Is there any evidence to support the effectiveness of physical therapy for treating adhesive capsulitis?

Adhesive capsulitis is a condition that affects about 1% of the general population. There is not enough research available to give clear instructions on how much manual therapy and exercise treatment someone with this condition should receive. In other words, doctors and physical therapists may not know the best amount of therapy to recommend to patients with adhesive capsulitis because there is not enough research … Continue reading Is there any evidence to support the effectiveness of physical therapy for treating adhesive capsulitis?

Alar Ligament Stress Test

Purpose of Alar Ligament Stress Test: To test the stability of the upper cervical spine and the integrity of the supporting alar ligaments. Patient position: Supine lying with the head rested on the examination table (supported by a pillow) in neutral alignment. Examiner position: Standing behind the patient on the head side. Lateral Procedure (performed while the patient is in a supine position) Gently lift … Continue reading Alar Ligament Stress Test

Spinal manipulation and mobilization in the right direction: part 2

Finding the best way to manipulate or mobilize the spine in patients with severe radiculopathies can be difficult for many physiotherapists. There are two ways to determine the right direction. The first is the H-reflex approach, which Mohamed Sabahhi described (Abdulwahab and Sabbahi, 2000; Ali Ashraf and Sabbahi, 2001; Ali and Sabbahi, 2000), Another one is the Robin McKenzie-described pre-manipulative testing (McKenzie R 1981). Both … Continue reading Spinal manipulation and mobilization in the right direction: part 2

Transcranial Doppler ultrasound reveals surprising results about pre-manipulative cervical spine testing and sustained cervical spine rotations!

Manual joint mobilization and manipulation are beneficial interventions for neck pain, but high-velocity thrust and sustained techniques are linked to serious arterial trauma. The reliability of pre-manipulative tests of the cervical spine is not clear, and the impact of head and neck position on blood flow is still not fully understood. The existing research primarily focuses on the impact of head and neck positions on … Continue reading Transcranial Doppler ultrasound reveals surprising results about pre-manipulative cervical spine testing and sustained cervical spine rotations!