| Abstract/Notes |
Objective: To discuss the Leg length check as practiced by Chiropractors; its techniques, rationale, clinical value, physiological and neurophysiological roots and ramifications.
Background: In the process of performing various Chiropractic workshops, we have found that a significant portion of attendees did not uniformly incorporate complete leg length checks in their protocols. Furthermore, even those that did employ leg length tests in their protocols did not fully employ all the variations, nor did they comprehend the physiological and neurophysiological rational as to the entirety of what or why these tests reveal the findings that they do, and how that information is crucial to the treatment of the patient
Methods: An investigative meta-research study was undertaken perusing the existing published research both domestic and foreign, Chiropractic, Osteopathic, Allopathic, and Physiotherapeutic, to be as comprehensive as possible. This in order to illustrate all manner and variation (to our knowledge) of leg length check tests. The goal is to attempt to explain what those tests demonstrate, why and how they demonstrate their findings through spinal, fascial, osseous, and neurological reflex factors.
Conclusion: This study has attempted to explain the importance of proper procedures, the protocols, and the possible findings related to leg length checks. There was a presentation to explain how those findings can be physiologically justified. Factors such as fascia, muscle, spinal structure, osseous growth, and neurological reflexes were substantially discussed. It is our sincere hope that upon reading this study practitioners will come away with a new respect for this tool, making leg length checks a pivotal procedure in their office protocols, and comprehend the benefit of the information gleaned from these tests. It is recommended that further studies are needed to further corroborate these findings and those studies should include proper examiner training and patient population selection.
Author keywords: Chiropractic; Subluxation; leg length; Derifield; neurological postural reflexes; dural torque; fascia; Lovett Brother; DeJarnette; SOT; Sacro Occipital Technique; Osseous growth factors.
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