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Related Experiment Videos

The best back to manipulate?

M C Morrison

    Annals of the Royal College of Surgeons of England
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Sudden back and leg pain, with limited extension and specific straight leg raise results, can often be resolved with one or two manual therapy manipulations. This study identifies a distinct clinical syndrome responsive to such treatment.

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    Area of Science:

    • Orthopedics
    • Physical Medicine
    • Manual Therapy

    Background:

    • Mechanical back pain with leg pain is a common clinical presentation.
    • Identifying specific patient subgroups responsive to manual therapy is crucial for effective treatment.
    • Previous literature lacks a clear definition of a syndrome amenable to rapid manipulation.

    Purpose of the Study:

    • To define a clinical syndrome characterized by recent onset of back and leg pain.
    • To identify patients likely to experience rapid improvement with manual manipulation.
    • To correlate specific clinical findings with treatment outcomes.

    Main Methods:

    • Retrospective review of 104 patients treated with manual manipulation.
    • Analysis of patient demographics, pain characteristics, and neurological examination findings.

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  • Assessment of range of motion, particularly spinal extension and flexion, and straight leg raise (SLR) test results.
  • Main Results:

    • A distinct clinical syndrome was identified in patients experiencing recent or sudden onset of back and leg pain.
    • Patients presented with a mechanical pattern of movement, notably more limited extension than flexion.
    • Positive straight leg raising (SLR) test results (greater than 60 degrees) were common, with no neurological deficits observed.
    • A significant proportion of patients (104) were 'cured' with one to two manipulations.

    Conclusions:

    • A specific clinical syndrome associated with acute back and leg pain, characterized by limited extension and positive SLR test without neurological signs, is identifiable.
    • This syndrome appears highly responsive to manual manipulation, often requiring only one or two treatments.
    • Early recognition of this syndrome can guide effective and efficient therapeutic interventions.