PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1993 - Vol. 1, No. 3
* this issue only available in Hardcopy format
Positional Distraction, A Radiological Confirmation
Douglas S. Creighton MS, PT, MTC
Abstract: Perhaps the most important consequence in the provision of a traction force to the human spinal column is the subsequence foraminal distraction which occurs. A lateral x-ray was taken of the left lumbar neuroforamen in 10 subjects. The average foraminal opening was over 4 mm at L3, L4, and L5. It is possible that even greater opening could have been achieved if towel rolls had been individually fitted as is done in a clinical setting. This study confirms the merit of positional distraction as a means to open the lumbar neuroforamen.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 3 (1993), 83 - 86
Radiology of the Normal S.I. Joint
Piet F. Dijkstra, MD, PhD
Abstract: Roentgenographic and other imaging techniques are important techniques in the diagnosis and management of SI joint diseases and disorders. This paper addresses the normal radiological anatomy of the SI joint, the indication for computed tomography, magnetic resonance imaging and isotope studies.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 3 (1993), 87 - 94
The Upper Limb Tension Test: Inter-tester Reliability for Assessing the Onset of Passive Resistance R 1
Tessa Hines, MAPA, MCSP, (UK) Ruth Noakes, DipPHys (Otago), DipMT Barbara Manners, Dip Phys (otago), DipMT
Abstract: The aim of this was to assess the inter-tester reliability of the Upper Limb Tension Test (ULTT). The onset of passive resistance (R1) of the left elbow was determined by four experience manual therapists in a group of asymptomatic subjects. A recording of the degrees of the elbow extension was obtained using a goniometer, having first positioned the upper extremity in a bracket maintaining 110 degrees of shoulder abduction and 10 degrees of shoulder extension. Each rater then moved the subjects' left shoulder into full external rotation and the forearm into full supination with the wrist and fingers in a neutralposition. Data was collected four consecutive days. The data was analyzed by a two-way analysis of variance. The means of the reading among the four raters was found to be significantly different. It was concluded that The ULTT has a low inter-tester reliability when R1 is compared. Several suggestions are made for future research projections in this area.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 3 (1993), 95 - 98
Understanding "RSI": A Review of the Role of Peripheral Neural Pain and Hyperalgesia
John L. Quinter MB BS MRCP Robert L. Elvey Grad Dip Manip Ther
Abstract: Both the pathogenesis and pathysiology of the occupational cervico-brachial syndrome known in Australian as repetition strain injury (RSI) have been elusive. Because the standard physical examination does not support diagnosis of tissue injury in most patients, a somatic basis for their pain experience has been denied by many medical practitioners. This paper outlines the clinical features of pain and hyperalgesia of peripheral nerve origin, and reviews current concepts of their pathophysiology. When RSI symptomatology is evaluated against this background, the syndrome appears to be neurogenic. The hyperalgesia responses to palpation of upper limb nerve trunks and to upper limb tension testing reported by these patients are consistent with this explanation. We therefore propose a hypothesis for RSI which is based the models of entrapment neuropathy and peripheral neuropathic pain.
The Journal of Manual & Manipulative Therapy Vol. 1, No. 3 (1993), 99 - 105
* this issue only available in Hardcopy format
