Evaluation and Treatment of Vertebral Motion Segment Dysfunction (Functional Assessment & Treatment of Spine related dysfunction) Impaired or altered function of related components of the somatic (body framework) system; skeletal, arthrodial, and myofascial structures; and related vascular, lymphatic, and neural elements is termed somatic dysfunction (International Classification of Diseases – Hospital Adaptation, ed. 2, 1973). Somatic dysfunction can be produced by trauma or acquired as compensation for dysfunction elsewhere in the system. Vertebral somatic dysfunction is identified through an assessment of motion quantity/quality and tissue texture at the involved vertebral segment. The quantity of motion at the dysfunctional segment can be reduced (hypomobility) or increased (hypermobility) in relation to motion at a normal vertebral segment. The end-feel during motion testing provides qualitative insight into the nature of the barrier that limits motion. ...
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