By George Laskaris
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Extra info for Colour Atlas of Oral Diseases in Children and Adolescence
Mobility of each segment is judged as normal, hypermobile, or hypomobile. 85 in second trial. Association not large enough to be considered different by chance. 07 INTEREXAMINER RELIABILITY INTRAEXAMINER RELIABILITY KAPPA VALUE AND PEARSON CORRELATION COEFFICIENT (r) (95% CI) From Cleland JA: Orthopaedic clinical examination: an evidence-based approach for physical therapists, Carlstadt, NJ, 2005, Icon Learning Systems. *Love R, Brodeur R: Inter- and intra-examiner reliability of motion palpation for the thoracolumbar spine, J Manipulative Physiol Ther 10:261-266, 1987.
In: Roland MO, Jenner JR, editors: Back pain: new approaches to rehabilitation and education, New York, 1989, Manchester University Press. 20. Beurskens AJ, de Vet HC, Koke AJ: Responsiveness of functional status in low back pain: a comparison of different instruments, Pain 65(1):71-76, 1996. 21. Vernon H, Mior S: The neck disability index: a study of reliability and validity, J Manipulative Physiol Ther 14:409-415, 1991. 22. Cleland JA, Childs JD, Fritz JM, et al: Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education, Phys Ther 87(1):9-23, 2007.
36 CHAPTER 2 Spinal Examination and Diagnosis in Orthopaedic Manual Physical Therapy Thoracolumbar Backward-Bending Active Range of Motion PATIENT POSITION The patient stands, with good posture and arms folded across the chest. THERAPIST POSITION The therapist stands behind or just lateral to the patient with a clear view of the thoracic and lumbar spine. PROCEDURE The patient is instructed to backward bend the thoracic and lumbar spine by slowly leaning backward as far as comfortable. The therapist should be sure to guard the patient during the examination to prevent loss of balance and falling backward.