Knowledge of lumbar coupling biomechanics is foundational in many manual therapy disciplines. 3-D studies of lumbar coupling indicate that coupling direction may not be predictable. The purpose of this study was to investigate physiotherapists' perception of importance of lumbar coupling for validation of manual therapy, necessity in treatment, and perceived direction of lumbar coupling biomechanics. A sample of 369 physiotherapists within the United States volunteered to participate in this study. An ologit regression analysis investigated factors associated with perception of lumbar coupling. A Fleiss Kappa determined the agreement of coupling direction among physiotherapists. The majority of physiotherapists indicated that lumbar coupling biomechanics were important or very important, frequently used during treatment, and necessary for validation of manual therapy. The ologit regressions identified that the importance placed upon lumbar coupling biomechanics is highly related toward therapists' pre-concept of coupling. Kappa values for the five spinal segments were negative indicating worse than chance agreement: L1-2 = -0.10; L2-3 = -0.11; L3-4 = -0.09; L4-5 = -0.10; and L5-S1 = -0.09. The poor Kappa values, strong pre-conceptual perceptions of coupling necessity, and the importance placed upon lumbar coupling for treatment could lead to disparities among physiotherapists in lumbar manual therapy assessment and treatment.
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http://dx.doi.org/10.1016/j.math.2004.03.003 | DOI Listing |
Integr Med (Encinitas)
December 2024
Borandi Acupuncture, Saint George, UT.
Introduction: Chronic low back pain (CLBP), or low back pain lasting greater than 12 weeks, is a prevalent condition that profoundly impacts the quality of life in affected individuals. Traditional treatments - such as physical therapy, medications, injections, minimally invasive procedures, and surgery - often prove ineffective in a considerable number of cases, particularly when utilized as singular modalities. Given the complex biopsychosocial nature of CLBP, a multi-modality approach tailored to each patients' unique needs is essential.
View Article and Find Full Text PDFJOR Spine
December 2024
Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Centre Ulm Germany.
Background: Effects of rigid posterior instrumentation on the three-dimensional post-operative spinal flexibility are widely unknown. Purpose of this in vitro study was to quantify these effects for characteristic adolescent idiopathic scoliosis instrumentations.
Methods: Six fresh frozen human thoracic and lumbar spine specimens (C7-S) with entire rib cage from young adult donors (26-45 years) without clinically relevant deformity were loaded quasi-statically with pure moments of 5 Nm in flexion/extension, lateral bending, and axial rotation.
Spine (Phila Pa 1976)
December 2024
Brown University Department of Orthopaedic Surgery, Providence, Rhode Island.
Study Design: Retrospective cohort study.
Objective: To evaluate inpatient complication profiles of patients receiving neuromuscular blockade reversal via sugammadex versus neostigmine/glycopyrrolate.
Summary Of Background Data: Sugammadex is a neuromuscular blockade reversal agent that binds non-depolarizing muscle relaxants.
J Orthop Case Rep
December 2024
Department of Orthopedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan.
Introduction: Few studies have reported the treatment and rehabilitation of combined fractures of the femur, tibia, and ankle in the same lower limb.
Case Report: A 69-year-old man presented to our hospital with a fall injury due to high-energy trauma after falling from a 5 m ladder while painting and landing on both feet. Examination revealed right femoral supracondylar; left tibial plateau; right calcaneal; left ankle crush; first and third lumbar vertebrae burst; sacral; C7, Th1, and Th9 compression; and bilateral acetabular fractures.
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