Treatment tests in patients with adaptive and maladaptive movement patterns

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Title Treatment tests in patients with adaptive and maladaptive movement patterns
Author Tuttle, Neil Alan; Laakso, Liisa; Barrett, Rod
Publication Title Australian Physiotherapy Association Conference Week, Musculoskeletal Physiotherapy Australia
Year Published 2007
Place of publication Melbourne
Publisher Australian Physiotherapy Association
Abstract Treatment tests, or treatment direction tests, have been advocated for predicting the usefulness of a technique or intervention prior to its therapeutic application. The application of treatment tests however varies for different approaches: McKenzie considers the response to repeated active movements; Maitland to passive movements during physical assessment; and Mulligan, McConnell & Vicenzino to passive inputs superimposed on an active movement. The response to repeated lumbar spine movements has been shown to predict effective treatment by the McKenzie method, but there is little evidence of validity for other treatment tests. This presentation will consider the content validity of treatment tests by discussing the assumptions and rationale underlying the tests. Examples of patients with adaptive or maladaptive movement patterns will be used to clarify the appropriateness of types of treatment tests when applied to different hypotheses and different patient presentations. For example, the response to passive movement directed to a local symptomatic structure may be more useful in a patient with an adaptive movement pattern, while the response to a remote application of a treatment direction test may be more relevant in the presence of a maladaptive pattern. Pending research on the ability of treatment tests to predict outcomes, it is hoped that an understanding of the assumptions and rationale underlying the tests will assist physiotherapists in their application in the clinical setting.
Peer Reviewed No
Published Yes
Publisher URI
Copyright Statement Copyright 2008 Australian Physiotherapy Society. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
Conference name Australian Physiotherapy Association Conference Week, Sports Physiotherapy Australia
Location Cairns
Date From 2007-10-04
Date To 2007-10-06
Date Accessioned 2008-07-04
Language en_AU
Research Centre Menzies Health Institute Qld; Centre for Musculoskeletal Research
Faculty Griffith Health Faculty
Subject PRE2009-Rehabilitation and Therapy: Occupational and Physical
Publication Type Conference Publications (Extract Paper)
Publication Type Code e3

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