Role of MRI in spine physical therapy practice: An updated evidence.

This blog summarise the most recent evidence on the association between several MRI picture characteristics and low back pain (LBP). Recent data on the use of MRI in spine physical therapy is based on a study done by JW van der Graaf et al, 2023: In an MRI, there are a variety of different characteristics that could be related to LBP. In contrast, a number … Continue reading Role of MRI in spine physical therapy practice: An updated evidence.

Upper Limb Tension Test 2A

Upper Limb Tension  (neurodynamic) Test  2A – Median Nerve, Musculocutaneous Nerve, and Axillary Nerve Root Bias Purpose of Upper Limb Tension Test 2A: To determine if the tension along the median/musculocutaneous/axillary nerve course contributes to neurologic symptoms associated with cervical radiculopathy. Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient’s legs, at the side of the limb to be tested. … Continue reading Upper Limb Tension Test 2A

Upper Limb Tension Test 1

Upper Limb Tension (neurodynamic) Test 1 – Median Nerve, Anterior Interosseous Nerve, and C5,6,7 Nerve Root Bias Purpose of Upper Limb Tension Test 1: To determine if the tension along the median/anterior interosseous/C5,6,7 nerve roots contributes to neurologic symptoms associated with cervical radiculopathy. Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient, at the side of the limb to be … Continue reading Upper Limb Tension Test 1

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