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!