Flexion mobilizations with movement techniques: the immediate effects on range of movement and pain in subjects with low back pain.
OBJECTIVE: This study investigates the immediate effects of flexion mobilizations with movement techniques (MWMs) on spinal range of movement in individuals with low back pain and also their impact on pain. A preliminary attempt has been made to describe the clinical profiles of subjects who were th...
| Published in: | Journal of Manipulative & Physiological Therapeutics Vol. 30; no. 3; pp. 178 - 186 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Elsevier B.V.
Mar/Apr2007
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106297869&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106297869 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Mar/Apr2007 vid: 30 iid: 3 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 106297869 106297869 2009563218 10.1016/j.jmpt.2007.01.015 NLM17416271 106297869 ppf: 178 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Flexion mobilizations with movement techniques: the immediate effects on range of movement and pain in subjects with low back pain. aug: au: Konstantinou K Foster N Rushton A Baxter D Wright C Breen A affil: Spinal Physiotherapy Specialist/Research Physiotherapist, Haywood Hospital/ Primary Care Sciences Research Centre, Keele University, UK. k.konstantinou@cphc.keele.ac.uk sug: subj: Low Back Pain Rehabilitation Physical Therapy Range of Motion Adult Crossover Design Data Analysis Software Data Analysis, Statistical Descriptive Statistics Extension Female Flexion Funding Source Low Back Pain Diagnosis Male Middle Age P-Value Physical Therapy Assessment Research Instruments Scales Self Report T-Tests Visual Analog Scaling Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: OBJECTIVE: This study investigates the immediate effects of flexion mobilizations with movement techniques (MWMs) on spinal range of movement in individuals with low back pain and also their impact on pain. A preliminary attempt has been made to describe the clinical profiles of subjects who were thought to benefit from MWMs. METHOD: A small-scale explanatory study was conducted using a crossover design, placebo-controlled, with subjects and assessors blinded. After assessment by physiotherapists, 26 subjects with low back pain with pain on lumbar flexion, thought to be appropriate for treatment with MWMs, participated. Subjects received an MWM intervention and a placebo intervention in a randomized order. Lumbar spinal flexion and extension and pain during flexion were recorded immediately before and after each intervention, using double inclinometry and visual analogue scales. RESULTS: Mean spinal range of movement increased significantly with the MWM intervention, as compared with the placebo (true flexion: MWMs 49.2 degrees [SD 16.4], placebo 45.3 degrees [SD 14.1], P = .005; total flexion: MWMs 76.7 degrees [SD 22.4], placebo 69.7 degrees [SD 21.5], P = .005). Mean pain scores did not change. CONCLUSIONS: The MWMs produced statistically significant, but small, immediate spinal mobility increases but no pain reduction when compared with placebo. By introducing clinical judgment into the subject selection process for the trial, 19 (73%) of 26 subjects benefited from MWMs techniques in terms of range of movement and/or pain intensity, whereas 9 (35%) subjects showed such changes with the placebo intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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