Welcome to the Orthopaedic Manipulation website. OrthopaedicManipulation.com is a simple website to provide information to the trainees and practitioners of Orthopaedic Manipulative Therapy. Orthopaedic Manipulative Therapy is a form of skilled, physical treatment used by Orthopaedic medicine specialists, Chiropractors, Osteopathic physicians, Osteopaths, Physical therapists to treat neuro-musculoskeletal conditions, restoring the lost ability to move and reduce disability. The American Association of Physical Therapy (APTA) has … Continue reading Welcome!
Purpose: To determine if there is a lesion in the posterior column-medial lemniscus pathway (also called as dorsal column-medial lemniscus pathway – that conducts sensations such as fine touch, two-point discrimination, vibration and position sense (proprioception) from the skin and joints to the postcentral gyrus of the cerebral cortex) (1). The axons of this pathway cross midline in the medulla, called as internal arcuate fibres, forming medial … Continue reading Romberg’s test
Purpose: To determine if applying direct compression to brachial plexus causes radiating symptoms, suggesting mechanically elicitable cervical spine lesions. Patient position: Sitting upright or lying supine. Examiner position: Standing behind while the patient is sitting; Standing on the head side while the patient is lying supine. Procedure: Apply compression directly on the brachial plexus using the fingers or thumb. Outcome: The test is positive if pain or other neural symptoms … Continue reading Brachial plexus compression test
Purpose: To determine if radicular symptoms alleviate on applying traction to the cervical spine. To identify the presence of cervical radiculopathy among patients with upper quadrant pain. Patient Position: Sitting upright, Supine. Examiner Position: Beside the patient, Standing at the patient’s head side. Procedure: Place one hand on the chin and another hand on the occiput. Carefully apply distraction force cephalad. Ask if the radicular symptoms are relieved. … Continue reading Cervical distraction test
Purpose: To identify the presence of cervical radiculopathy among patients with upper quadrant pain. Patient Position: Sitting upright. Examiner Position: Beside or behind the patient. Procedure: Ask the patient to turn/rotate the head to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Outcome: The test is positive if the patient has radiating pain down the arm on the corresponding dermatome ipsilaterally. … Continue reading Jackson’s compression test
Purpose: To identify the presence of cervical radiculopathy among patients with upper quadrant pain. Patient Position: Sitting upright. Examiner Position: Standing beside or behind the patient. Procedure: Move the patient’s head into lateral flexion/rotation to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Bradley et al. suggestions: Stage 1: Compress the head in neutral position. Stage 2: Compress the head in extension. … Continue reading Spurling’s test