Stanley V Paris

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Reliable measurements are prerequisite to the successful conduct of outcome studies. In a study of the performance of physical therapists (n = 5) in evaluating passive mobility of the vertebral column with normal subjects (n = 5), several sources of measurement variability were assessed: the reliability within and between therapists, the criteria for(More)
This anatomical study describes the morphology of the human lumbar multifidus muscle through gross and chemical dissection of fresh cadavers. Previous morphological descriptions were analyzed with regard to fascicular divisions and cleavage planes. Gross dissection was performed on the lumbar multifidus of four fresh adult human cadavers and four preserved(More)
In this article I have attempted to give an overview of the current aspects of anatomy relevant to understanding low back function and pain. Generally, anatomy, neuroanatomy, and mechanics of the spine are not well understood by those who examine and treat these structures. It is hoped that an improved understanding will enhance both evaluation and patient(More)
Spinal manipulative therapy is growing in popularity and acceptance, as judged by the increasing number of practitioners in physical therapy and medicine and by the results of clinical trials. Manipulation is the skilled, gentle, passive movement of a joint (or spinal segment) either within or beyond its active range of motion. This definition is broad(More)
This article presents spinal dysfunction (as opposed to disease) as being an altered state of mechanics demonstrating either an aberrant motion or an increase or decrease from the expected range. Examination techniques, including passive intervertebral motion testing, are outlined, as is the grading system for recording results. Mobilizations and positional(More)
The author asserts that if an instability is of any consequence, then it can be detected during the physical examination by a trained observer. Radiographs, which display full-range or even paradoxical movements, do not represent true functional movements. If the instability cannot be seen or palpated there is a serious question as to whether it exists.(More)