PAST ISSUES OF THE JOURNAL OF MANUAL AND MANIPULATIVE THERAPY
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2000 - Vol. 8, No. 1
* this issue only available in PDF format
Reliability of the Cervical Range of Motion (CROM) Device and Plumb-Line Techniques in Measuring Resting Head Posture (RHP)
Edward R. Hickey, MS, PT, CSCS Mark J. Rondeau, MS, PT James R. Corrente, MS, PT, ATC Jason Abysath, MS, PT Connie J. Seymour, PhD, PT, OCS
Abstract: Individuals with forward head posture (FHP) and related postural abnormalities are at increased risk for various musculoskeletal and/or neurovascular related cervical pathologies. The Cervical Range Of Motion (CROM) device has shown to be a reliable tool in measuring total cervical range of motion (ROM) and upper cervical flexion and extension. However, the CROM has yet to be used to evaluate reliability in measuring resting head posture (RHP). Purpose: This study compared reliability of RHP measurements using the CROM instrument with that of a plumb-line measurement. Method: A convenience sample of 122 healthy volunteers (80 women and 42 men, ages 18 to 60 years) was obtained via classroom announcement from the University of Massachusetts Lowell student body. All subjects were screened for cranial, cervical, and/or upper thoracic dysfunction. Both testers performed two CROM and two plumb-line measurements. Results: Moderate intra-tester reliability was demonstrated for measuring RHP using the CROM instrument (ICCs = 0.774, 0.775), whereas high intra-tester reliability was observed using the plumb-line technique (ICCs = 0.830, 0.846). Moderate inter-tester reliability was found for CROM measurement (ICCs = 0.675, 0.723) and the plumb-line technique (ICCs = 0.738, 0.781). Conclusion: Reliable measures of RHP can be obtained using either the CROM device or plumb- line technique.
The Journal of Manual & Manipulative Therapy Vol. 8 No. 1 (2000), 10 - 17
Motor Innervation of the Trapezius
Susan Mercer, PhD, PT FNZC,P Anne H. Campbell, MS, PT OCS
Abstract: There has been debate regarding innervation of the trapezium muscle; some clinicians state that different portions of the trapezium have distinct sources of motor innervation that may related to patterns of tightness or weakness within the muscle. This review demonstrates that motor innervation to all portions of the trapezium is supplied by the accessory nerve with the to C4 branches of the cervical plexus providing a variable source of innervation. No evidence s found to support the contention that there is a distinct pattern of innervation to the various portions of the trapezium muscle.
The Journal of Manual & Manipulative Therapy Vol. 8 No. 1 (2000), 18 - 20
Challenges in Clinical Practice: Making an Investment in Our Future
Carol Jo Tichenor, MA, PT
Abstract: The following is an adaptation of an acceptance speech made by Carol Jo Tichenor on October 2, 1999. Ms. Tichenor was the recipient of the Royce P. Noland Award of Merit. This award is presented to a member by the California Chapter of the American Physical Therapy Association in acknowledgement of exceptional service and achievement by an individual to the profession of physical therapy.
The Journal of Manual & Manipulative Therapy Vol. 8 No. 1 (2000), 21 - 24
Use of Upper Thoracic Manipulation in a Patient The Use of Upper Thoracic Manipulation in a Patient With Headache
James A. Viti MSc, PT, OCS Stanley V Paris, PhD, PT
Abstract: This case study describes how thrust manipulation in the upper thoracic spine was effective in reducing symptoms in a patient with complaint of headache; it discusses potential theories and interrelationships. The study describes a 29-year-old female with onset of occipital headaches who noted no change in symptoms after five treatments over a period of three weeks. Treatment included soft tissue mobilization, passive stretching, postural instruction/exercise and nonthrust manipulation to occipitoatiantal (O/A), atianto axial (A/A) and cervical facet joints. The patient's sixth visit, that occurred 5 days after the fifth treatment session, included a thrust manipulation to the upper thoracic spine (TI/2) after which she noted a significant reduction in symptoms. The patient was then seen for two additional visits which included nonthrust manipulation techniques. Two days after her final visit, the patient noted full resolution of symptoms. The patient continued to note full resolution of symptoms for six weeks. The patient then returned to physical therapy with similar complaints but at approximately 50% of the earlier intensity. Two treatments, over a period of one week, utilizing nonthrust manipulation techniques yielded no relief in symptoms. One week later, the patient received a thrust manipulation at T2/3 after which she noted full resolution of symptoms. At follow up, seven weeks later, the patient remained symptom free.
The Journal of Manual & Manipulative Therapy Vol. 8 No. 1 (2000), 25 - 28
* this issue only available in PDF format
