Manual examination: is pain provocation a major cue for spinal dysfunction?

Jull, Gwendolen, Treleaven, Julia and Versace, Gabrielle (1994) Manual examination: is pain provocation a major cue for spinal dysfunction?. Australian Journal of Physiotherapy, 40 3: 159-165. doi:10.1016/S0004-9514(14)60574-2

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Author Jull, Gwendolen
Treleaven, Julia
Versace, Gabrielle
Title Manual examination: is pain provocation a major cue for spinal dysfunction?
Journal name Australian Journal of Physiotherapy   Check publisher's open access policy
ISSN 0004-9514
1836-9553
1836-9561
Publication date 1994
Sub-type Article (original research)
DOI 10.1016/S0004-9514(14)60574-2
Open Access Status File (Publisher version)
Volume 40
Issue 3
Start page 159
End page 165
Total pages 7
Place of publication Chatswood, NSW, Australia
Publisher Elsevier Australia
Language eng
Abstract Evidence suggests that manual examination is reliable in the detection of dysfunctioned spinal segments. Clinical decisions are considered to relate to the presence of abnormal motion and tissue stiffness along with provocation of pain but there have been suggestions that pain is the major diagnostic cue. Pain provocation is important but reliance on pain could cause false positive joint dysfunction diagnoses. A single blind study was undertaken to test a manipulative physiotherapist's ability to differentiate painful and non painful cervical segments without the subject's verbal pain cues. Results indicated good agreement between the examiner and subjects for their independent nomination of most painful and painless segments, suggesting pain is not the only cue.
Keyword Manipulative therapy
Manual examination
Spine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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