S. Caudevilla Polo

• University of Zaragoza

(1) Background: The diagnosis of lumbosacral radiculopathy involves anamnesis, an assessment of sensitivity and strength, diagnostic imaging—usually magnetic resonance imaging (MRI)—and electrodiagnostic testing (EDX), typically electromyography (EMG), and electroneurography (ENG). MRI evaluates the structures supporting the spinal cord, while EDX...

(1) Background: The diagnosis of lumbosacral radiculopathy involves anamnesis, assessment of sensitivity and strength, diagnostic imaging—usually magnetic resonance imaging (MRI)—and electrodiagnostic testing (EDX), typically electromyography (EMG) and electroneurography (ENG). MRI evaluates the structures supporting the spinal cord, while EDX eval...

The straight leg raise test (SLR) has been proposed to detect increased nerve mechanosensitivity of the lower limbs in individuals with low back pain or leg-related low back pain. However, its validity in the diagnosis of lumbosacral radiculopathy show very variable results. The aim of this study was to analyse the diagnostic validity of the SLR in...

Background: Glenohumeral lateral distraction mobilisation (GLDM) is used in patients with shoulder mobility dysfunction. No one has examined the effect of scapular fixation during GLDM. The aim was to measure and compare the lateral movement of the humeral head and the rotational movement of the scapula when three different magnitudes of forces we...

Objective: To analyze the changes over time in the strain on the inferior ilio-femoral (IIF) ligament when a constant high-force long-axis distraction mobilization (LADM) was applied over 5 minutes. Design: A cross-sectional laboratory cadaveric study. Setting: Anatomy laboratory. Participants: Thirteen hip joints from nine fresh-frozen cada...

Background and Objectives: Glenohumeral axial distraction mobilization (GADM) is a usual mobilization technique for patients with shoulder dysfunctions. The effect of scapular fixation on the movement of the scapula and the humeral head during GADM is unknown. To analyze the caudal movement of the humeral head and the rotatory movement of the scapu...

Background It is important to establish if mechanical testing for physical problems in the human is specific or non-specific for structures - e.g. muscle and nerve. The median nerve at the wrist can be moved in preference to its adjacent flexor digitorum longus muscle, but it is necessary to know if this specificity extends to the elbow. We therefo...

Background The mechanical effects of hip joint mobilization on hip capsular-ligament tissue have never been studied. Objective To evaluate the strain on the inferior ilio-femoral (IFF) ligament after 5 min of high-force long-axis distraction mobilization (LADM) and to analyse the immediate effects on hip range of motion (ROM). Design Cross-sectio...

Background: We compared the effects of therapeutic exercise (TE) combined with pain neurophysiology education (PNE) to those of TE in isolation on pain intensity, general fibromyalgia impact, mechanical pain sensitivity, pain catastrophizing, psychological distress and quality of life in women with fibromyalgia syndrome (FMS). Methods: A feasibi...

Background No study has evaluated the mechanical effect of different magnitudes of long axis-distraction mobilization (LADM) force on hip joint space width (JSW) or the association between the separation of joint surfaces and the strain on hip capsular ligaments. Objective To compare the joint separation when applying three different magnitudes of...

Introduction A key issue in neurodynamic testing is whether a manoeuvre designed to produce differential biomechanical behaviour (structural differentiation) of nerve compared to adjacent muscle is mechanically accurate. The aim of this study was to investigate the capacity of cervical contralateral lateral flexion to produce differential biomechan...

The tarsal tunnel is a fibrous osseous conduit for the tibial nerve and associated tendons. It is mechanically dynamic, and foot and ankle movements appear to move and change tunnel shape. However, the effect of foot and ankle movements is not clear. The aim of this study was to measure tarsal tunnel dimensions in anatomical position of the foot an...

Background A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle d...

Background Several studies have suggested that the changes in elasticity of the joint capsule and surrounding muscles during a hip long-axis distraction mobilization (LADM) could explain the pain-relieving and mobility-improving effects of the technique. Objective To compare the strain on the inferior ilio-femoral ligament and psoas muscle when ap...

