Immediate effects of the central posteroanterior mobilization technique on pain and range of motion in patients with mechanical neck pain

Kanlayanaphotporn, Rotsalai; Chiradejnant, Adit; Vachalathiti, Roongtiwa

doi:10.3109/09638280903204716

Cited by 34 publications

(38 citation statements)

References 25 publications

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“…PPT was proposed as the primary outcome measure because it was expected to be more sensitive to initial changes following treatment 8, 64,71 than resting pain (VAS). 32,33 Data were checked for normality prior to statistical analyses, which were performed per protocol. Descriptive statistics and counts were used to describe the sample.…”

Section: Discussionmentioning

confidence: 99%

Dose Optimization for Spinal Treatment Effectiveness: A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain

Snodgrass

Rivett²,

Sterling³

et al. 2014

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

Dose Optimization for Spinal Treatment Effectiveness: A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain

Snodgrass

Rivett²,

Sterling³

et al. 2014

J Orthop Sports Phys Ther

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“…Vernon et al 14 and that by Hegedus et al 15 only included studies which examined the effects of joint mobilization and not those studies which combined joint mobilization with other interventions. Consequently, the primary purpose of this systematic review and meta-analysis was to examine the effects of a single session of joint mobilization in symptomatic subjects, performed at any spinal region, on changes in self-reported pain at rest and self-reported pain with the most painful movement.…”

Section: Introductionmentioning

confidence: 99%

“…Further, similar effects, decreased pain and increased motion, have been observed when mobilization was performed at the asymptomatic level (non-specific level) or at the symptomatic level (the specific level). 14 In addition, a third systematic review that included both randomized and non-randomized controlled trials concluded that a single session of spinal mobilization may have little or no clinically meaningful or lasting effect. 15 The study by…”

Section: Introductionmentioning

confidence: 99%

The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis

Slaven

Goode

Coronado

et al. 2013

Journal of Manual & Manipulative Therapy

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Study design: Systematic literature review and meta-analysis. Objective: In symptomatic subjects to: (1) examine the effects of a single session of joint mobilization on pain at rest and with most painful movement, and (2) compare the effects when joint mobilization is provided to a specific or non-specific spinal level. Background: Joint mobilization is routinely used for treating spinal pain in conjunction with other interventions, but its unique effect is not well understood. Further, there is controversy about the role of 'specific level' techniques in producing benefit. Methods: Searches were performed for randomized controlled trials (RCTs) using electronic databases (MEDLINE, CINAHL, and PEDro) from 1966 through November 2010. Methodological quality was assessed using previously detailed criteria. Meta-analysis and meta-regression were conducted on eligible studies. Results: Eight RCTs with a mean methodological score of 10/12 were included. Significant heterogeneity (P50.075) was found in the overall meta-analysis estimate. When stratified by body location, no significant individual effect was found for pain at rest. However, there was a statistical mean difference [0.71 (95% confidence interval: 0.13-1.28)] between pain at rest for the cervical and lumbar individual means. Conclusions: We found multiple studies which provided evidence that a single session of joint mobilization can lead to a reduction of pain at rest and with most painful movement. When using joint mobilization, the need for specific versus non-specific level mobilization may be influenced by anatomical region; the direction of effect in the cervical spine was toward specific mobilization and in the lumbar spine towards non-specific mobilization.

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“…Mobilization is found to reduce pain, the aim of mobilization included enhancement of passive physiologic motions within painfree limit [16]. However there is not much significant difference seen in cervical rotation and shoulder range of motion when compared to the case study.…”

Section: Resultsmentioning

confidence: 89%

“…Only a single case report has been conducted to study the effect of manual therapy, however the author suggested further need of randomized trials to know the effect of manual therapy approach on post operated cancer patients. The rationale remains same unlike other approaches of manual therapy DISCUSSION study includes maitland mobilisation in central PA direction [16]. In head and neck cancer patients with range of motion restriction of neck and shoulder is one of common complication seen post surgery, Also, limited mouth opening due to pain and sutures is seen commonly in buccal mucosa and tongue cancer patients.…”

Section: Resultsmentioning

confidence: 99%

Effect of Combined Manual Therapy on Neck Pain and Quality of Life in Post – Operative Head and Neck Cancer Patients - a Pre - Post Experimental Study

Pattanshetty¹,

Khanna²

2017

IJPR

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Background: The burden of head and neck cancer in India has been increasing in recent years. Despite evidence that physical therapy exists throughout phases of treatment for head and neck cancer patients , combined treatment of manual therapy in the form of mobilization, muscle energy technique and soft tissue mobilization techniques are rarely available for clinical practice. Hence, the present study was taken up. Aim:To study the effect of combined manual therapy in form of mobilization, Muscle energy technique and soft tissue mobilization on neck pain, quality of life, mobility in Head and Neck Cancer Patients. Settings and Design:The experimental study was undertaken in a tertiary care referral hospital over a period of three months. Materials and Methods:A total of fifteen(15) subjects including eleven (11) males and four (4) females post operative head and neck cancer subjects were given combined manual therapyin the form of cervical mobilization, muscle energy technique and Soft tissue Mobilization for duration of a week during the hospitalisation phase. Pain was assessed using Numeric pain rating Scale, Range of motion of cervical joint, shoulder joint and Temporomandibular joint, Functional assessment was done using Neck disability index and FACT H&N Questionnaire. Statistical Analysis was done using SPSS Version 0.21. Students dependent 't' test was used to analyse the pre and post treatment difference in all outcome measures. Results:The study demonstrated improvement in all the outcome measures in the study, the significant difference was seen in with pd"0.001 except cervical rotation and shoulder range of motion. Conclusion:The study demonstrated Pain reduction, Improvement in Cervical, TMJ and shoulder range of motion, Improved Quality of life and reduction in disability following combined manual therapy approach.

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Immediate effects of the central posteroanterior mobilization technique on pain and range of motion in patients with mechanical neck pain

Abstract: The clinical recommendation regarding the selection of the central PA mobilization technique for treating patients with central or bilateral mechanical neck pain is therefore arguably.

Cited by 34 publications

References 25 publications

Dose Optimization for Spinal Treatment Effectiveness: A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain

Dose Optimization for Spinal Treatment Effectiveness: A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain

The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis

Effect of Combined Manual Therapy on Neck Pain and Quality of Life in Post – Operative Head and Neck Cancer Patients - a Pre - Post Experimental Study

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