title: A functional pre-manipulative spinal orthopedic assessment maneuver.
abstract: OBJECTIVE
  To introduce and describe a standardized protocol for a functional, pre-manipulative assessment procedure for spinal pain.
  
  
  METHODS
  Two brief case reports and the clinical utility of this maneuver is compared with another commonly used orthopedic test in a retrospective study involving 50 subjects.
  
  
  METHODS
  Northwestern Health Sciences University's Bloomington Natural Care Center.
  
  
  RESULTS
  The use of the proposed pre-manipulative orthopedic assessment maneuver may have clinical utility for patients presenting with back and/or leg pain. There were differences in the subjective responses of some subjects between the use of the torsion test and the straight leg raise and some results that suggest a correlation between the two tests.
  
  
  CONCLUSIONS
  The test described may be useful as an additional assessment procedure since it closely reflects those spinal stressors that are commonly present when manual therapy is being employed. Additionally, the torsion test may have practical utility since it can be modified to reflect different techniques employed by different health care providers.
authors.affiliation: Private practice, Eden Prairie, MN.
authors.forename: David E
authors.initials: DE
authors.lastname: Stude
references.citation: J Manipulative Physiol Ther. 1990 Sep;13(7):378-83
references.pmid: 2212883
references.citation: Med J Aust. 1988 Mar 7;148(5):233-6
references.pmid: 3343953
references.citation: Pain. 1987 Jul;30(1):115-126
references.pmid: 3614975
references.citation: Spine (Phila Pa 1976). 1997 May 15;22(10):1115-22
references.pmid: 9160470
references.citation: J Manipulative Physiol Ther. 1997 Jan;20(1):30-40
references.pmid: 9004120
references.citation: J Manipulative Physiol Ther. 1999 Jun;22(5):299-308
references.pmid: 10395432
references.citation: J Manipulative Physiol Ther. 1994 Feb;17(2):88-92
references.pmid: 8169548
references.citation: J Manipulative Physiol Ther. 2002 Oct;25(8):E8-E17
references.pmid: 12381983
references.citation: Aust J Physiother. 1985;31(5):175-99
references.pmid: 25025982
references.citation: J Bone Joint Surg Am. 1970 Apr;52(3):468-97
references.pmid: 5425641
references.citation: J Manipulative Physiol Ther. 2001 Nov-Dec;24(9):596-602
references.pmid: 11753334
references.citation: Spine (Phila Pa 1976). 1992 Jul;17(7):804-10
references.pmid: 1502646
references.citation: J Manipulative Physiol Ther. 1999 May;22(4):235-44
references.pmid: 10367760
references.citation: Spine (Phila Pa 1976). 2001 Apr 1;26(7):758-64; discussion 765
references.pmid: 11295896
references.citation: J Am Osteopath Assoc. 1971 Jan;70(5):433-40
references.pmid: 5203536
references.citation: Spine (Phila Pa 1976). 1989 Mar;14(3):253-7
references.pmid: 2711240
references.citation: Exerc Sport Sci Rev. 1981;9:159-81
references.pmid: 6749521
references.citation: Spine (Phila Pa 1976). 1991 Jul;16(7):809-15
references.pmid: 1925758
references.citation: Spine (Phila Pa 1976). 1995 Dec 1;20(23):2513-20; discussion 2521
references.pmid: 8610246
references.citation: Spine (Phila Pa 1976). 1993 Jul;18(9):1206-12
references.pmid: 8362328
references.citation: J Manipulative Physiol Ther. 1992 Jan;15(1):71-5
references.pmid: 1740656
references.citation: J Manipulative Physiol Ther. 1989 Apr;12(2):86-92
references.pmid: 2715742
references.citation: J Manipulative Physiol Ther. 1989 Jun;12(3):220-7
references.pmid: 2638571
references.citation: J Orthop Sports Phys Ther. 1998 Mar;27(3):205-12
references.pmid: 9513866
references.citation: Phys Ther. 1997 Apr;77(4):354-60; discussion 361-9
references.pmid: 9105339
references.citation: Spine (Phila Pa 1976). 1999 Apr 1;24(7):676-83
references.pmid: 10209797
references.citation: Clin Biomech (Bristol, Avon). 1993 Jul;8(4):210-4
references.pmid: 23915971
references.citation: Spine (Phila Pa 1976). 1990 Mar;15(3):211-3
references.pmid: 2141186
references.citation: J Manipulative Physiol Ther. 1992 Jun;15(5):275-8
references.pmid: 1613409
references.citation: J Manipulative Physiol Ther. 1999 Nov-Dec;22(9):628-30
references.pmid: 10626707
references.citation: J Manipulative Physiol Ther. 1993 Feb;16(2):96-103
references.pmid: 8445360
references.citation: J Manipulative Physiol Ther. 2001 Nov-Dec;24(9):603-11
references.pmid: 11753335
references.citation: J Manipulative Physiol Ther. 2002 Sep;25(7):450-4
references.pmid: 12214186
references.citation: Phys Ther. 1988 Sep;68(9):1359-63
references.pmid: 2971233
references.citation: J Manipulative Physiol Ther. 1989 Dec;12(6):428-33
references.pmid: 2628521