Mechanism of Action of Spinal Mobilizations

Abstract

3.

Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

“…In our study, we tried to homogenize the patients by categorizing sacroiliac joint dysfunctions and used eight clinical tests to separate anterior innominate from posterior innominate dysfunctions. Although many studies have emphasized the increase in muscle length and range of motion after MET, we did not see any significant differences in lumbar stiffness disability after this intervention [22,24,25].…”

“…The heterogeneity of patients with sacroiliac joint dysfunctions has been a challenging issue, with the sub-grouping of patients declared to be one of the main objects of this research. Also, the pathokinesiological movement patterns in the sacroiliac joint have been investigated and described [8,15,25]. What differentiates this article from other articles is applying the MET with consideration of the kind of dysfunction (ant innominate or post innominate), and we concluded that this kind of intervention might be more efficient in improving patients' symptoms.…”

An obituary for articulation

“…To really put a nail in the coffin, Aguirrebena et al (2016) 5 and contrary to the AACOM definition, question 'Whether mobilizations produce movement of the vertebra or induce a change in intervertebral movement and stiffness' (p. 170) as the evidence is not clear on this point. So, the term articulation is not wanted and the current evidence doesn't support the definition.…”

“…The authors sought to 'review the evidence regarding the mechanism of action of spinal mobilizations'. Nothing unusual in this, however given that Aguirrebena et al (2016) 5 define spinal mobilization as 'low velocity passive oscillatory movements', one could be forgiven for linking mobilization and articulation. Perhaps given the similarity of the techniques, the mechanism of action could be considered the same.…”

“…Of course the evidence is building for other effects such as effects on posture and reducing Substance P, so over time with more studies we should see more positive impacts with this technique approach. Aguirrebena et al (2016), 5 go on to point out areas for future research for budding and experienced researchers and tips on making studies more robust to improve the quality of the evidence.…”