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Vorro, J., Johnston, LW. (2003) 'A myoelectric model for thoracic spinal motion dynamics during clinical rotation tests: Part 1. Ipsilateral regional motor performance ', J Am Osteopath Assoc. 2003 Apr;103(4):187-93.
J Am Osteopath Assoc. 2003 Apr;103(4):187-93.
A myoelectric model for thoracic spinal motion dynamics during clinical rotation tests: Part 1. Ipsilateral regional motor performance
Joseph Vorro, William L Johnston
Abstract:
Osteopathic physicians may use regional diagnostic rotation tests of the spine during physical examinations for patient evaluations. Clinical judgments of these responses relate to symmetry as a criterion for mobility. This first part of a two-part study reports the authors' investigation of regional ipsilateral myoelectric activity during responses to active and passive shoulder and trunk rotations on the left- and right-side muscles with subjects seated. Results indicate symmetry existed in both active and passively induced regional rotation tests. Further, the distribution (profile) of ipsilateral myoelectric activity in the thorax reflected a bell-shaped activity curve that peaked at thoracic levels 6 and 7. This profile element demonstrates remarkable similarity between volitional and physician-induced rotation motions. These myoelectric data justify symmetry and profile as tangible standards for making clinical judgments of regional responses to spinal rotation diagnostic tests.
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