Many physiotherapists find it challenging to determine the direction in which the spine should be mobilized or manipulated in patients with painful radiculopathies. There are 2 methods to detect the correct direction, the first one is using the H-reflex method described by Mohamed Sabahhi (1-5), another one is using pre-manipulative (vascular screening and repeated movement) testing described by Robin McKenzie (6-8). Both are good clinical … Continue reading Spinal Manipulation and mobilization in the right direction: part 1