PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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1999 - Vol. 7, No. 2
* this issue only available in PDF format
Subacromial Impingement Syndrome
Jennifer L. Ault, PT
Abstract: Subacromial Impingement Syndrome is a common disorder affecting the shoulder. This paper discusses the pertinent clinical anatomy and biomechanics relative to impingement. Neer's three stages of impingement and Jobe's classification of shoulder injuries are provided. Clinical findings common in patients with impingement are presented as well as a recommended composite examination of the shoulder. A list of disorders about the shoulder that may mimic impingement are included to assist in differential diagnosis. The author describes several ideas for treatment that may be effective in resolving subjective complaints and functional limitations.
The Journal of Manual & Manipulative Therapy Vol. 7 No. 2 (1999), 64 - 70
The Effectiveness of CV-4 and Resting Position Techniclues on Subjects with Tension-Type Headaches
William P Hanten, EdD, PT Sharon L. Olson, PhD, PT Jennifer L. Hodson, MS, PT Vickie L Irnler, MS, DC, PT Virginia M. Knab, MS, PT Jennifer L. Magee, MS, PT
Abstract: Tension-type headache (TTH) is a common reason for consulting a clinician. Manual therapies are being used in clinical settings to treat TTH with no documented research to validate their efficacy. This study investigated the effectiveness of CV-4 and resting position techniques on TTH sufferers. Sixty adults between the ages of 21 and 65 (R=36, SD= 12) who were experiencing a TTH were randomly assigned to groups. Subjects in the first group received a 10-minute session wherein multiple still points were induced using the CV-4 craniosacral technique. Subjects in the second group were placed supine in a resting position with the head and neck positioned for ten minutes in the most comfortable points in the ranges of protraction-retraction and flexion-extension. Subjects in the third group received no treatment; they lay quietly for 10 minutes. Pain intensity and the affective component of pain were measured before and after the treatments using visual analog scales. To determine if significant differences existed between the groups, a one-way multivariate analysis of covariance (MANCOVA) was used, followed by univariate tests and post-hoc tests. The MANCOVA was significant (F=3.59; df = 4,108; p<0.05). Analyses of covariance for the variables of pain intensity and affect revealed significant differences among the groups (F = 5.38; df = 2,56; p<0.05 for intensity and F = 4.45; df = 2,56; p<0.05 for affect). Tukey tests revealed a significant improvement, in both intensity and affect scores, between the group receiving the CV-4 treatment and the no-treatment group and no significant difference between the group using only the resting position and the group receiving no treatment. The CV-4 technique is an effective technique for treating patients with TTH. Additional investigation is warranted to examine the duration of relief and to address the effectiveness of multiple treatment sessions utilizing the CV-4 and resting position techniques.
The Journal of Manual & Manipulative Therapy Vol. 7 No. 2 (1999), 64 - 70
Tendon Injury: A Review
Peter A. Huijbregts, MSc, MHSC, PT Scott E. Smith, MSc, OT
Abstract: This article describes the biomechanical and biochemical aspects of tendon anatomy and function response of the tendon to injury, and factors contributing to injury. Clinical implications for treating patients with tendon injury are discussed
The Journal of Manual & Manipulative Therapy Vol. 7 No. 2 (1999), 71 - 80
The Pseudoradicular Syndrome: A Case Report Implicating Double Crush Mechanisms in Peripheral Nerve Tissue of the Lower Extremity
Robert E. Klingman, MPT
Abstract: "Double Crush Syndrome" is a condition in which proximal compression of a nerve decreases the ability of that nerve to withstand compression at a distal site. No studies have been done on the relationship between lumbar spine dysfunction and concomitant lower extremity peripheral nerve entrapments in regards to physical therapy management. The case report concerns a 32 year old male runner who presented with a physician's diagnosis of lumbar radiculopathy, with a request to rule out plantar fascitis. This report describes extraneural and intraneural tissue mobilization techniques in the evaluation and treatment of a coexisting lumbar spine dysfunction and posterior tibial nerve entrapment. An explanation of the double crush syndrome as a possible mechanism in this lumbar pseudoradicular presentation is advanced. This report illustrates the importance of addressing both neural entrapment sites in the successful treatment of this condition.
The Journal of Manual & Manipulative Therapy Vol. 7 No. 2 (1999), 81 - 91
* this issue only available in PDF format
