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Copyright © 2015 by the American Osteopathic Association.

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Presentation on theme: "Copyright © 2015 by the American Osteopathic Association."— Presentation transcript:

1 Copyright © 2015 by the American Osteopathic Association.
From: The Biology of Manual Therapies J Am Osteopath Assoc. 2012;112(9): doi: /jaoa Figure Legend: Transaxial magnetic resonance images of a 69-year-old woman without back pain (A) and a 69-year-old woman with acute low back pain before (B) and immediately after (C) osteopathic manipulative treatment. These images of the L3-L4 region illustrate the spatial orientation of the psoas, quadratus lumborum, iliocostalis lumborum/longissimus thoracis, and multifidus muscles. Ten-millimeter thick transaxial images were obtained from the lumbar region with a 2000-millisecond repetition time, 30-millisecond and 65-millisecond echo times, and a 10-mm slice-to-slice interval. These derived images were used to calculate the transverse relaxation time (T2) and allow for a noninvasive measurement of the metabolic and hemodynamic responses of skeletal muscle in association with muscle activity. Note the similar signal intensity in the left and right lumbar muscles of the control subject (A), the asymmetry in the psoas and quadratus lumborum muscles before treatment (B), and the attenuation of this asymmetry immediately after treatment (C). Reprinted from Clark et al.21 Date of download: 11/12/2017 Copyright © 2015 by the American Osteopathic Association. All rights reserved.


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