<![CDATA[Journal of Orthopaedic & Sports Physical Therapy - Owen Legaspi, DPT]]> http://www.jospt.org/owenlegaspi Wed, 30 Apr 2008 09:05:25 EST 0 Letters to the Editor-in-Chief http://www.jospt.org/issues/articleID.1318/article_detail.asp Philip S. Sizer Jr, Jean-Michel Brismée, Chad Cook, Joseph J. Godges, Christopher Showalter, Peter Huijbregts, Susan L. Edmond, Owen Legaspi, Jochen Schomacher, Andrea J. Johnson

Letters to the Editor-in-Chief of the JOSPT as follows:

  • Letter regarding the article, Does Evidence Support the Existence of Lumbar Spine Coupled Motion? A Critical Review of the Literature. J Orthop Sports Phys Ther. 2007:37(7):412. doi:10.2519/jospt.2007.0205.
  • Authors' Response. J Orthop Sports Phys Ther. 2007:37(7):412-413. doi:10.2519/jospt.2007.0206.
  • Letter regarding the article, The Effect of Anterior Versus Posterior Glide Joint Mobilization on External Rotation Range of Motion in Patients With Shoulder Adhesive Capsulitis. J Orthop Sports Phys Ther. 2007:37(7):413. doi:10.2519/jospt.2007.0207.
  • Authors' Response. J Orthop Sports Phys Ther. 2007:37(7):414-415. doi:10.2519/jospt.2007.0208.
]]> http://www.jospt.org/issues/articleID.1318/article_detail.asp Does the Evidence Support the Existence of Lumbar Spine Coupled Motion? A Critical Review of the Literature http://www.jospt.org/issues/articleID.1244/article_detail.asp Susan L. Edmond, Owen Legaspi
STUDY DESIGN: Literature review. OBJECTIVES: To synthesize the current literature addressing coupled motion between side bending and rotation in the lumbar spine to deter­mine if a consistent pattern exists across articles. BACKGROUND: Low back pain is one of the most common conditions seen in outpatient physi­cal therapy clinics. This condition is often treated with manual therapy techniques. Many approaches to manual therapy incorporate the concept of coupled motion. METHODS AND MEASURES: Using OVID databases, we reviewed and categorized articles published between 1982 and 2006 that addressed coupled motion between side bending and rotation in the lumbar spine. We identified 24 articles in which 32 analyses addressed our clinical question. RESULTS: Seventeen of the 24 articles identified concluded that some form of coupled motion exists; however, there was little agreement across articles as to the specific characteristics of coupled motion. CONCLUSIONS: The inconsistency in reported patterns of coupled motion suggests that physical therapists should use caution when applying concepts of coupled motion to the evaluation and treatment of patients with low back pain.

 

J Orthop Sports Phys Ther. 2007;37(4):169-178. doi:10.2519/jospt.2007.2300

 

KEY WORDS: coupled movements, lumbar biomechanics, lumbar motion

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