
The Journal of Manual & Manipulative Therapy Vol. 13, No. 1 (2005), 10 - 26
Prolotherapy in the Treatment of Chronic Low Back Pain: A Literature Review
Patricia Fonstad, Dip PT, BPT, Cert Med Ac, CGIMS, FCAMT
Abstract: Exercise programs are advocated for the treatment of chronic low back pain, but the client often lacks the appropriate ligamentous support that is optimal for an exercise program to be effective. Once injured, ligaments have a limited capacity for recovery and recovery can be related to the degree of ligament injury. Clients that fail to progress adequately with stabilization programs may require further intervention before exercise therapy can achieve optimal results. Prolotherapy is an example of one intervention that may prove beneficial. Prolotherapy is the injection of a proliferant solution into the osseoligamentous junction of the incompetent ligaments in order to induce a healing response that will help strengthen the ligaments and provide more passive support to the joints. A review of the literature is presented that outlines the benefits of prolotherapy in low back pain.
The Journal of Manual & Manipulative Therapy Vol. 13, No. 1 (2005), 27 - 34
The Effect of Manual Therapy and a Home Exercise Program on Cervicogenic Headaches: A Case Report
William P. Hanten, PT, EdD, Sharon L. Olson, PT, PhD, Weston A. Lindsay PT, ATC, Kristina A. Lounsberry, PT, ATC, Jeanine K. Stewart, PT
Abstract: The objective of our study was to determine the effectiveness of manual therapy for balancing C1 and a home exercise program, including active neck retraction exercises performed in a series of progressions, in the treatment of cervicogenic headache. The subjects included a 42-year-old male (Subject 1) and a 25-year-old female (Subject 2), both with a primary complaint of right-side suboccipital headache. Subject 1 was functionally limited in reading, sleeping, and playing basketball. Subject 2 reported problems with working, sleeping, and running on a treadmill. Both subjects met the criteria for cervicogenic headache as adapted from the International Headache Society. On Day 1, each subject completed three self-report measures: a numeric pain scale for both worst and average headache pain as well as the Patient Specific Functional Scale. Each subject was treated on Days 1, 3, and 5. Intervention included using a muscle energy technique for balancing C1 and a home program consisting of a progression of McKenzie’s retraction/extension/rotation exercises. Each subject was told he/she may continue the home program on his/her own accord every 2 hours or as a headache occurred. On days 12 and 26, each subject completed the previous three self-report measures as well as the Global Rating Scale during blinded follow-up phone visits. The subjects demonstrated an increase in functional activities, a decrease in average and worst headache pain, and an overall improvement in their perception of change in the headache. Manual therapy in addition to a home program of active neck retraction exercises in a series of progressions was successful in relieving cervicogenic headache and improving function in two subjects. Patients with cervicogenic headaches could be empowered to alleviate their own symptoms with decreased physical therapy visits and decreased cost by having a manual therapy technique performed on them followed by a home exercise program.
The Journal of Manual & Manipulative Therapy Vol. 13, No. 1 (2005), 35 - 43
ULNT2 – Median Nerve Bias: Examiner Reliability and Sensory Responses in Asymptomatic Subjects
Rebecca Reisch, DPT, Kimberly Williams, DPT, ATC, Robert J. Nee, PT, MAppSc, ATC, Richard A. Rutt, PT, PhD, ATC
Abstract: Interpreting patients’ responses to any neurodynamic test requires knowledge of test reliability and of the sensations provoked in asymptomatic subjects. The purpose of our study was to determine examiner reliability for using a standard goniometer to measure shoulder abduction at end-range of a modified brachial plexus tension test commonly known as upper limb neurodynamic test 2 – median nerve bias (ULNT2 – median nerve bias). Our test-retest design on 21 asymptomatic subjects revealed "good" to "excellent" intra-tester reliability with intraclass correlation coefficients (ICC 3, k) of 0.88 and 0.94 for the two examiners. Corresponding standard errors of measurement (SEM) were 2.41 and 2.08 degrees. Inter-tester reliability was "poor" (ICC 2, k = 0.33, SEM = 6.35). Sensory responses provoked in the end position of this neurodynamic test were most commonly located in the lateral hand, lateral forearm, and cubital fossa, areas consistent with the cutaneous distribution of the C6 and C7 dermatomes and median nerve. Pulling was the most common description of sensations experienced in the cubital fossa and forearm, while combinations of pulling, burning, or tingling were more often reported in the hand. Contralateral cervical sidebending increased upper limb sensory responses in all subjects. These sensory responses are consistent with previous reports on ULNT2 – median nerve bias and the original brachial plexus tension test. Further studies are necessary to determine whether our results can assist in establishing the clinical validity and diagnostic performance of this neurodynamic test in symptomatic populations.
The Journal of Manual & Manipulative Therapy Vol. 13, No. 1 (2005), 44 - 55
* this issue only available in PDF format
