PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1993 - Vol. 1, No. 2
* this issue only available in Hardcopy format
Clinical Implications of Iliopsoas Dysfuntion
Wendy Aspinall, M.H.sc, M.C.P.A.
Abstract: In order for clinicians to interpret the signs and symptoms of iliopsoas dysfunction an understanding of its anatomy and action is required. This paper includes an indepth outline of the anatomy iliopsoas. Possible etiological agents of iliopsoas dysfunction are discussed and an analysis of the subjective and objective clinical findings are presented. Clinical implications of iliopsoas dysfunction are hypothesized based on the linkage off anatomy, biomechanics and pathology. Care must be taken during the clinical examination and associate each sign and symptom with the anatomical structure that is maximally involved. In addition, it is important for the clinician to consider the reasons why a particular anatomical structure produces the patient's sighns and symptoms. One can the administer the clinical treatment that seems most effective and efficient and has the greater preventive management.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 2 (1993), 41 - 46
Orthopedic Manual Therapy For Physical Therapists Nordic System: OMT Kaltenborn-Evjenth Concept
Freddy M Kaltenborn
Abstract: The Nordic System of Manual Therapy has been developed by Freddy Kaltenborn and Olaf Evjenth over a number of years. The system has its roots in historic medicine. The Nordic System seeks to restore normal joint mechanics. The progression of treatment is determined by monitoring the patient's symptoms such as pain. The aim of this article is to review the historic basis of the Orthopedic Manipulative Therapy ( OMT ) Kaltrnborn-Evjenth System and to present current concepts regarding the Nordic System of Manual Therapy.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 2 (1993), 47 - 51
Thoracic Outlet Syndrome: Pathology and Treatment
Lesley Kreig, B.Sc. (Anat), Grad. Dip. Physio., M.A.P.A.
Abstract: The Thoracic outlet is the region at the root of the neck through which pass the great vessels and nerves en route to the axilla from the mediastinum. The anatomy of the region is examined in detail to allow an understanding of how the brachial plexus and/or subclavian vessels can become entrapped when there is pathology in the area. The possible sites of entrapment are discussed in detail and consideration given to the treatment of patients suffering from Thoacic Outlet Syndrome.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 2 (1993), 52 - 59
Reliability of Interpretation of The Paris Classification of Normal End Feel for Elbow Flexion and Extension
Cathorine E. Patla, MMSc, PT, MTC Stanley V. Paris, PT, PHD
Abstract: Identification of the anatomic and pathoanatomic structure which limits the range of motion of a joint help to determine the need for and type of treatment approach. The purpose of this study was to determine the interrater and intrarater reliability of two experienced physical therapists in the identification of the type of end feel for elbow flexion and extension when using the Paris classification system of normal end feel. Four trials of Flexion end feel and four trials of extension end feel were conducted for each of the twenty subjects by each blindfolded examiner. A total of 160 movements were performed by each examiner. The intertester Kappa value for interrater reliability for flexion was .40 and for extension was .73 with a significance of p < .0001 for both flexion and extension. Intrarater agreement was measured by percent comparison. Examiner A demonstrated 80% agreement for flexion and 79% for extension. Examiner B showed 75% agreement for flexion and 78% for extension. This study emonstrated a fair to good level reliability of interpretation of elbow end feel assessment in a non clinical setting.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 2 (1993), 60 - 66
The Unstable Lumbar Segment Definition and Detection
Greg Schneider, MAPA, MMPAA, FACP
Abstract: It has been proposed that the restraining structure of an individual lumbar segment may become weakened during the early stages of degeneration. The process results in a loss of stiffness in the restraints, compromising their constraining and restoring forces. The effected level would offer less resistance to an applied load and it may displace through excessive range or display abnormal movement patterns. Erratic centrode patterns have been found in cadaveric segments with early disc de generation. Abnormal ratios between segment translation and rotation have been detected in a group of ten patients with degenerative disc disease. Early attempts to detect abnormal motion radiologically have proved unreliable. Two new techniques are being researched. Some clinicians consider that an unstable lumbar segment can be detected by perceiving abnormal compliance during manual passive accessory tests. These perceptions have been defined biomechanically in terms of an increased neutral zone in the segments. These findings have not yet been validated in cases of proven instability.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 2 (1993), 67 - 72
* this issue only available in Hardcopy format
