Herb:
Have you seen, "Effect of 10%, 30%, and 60% Body Weight Traction on the
Straight Leg Test of Symptomatic Patients with Low Back Pain; Meszaros, TF;
JOSPT Oct. 2000? " Conclusions: The results of this study indicate that
traction in this group of patients improved the mobility of the lower
extremity during the SLR test..." While the study has many limitations among
them, a N of 10 and "traction" apparently applied without compensating for
the effects of friction on the buttocks and lower extremities. Perhaps it is
time we reassess the meaning of the results of the SLR as a physical test as
well as if the test is valid?
*******************************************************
Douglas M. White, PT, OCS
Physical Therapist, Consultant
191 Blue Hills Parkway
Milton, MA USA 02186
P: 617.696.1974
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http://DouglasWhite.tripod.com
----- Original Message -----
From: "Herb Silver, PT," <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, January 07, 2001 10:09 AM
Subject: Re: [PHYSIO] Correct Muscle Action?
<snip>
> *** Actually, your comments reinforce my intended, but obviously poorly
> stated, point--ONE case study is difficult to even comment on, especially
> in this type of forum. Mutliple case studies, where we get good
> demographic data, and have consistent interventions, based on the data (we
> don't want to treat all "back pain" the same, but, using a thorough
> evaluation, try and determine the causitive factors and treat those
> factors, not the patients history or their symptoms, but try and determine
> the underlying cause), then we would be able to compile interventions.
For
> examplle, We would see that everyone who came into your clinic with back
> and leg pain that was reproduced with SLR, responded within 3 visits, but
> those that had leg pain, not reproduced with SLR did not do well in your
> clinic, but did well in my clinic--then we could look and see what we were
> doing differently and modifiy our approach--this would certainly be
> beneficial to our science/art.
>
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