Effectiveness of mid thoracic spine mobilization on postural balance and gait ability in subacute stroke patients: A randomized clinical trial.

BACKGROUND: Although mulligan sustained natural apophyseal glides (SNAG) and maitland mobilization (MM) are common interventions for musculoskeletal disease, no study has directly compared the effectiveness of mid-thoracic spine mobilization in subacute stroke patients. OBJECTIVE: To investigate the...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 37; no. 1; pp. 233 - 241
Autores principales: Kim, Jinhong, Cho, Juchul
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024
      vid: 37
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/BMR-230144
        175159608
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        atl: Effectiveness of mid thoracic spine mobilization on postural balance and gait ability in subacute stroke patients: A randomized clinical trial.
      aug:
        au:
          Kim, Jinhong
          Cho, Juchul
        affil: Rehabilitation Medical Research Center, Korea Worker's Compensation & Welfare Service, Incheon Hospital, Incheon, Korea
      sug:
        subj:
          Stroke Rehabilitation
          Manipulation, Orthopedic Methods
          Joint Mobilization Methods
          Thoracic Vertebrae
          Balance, Postural
          Gait Analysis
          Treatment Outcomes
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Stroke Patients
          Randomized Controlled Trials
          Random Assignment
          Descriptive Statistics
          Comparative Studies
          Rising
          Clinical Assessment Tools
          Questionnaires
          Patient Satisfaction
          Patient Attitudes
          Walking
          Exercise Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: BACKGROUND: Although mulligan sustained natural apophyseal glides (SNAG) and maitland mobilization (MM) are common interventions for musculoskeletal disease, no study has directly compared the effectiveness of mid-thoracic spine mobilization in subacute stroke patients. OBJECTIVE: To investigate the effects of mid-thoracic spine mobilization (SNAG vs. MM) on postural balance and gait ability in subacute stroke patients. METHODS: Fifty subacute stroke patients were randomly allocated to the SNAG (n = 17), MM (n = 16), and control (n = 17) groups, each receiving a neuro-developmental therapy program for four successive weeks. The SNAG and MM groups additionally received mid-thoracic spine mobilization (T4 ∼ 8). The primary outcome measure was postural sway, and secondary outcome measures included the five times sit-to-stand test (FTSST), functional reach test (FRT), 10-m walk test (10MWT), 6-minute walk test (6MWT) and global rating of change (GRC). RESULTS: Participants reported no adverse events, and there was no loss to follow-up. The SNAG and MM group patients demonstrated significant improvements (p < 0.05) in postural sway, FTSST, FRT, 10MWT, and 6MWT compared with those in the control group, with no between-group differences. CONCLUSIONS: Mid-thoracic spine mobilization allows significant improvements in postural balance and gait ability in subacute stroke patients, with no differences between the SNAG and MM techniques.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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