Björnsdóttir S V, Kumar S
University of Alberta, Edmonton, Canada.
Disabil Rehabil. 1997 Feb;19(2):39-46. doi: 10.3109/09638289709166826.
Posteroanterior spinal mobilization is a commonly used technique among physical therapists to diagnose and treat lower back pain patients. Human subjects and instruments have been used to test for the reliability of physical therapists' ability to detect intervertebral motion, but studies confirm unreliable testing. Despite documented efficacy of manual treatment the mechanical response to posteroanterior spinal mobilization is not well understood, and this has been emphasized in recent studies. Various modes of instrumental methodology have been used for objective measurements of force application and joint displacement. Some instruments serve to mobilize the spine others serve as measurement tools for mobilization. The literature does not provide a gold standard for the ideal magnitude of force applied or joint displacement. The terminology used in the field of manual therapy is often confusing, and terms need to be defined. A review and discussion is presented here to highlight the issues and gaps.
脊柱后前向松动术是物理治疗师诊断和治疗下背痛患者时常用的技术。人们已使用人体受试者和仪器来测试物理治疗师检测椎间运动能力的可靠性，但研究证实测试结果不可靠。尽管手动治疗已证明有效，但对脊柱后前向松动术的力学反应仍了解不足，近期研究已强调了这一点。各种仪器方法模式已用于客观测量力的施加和关节位移。一些仪器用于松动脊柱，另一些则用作松动的测量工具。文献中未提供关于理想施加力大小或关节位移的金标准。手法治疗领域使用的术语常常令人困惑，需要对术语进行定义。本文进行综述和讨论以突出这些问题和差距。
