Principles and progression of combined movements

Chapter Seven Principles and progression of combined movements


Whilst the use of the IN and DID system will encourage the consideration of starting positions, the use of box diagrams is an excellent method of conveying combined movement theory (CMT) positioning. The box diagram conveys considerable amounts of information with the simple addition of two lines to a box framework (Fig. 7.1). The frame of the box diagram represents the normal range of movement in sagittal (vertical line), coronal and axial planes (horizontal line). Flexion, extension and lateral flexion movements are denoted using straight lines, and rotation by an arc. The box diagram is drawn to represent the movement pattern associated with a dysfunction. It should be accompanied by shading to identify the predominant side of pain. This process identifies the quadrant of dysfunction (the corner of possible three-dimensional movement that is painful or restricted).

In addition to the above, a judgement on severity of pain (severe or not) should be placed next to the box. The diagram signifies to another CMT therapist that a process has been undertaken in order to draw the box diagram. The significant features of the box diagram follow:

Treatment progression

In order to describe the reasoning process of CMT treatment we will use the cervical spine case study from Chapter 4. Take a minute to familiarize yourself again with the presentation which is detailed below.

Cervical spine case study


The most appropriate treatment to induce greatest change in dysfunction was established to be:

Sep 9, 2016 | Posted by in MANUAL THERAPIST | Comments Off on Principles and progression of combined movements
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