The Seven Most Influential Persons in Orthopedic Physical Therapy - 2

2. James Henry Cyriax, M.D.
It is likely that James Henry Cyriax, M.D. (1904-1985) has had more of a longstanding influence on the other names on this list than any other individual. His influence on the field of orthopedics, physical therapy, chiropractics, and massage is profound.
Cyriax is generally considered to be the father of orthopedic medicine. He was a British orthopedist who developed one of the most commonly used systems for physical examination. He originated the concept of selective tension used to identify the specific tissue (muscle, tendon, ligament, etc.) causing an individual pain or dysfunctional movement.
Cyriax originated and wrote about the concept of referred pain. He was among the first to recognize the intervertebral disk as a possible source of spinal and limb pain. He wrote extensively about his treatment methods which consisted of manipulation, massage, traction and injection. Cyriax's technique of cross-friction massage continues to be widely used today.
The textbooks of Dr. Cyriax are still for many, the “Bible” of orthopedic medicine. Since his death, there have been great changes in orthopedic physical therapy teaching. However, much can still be learned from his work.
Textbooks include:
Cyriax's Illustrated Manual of Orthopaedic Medicine
Textbook of Orthopaedic Medicine: Diagnosis of Soft Tissue Lesions
Textbook of Orthopaedic Medicine
Slipped Disk: Relieving and Understanding Your Back Troubles
The Slipped Disc
Cervical Spondylosis
Courses on Dr. Cyriax’s work are given in the USA by the European Teaching Group of Orthopaedic Medicine (www.etgom.be). They have also just published new books and videos on his work.

Author: Robert J. Schrupp, PT, MA may be contacted at schrupp@hbci.com