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Manual Medicine 1984: Results of the International Seminar by Jiri Dvořák M.D., Vaclav Dvořák M.D., Werner Schneider M.D.

By Jiri Dvořák M.D., Vaclav Dvořák M.D., Werner Schneider M.D. (auth.), Jiri Dvořák M.D., Vaclav Dvořák M.D., Werner Schneider M.D. (eds.)

Commissioned via the Swiss Federation of handbook medication and below the patronage of FIMM (International Federation of handbook drugs) we performed a global seminar through the week following the seventh Inter­ nationwide Congress of FIMM (Zuerich/Switzerland - September 1983). Thirty handbook drugs specialists had come jointly within the schooling middle of the Cloister Fischingen secluded within the jap a part of Switzerland and clear of any urban lifestyles, to debate in per week lengthy seminar the prestige of guy­ ual medication. operating jointly within the kind of numerous teams, the subsequent issues have been emphasised: - terminology - diagnostic standards (are handbook drugs findings reproducible?) - healing interventions (degree of congruity of cures) The members validated nice enthusiasm and dedication, and so it was once attainable to have the content material of the person group's dialogue com­ municated to and offered for additional scrutiny to all contributors throughout the seminar week. As participants of the organizing committee and because the editors of this publica­ tion, we are hoping to assist identify a extra standardized foreign terminolo­ gy about the box of guide medication. As this medical trial (investigating the diagnostic reliability and the therapeu­ tic potency of MM) exhibits, elements equivalent to terminology, diagnostic standards and healing plans are a prerequisite for multi-center studies.

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I ~~ • el l!! , 23 Year Old Male Chief Complaint:9 The patient suffers primarily from back pain that does not respond to therapy. The pain is exacerbated when loading is abnormal or assuming wrong body posture. The pain does not radiate appreciably into the legs. Social Historyl0: The patient works as a clerk, with no physical labor involved. The patient only exercises minimally. History of Chief Complaint: The present back pains had started during military service three years ago, as a result of which the patient was reassigned to office duties.

Then, starting from a neutral position, side bending is introduced. One evaluates the character of motion as well as the range of motion of spinous process of the axis in the direction of the convexity. In this test, the spinous process begins to move at the moment passive sidebending is introduced. C2-C3 Evaluation of translatory motion Fig.

The articular surfaces of the axis are convex, and those of the atlas relatively flat causing an anterior and posterior gap. The joint capsule is wide and flabby, and from the medial wall a cuneiform synovial fold reaches into the articular space (meniscoid). Sidebending between the atlas and axis is only possible with simultaneous rotation about the axis. This is also known as "forced rotation" which is mainly the result of the physiological function of the alar ligaments (Fig. 10). Undoubtedly, axial rotation is the major motion of the atlanto-axial joint.

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