Effects of central and unilateral posteroanterior mobilization on cervical lordosis, muscle stiffness and ROM in patient with ankylosing spondylitis: case study

Abstract

[Purpose] The aim of this study was to determine the effects of central and unilateral posteroanterior (PA) mobilization on cervical lordosis, muscle stiffness and range of motion in a patient with ankylosing spondylitis (AS). [Subject and Methods] The subject of this case study was diagnosed with AS in 1997. At baseline, variance was measured without any intervention during the first 3 days (2016.6.13–2016.6.15). Cervical PA mobilization was applied to each segment from C2–C7 from the 4th to the 11th day for 8 days. Intervention was not performed from the 12th to the 15th days for 4 days. Variances were measured a final time without intervention on the 16th day (2016.6.28). [Results] Cervical lordosis was seen to have increased. Muscle stiffness was significantly decreased after intervention and the effect of treatment lasted for five days without any additional intervention. The cervical flexion and extension angles were increased. However these increases were not statistically significant. Both the lateral flexion and left rotation angle were significantly increased and the effects of treatment lasted for five days without any additional intervention. [Conclusion] These results suggest that central and unilateral PA mobilization is effective in increasing cervical lordosis and range of motion, and decreasing muscle stiffness in patients with AS.

Mechanical Properties of Lumbar and Cervical Paravertebral Muscles in Patients with Axial Spondyloarthritis: A Case-Control Study

“…Furthermore, Park et al [ 35 ] found differences in cervical muscle frequency and stiffness between patients with cervicogenic headache and healthy individuals, but not in decrement as observed in our patients, which could mean that elasticity does fit the same behavior pattern as other mechanical properties when spinal muscles are assessed. This author also reported a case study [ 36 ] of an axSpA patient, analyzing cervical muscles pre- and post-treatment for central and unilateral posteroanterior mobilization. In this study, the treatment was effective in decreasing muscle stiffness.…”

Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

“…Lumbar measurements were carried out by placing the probe of the device perpendicular to the muscular belly of the erector spinal column, 2.5 cm from the midline of the spinous process of L5 [ 46 ] ( Figure 1 a). For the cervical measurements, the semispinalis capitis muscles at C4 level were assessed [ 31 , 47 ] ( Figure 1 b). The order of assessments (right/left) was randomized by a randomization plan generator ( , accessed on 10 October 2018).…”

Investigation of the Effects of Manual Therapy on Cervical Muscle Stiffness in Individuals with Chronic Neck Pain: Pilot Study

“…MT'nin kas sertliği üzerine etkileri, farklı popülasyonlarda ve farklı değerlendirme yöntemleri ile incelenmiştir. [26][27][28][29] Servikojenik baş ağrısında, servikal mobilizasyonunun servikal kas sertliği üzerine etkisinin "shear-wave elastografi (SWE)" ile incelendiği bir olgu çalışmasında, tek seans servikal mobilizasyondan sonra TRP kas sertliğinin azaldığı bildiril- miştir. 26 Park ve ark.…”

“…yaptığı olgu çalışmasında, her gün yapılan 8 seans servikal mobilizasyonun ankilozan spondilitli bir hastada kas sertliğini azalttığı bildirilmiştir. 27 Kim ve ark. TRP kasında tetik noktaları bulunan akıllı telefon kullanıcılarında SKM ve suboksipital kaslara uygulanan yumuşak doku tekniklerinin kas sertliğine etkisini miyotonometrik bir cihaz ile incelemiş ve yumuşak doku tekniklerinin SKM ve TRP kas sertliğini azalttığını bulmuşlardır.…”