A survey on the importance of lumbar coupling biomechanics in physiotherapy practice

Manual Therapy
Chad Cook, Christopher Showalter

Abstract

Knowledge of lumbar coupling biomechanics is foundational in many manual therapy disciplines. 3-D studies of lumbar coupling indicate that coupling direction may not be predictable. The purpose of this study was to investigate physiotherapists' perception of importance of lumbar coupling for validation of manual therapy, necessity in treatment, and perceived direction of lumbar coupling biomechanics. A sample of 369 physiotherapists within the United States volunteered to participate in this study. An ologit regression analysis investigated factors associated with perception of lumbar coupling. A Fleiss Kappa determined the agreement of coupling direction among physiotherapists. The majority of physiotherapists indicated that lumbar coupling biomechanics were important or very important, frequently used during treatment, and necessary for validation of manual therapy. The ologit regressions identified that the importance placed upon lumbar coupling biomechanics is highly related toward therapists' pre-concept of coupling. Kappa values for the five spinal segments were negative indicating worse than chance agreement: L1-2 = -0.10; L2-3 = -0.11; L3-4 = -0.09; L4-5 = -0.10; and L5-S1 = -0.09. The poor Kappa values, strong pre-conc...Continue Reading

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Citations

May 2, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Owen Legaspi, Susan L Edmond
Sep 9, 2005·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Chad CookPhilip S Sizer
Sep 5, 2006·Journal of Manipulative and Physiological Therapeutics·Chad CookPhillip S Sizer
Feb 2, 2012·The Journal of Manual & Manipulative Therapy·Joel E BialoskyMichael E Robinson
Aug 26, 2016·The Journal of Manual & Manipulative Therapy·Steve KarasVictor Talisa
Oct 19, 2016·Clinical Physiology and Functional Imaging·Henrik SørensenNiels H Secher
Apr 1, 2006·Physiotherapy Theory and Practice·Deepak Sebastian
Oct 29, 2020·Somatosensory & Motor Research·Frederic J F ViseuxAntoine Lemaire

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