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torques -> RE: Thoughts on article discussing standardizing manipulation terminology (August 7, 2008 8:08:33 AM)
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Hi all,
I am all for standardization of Manipulation especially in spinal joint manip. I am actually using it now in the clinic. I still am unsure about a few components:1. what is considered low versus medium velocity in terms of speed or is it just high velocity or low velocity? 2. Other than the direction of force, it lack specific technique identification-graded oscillation, progressive oscillation, sustained stretch et al. 3. identification of mobilizing and stabilizing segments. Reliability of identification of specific spinal segment hypomobility is low. In practice, I still am not confident whether I am actually on L2L3 versus L3L4. How do you generalized the spinal segments. Is there a consensus as to what is considered upper, mid and lower segments would be? (e.g. I consider T1-T3 as upper thoracic, 4-9 mid thoracic, 9-12-low thoracic , L1-L3 mid lumbar, L4L5-low lumbar, C0-C2 subcranial, C2-C7- mid cervical). Lastly, how do you describe position: how specific should you be? should you have to include specific locking position? Hope to hear any thoughts on this [:D]
Julius Quezon PT MTC Cped
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