importance of lumbar coupling biomechanics in physiotherapy practice.

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Knowledge of lumbar coupling biomechanics is foundational in many manual therapy disciplines. 3-D studies of lumbar coupling indicate that coupling direction may not be predictable. The majority of physiotherapists indicated that lumbar coupling biomechanics were important or very important, frequently used during treatment, and necessary for validation of manual therapy. Cook C et al investigated physiotherapists' perception of importance of lumbar coupling for validation of manual therapy, necessity in treatment, and perceived direction of lumbar coupling biomechanics.
They found strong pre-conceptual perceptions of coupling necessity, and the importance placed upon lumbar coupling for treatment could lead to disparities among physiotherapists in lumbar manual therapy assessment and treatment.

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