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Immediate Effects of Region-Specific and Non–Region-Specific Spinal Manipulative Therapy in Patients With Chronic Low Back Pain: A Randomized Controlled Trial
This osteopathic technique which became well publicized in the 1930s is known as the "dog technique after someone commented on being shown it, that they wouldn't do it to a dog. Patients love it. My own experience of it from technique class is that it is accompanied by a satisfying series of pops and clicks and significant endorphin release. I have seen several elderly patients who have suffered osteoporotic collapse, luckily without neurological sequelae, following it. A safer alternative is the "lift off" which is done sitting and uses traction to induce cavitation.
Jo Bowyer Chartered Physiotherapist Registered Osteopath. "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi
Health, work and demographic factors associated with a lower risk of work disability and unemployment in employees with lower back, neck and shoulder pain
Effects of spinal manipulative therapy biomechanical parameters on clinical and biomechanical outcomes of participants with chronic thoracic pain: a randomized controlled experimental trial
The association between believing staying active is beneficial and achieving a clinically relevant functional improvement after 52 weeks: a prospective cohort study of patients with chronic low back pain in secondary care
Use and perceived added value of patient-reported measurement instruments by physiotherapists treating acute low back pain: a survey study among Dutch physiotherapists
Proprioception is critical for accurate movement. It enables communication from the periphery to the central nervous system (CNS), which is required for the body to acquire joint position awareness and maintain a desired postural orientation and overall position in space. There are three types of conscious proprioceptive senses: kinesthesia, joint position sense, and force sense [1, 2]. All of them, especially force sense, play a role in good neuromuscular control. Force sense is defined as the ability to detect and interpret forces applied to or generated within a joint [3]. Force sense is measured by the performance accuracy of individuals during force reproduction tasks, which are defined as tasks in which individuals are instructed to produce target forces and reproduce these forces [4].
Different types of pinch grips (tip pinch, palmar pinch, key pinch [5,6,7,8,9]) or combinations of these pinch grips with different force levels are frequently used in workplaces. Workers in various occupations, such as mechanics, repair persons, and engineers, must maintain various pinch grips at constant, submaximum force levels using various hand tools and equipment when performing a wide range of operations, from the assembly of small electronic parts to the assembly of large airplanes. Spontaneously pinching an object is a complex motor task since a sufficient pinch force must be applied to prevent slipping and, at the same time, excessive force must be avoided to prevent the object from being crushed or the person from experiencing unnecessary fatigue.
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