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Commentary

SV Paris, PhD, PT, 75 Comares Ave, 3C, St Augustine, FL 32084

This excerpt was created in the absence of an abstract.

This is an interesting article that could cause a little confusion in manipulation circles, for it speaks of Maitland's mobilizations without making that point sufficiently clear. It also does not carefully define the "R1" point of resistance to motion that the students in this study were being trained to duplicate. Such lack of definition could cause confusion with other resistances not referred to and quite well known to therapists trained in the United States.

These other resistances to motion include that resistance felt when giving distraction to unweighted joint surfaces during long-axis distraction. A second resistance is that felt once the end of range has been reached, referred to as "first stop" by Kaltenborn (F Kaltenborn, personal communication). Then there is a third resistance to be overcome in order to arrive at the end of the physiological range, or "second stop."...

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Author Response

Michael Lee, Anne Moseley, and Kathryn Refshauge
Physical Therapy 1990 70: 103-104. [Abstract] [PDF]