title: Combined movements of the lumbar spine: examination and clinical significance.
abstract: The aim of this paper is to describe a method of examining the lumbar spine, incorporating the principle of combining movements and relating this to selection of technique. Almost all of the passive movement procedures used in the treatment of the lumbar spine are, in fact, procedures which involve combining or coupling different movements. The importance of examining the lumbar spine using the principles of combining movements is emphasised and it is suggested that this should be a central part of any planned examination. The importance of relating these movements to range and distribution of pain is considered in detail and the application of techniques, rotation in particular is described using positions which involve the combining of different movements.
authors.affiliation: West Perth.
authors.forename: B C
authors.initials: BC
authors.lastname: Edwards