Introduction: In hamstrings injuries, sciatic nerve and muscle disorders can coexist. Therefore, differential diagnosis to include or exclude nerve involvement is an important aspect of evaluation. The objective of this paper is to investigate the mechanical behaviour of the sciatic nerve and biceps femoris muscle in the proximal thigh with the an...

Background: Long-axis distraction mobilization (LADM) of the hip has been shown to reduce pain and improve physical function in hip osteoarthritis (OA). The optimal intensity of mobilization force necessary to reduce pain and improve physical function is unknown. Objective: To compare the effects on pain and physical function of three different...

Objective To assess the relationship between static frontal knee alignment in asymptomatic subjects and flexibility of the main muscles functionally related to the knee. Methods A descriptive cross-sectional study was performed in 33 healthy adults (19–31 years). The frontal knee angle (valgus/varus angle) was measured by photogrammetry and it was...

Background: Stretching of the pectoralis major muscle is very similar to the neural tension position for the median nerve. This raises doubts about the specificity of the stretching technique on the muscle tissue. In this research, we propose to use structural differentiation (SD) as a maneuver that has shown to be specific for modifying neural ten...

Background: Manual therapy has been shown to increase range of motion (ROM) in hip osteoarthritis (OA). However, the optimal intensity of force during joint mobilization is not known. Objective: To compare the effectiveness of high, medium and low mobilization forces for increasing range of motion (ROM) in patients with hip OA and to analyze the...

Introduction: The carpal tunnel is a clinically important fibro-osseous conduit for the median nerve and associated tendons. It is mechanically dynamic, such that the dimensions of the tunnel and median nerve change with position, movement and application of externally applied force with mechanical devices. Therapeutic manual techniques that appea...

Purpose: To analyze the impact of a combined physiotherapeutic exercise program for type 2 diabetic adults with obesity and poor health-related quality of life strongly linked to pain. Subjects: Twenty-five patients, mean age 58 +/- 7.8, referred from an endocrinology service, were included. Methods: They performed 12 weeks of supervised physiother...

Many techniques have been described for the reduction of anterior glenohumeral dislocation, but each of the techniques has its disadvantages. A new shoulder reduction technique is needed to overcome these disadvantages. An alternate technique of humerus axial traction with acromial fixation is presented. The technical description of this procedure...

Muscle stretchings are one of the main techniques within the physical therapist's treatments. Nevertheless, the physical therapist must not limit treatment to the use of these stretching techniques but must also guide, teach and control the autostretching exercises that the sportsman practises. One of the joints that develops the most muscle imbala...

Muscle stretchings are one of the main techniques within the physical therapist's treatments. Nevertheless, the physical therapist must not limit treatment to the use of these stretching techniques but must also guide, teach and control the autostretching exercises that the sportsman practises. One of the joints that develops the most muscle imbala...

Se ha realizado un estudio observacional sobre las lesiones de esquiadores del Equipo Nacional de Esquí de Fondo durante dos temporadas. Este estudio se efectuó desde el marco de actuación del fisioterapeuta. El estudio ha sido dirigido principalmente hacia la patología del aparato locomotor en el medio deportivo, aunque también se hace referencia...

IntroductionOrthopedic manual therapy (OMT) is a physical therapy specialization that should be considered in other physical therapy specialties, such as neurological and pediatric physiotherapy.

Purpose The purpose of this case report is to identify possible gains in passive range of motion (PROM) after specific Kaltenborn glide mobilizations of the carpal joint, and the possible indirect influence this may have on performance of fine motor activities requiring pincer grasp, in a subject with neurological impairments. Case description A 1...

Introduction. Orthopedic manual therapy (OMT) is a physical therapy specialization that should be considered in other physical therapy specialties, such as neurological and pediatric physiotherapy.

A load uphill gait study graded at 25% (14,03°) has been done in ten mountain practitioners with tree different types of rucksack and one unloaded form in order to analyse the variations with each of them in the normal uphill motor pattern. This analysis has been done to evaluate the weight effect and the external weight position Vs person, both du...