Manual Therapy Techniques For The Lumbar Spine: Difference between revisions
No edit summary |
No edit summary |
||
Line 10: | Line 10: | ||
== Background == | == Background == | ||
'''<u>Mobilisations</u>'''<u><br><br></u>Spinal mobilisation has always had its efficacy described in terms of improving mobility in areas of the spine that are restricted (Korr 1977). Such restriction may be found in joints, connective tissues or muscles. By removing the restriction - by mobilisation - the source of pain is reduced and the patient experiences symptomatic relief (Maitland 1986).<u><br></u> | '''<u>Mobilisations</u>'''<u><br><br></u>Spinal mobilisation has always had its efficacy described in terms of improving mobility in areas of the spine that are restricted <ref name="Korr (1977)">Korr IM (1977): The neurobiologic mechanisms in manipulative therapy. New York, Plenum Press.</ref>(Korr 1977). Such restriction may be found in joints, connective tissues or muscles. By removing the restriction - by mobilisation - the source of pain is reduced and the patient experiences symptomatic relief (Maitland 1986).<u><br></u> | ||
== Mobilisations of the Lumbar Spine<br> == | == Mobilisations of the Lumbar Spine<br> == |
Revision as of 19:01, 8 January 2013
Original Editors - Jenny Arnatt, Tabitha Eddleston, Tori Jovcic, Lizzie Wakeham
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Introduction[edit | edit source]
Background[edit | edit source]
Mobilisations
Spinal mobilisation has always had its efficacy described in terms of improving mobility in areas of the spine that are restricted [1](Korr 1977). Such restriction may be found in joints, connective tissues or muscles. By removing the restriction - by mobilisation - the source of pain is reduced and the patient experiences symptomatic relief (Maitland 1986).
Mobilisations of the Lumbar Spine
[edit | edit source]
Central Posteroanterior (PA) Mobilisation Technique
For this manual therapy technique, the patient is often positioned in prone with their arms by their side and a pillow under their abdomen for comfort (Powers et al, 2009). A PA mobilization is then performed by a physiotherpist by placing their thumb or pisiform over the spinous process of a vertebrae and applying a posteroanterior force.
PAs are a commonly used manual therapy technique that has shown to be effective at reducing pain in patients with low back pain (LBP) (Shum, Tsung and Lee, 2012). So far, evidence suggests immediate pain relief following treatment, and also some evidence suggests an increased range of movement (ROM) of lumbar extention (McCollam and Benson, 1993, Shum, Tsung and Lee, 2012, and Powers et al, 2009)
N.I.C.E guidlines (2009) therefore suggest lumbar mobilizations should be included in a 12 week course of manual therapy for patients with non-specific LBP.
[edit | edit source]
References[edit | edit source]
see adding references tutorial.
- ↑ Korr IM (1977): The neurobiologic mechanisms in manipulative therapy. New York, Plenum Press.