Manual Therapy Techniques For The Lumbar Spine: Difference between revisions
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== Mobilisations of the Lumbar Spine<br> == | == Mobilisations of the Lumbar Spine<br> == | ||
'''Central Posteroanterior (PA) Mobilisation Technique''' | <u>'''Central Posteroanterior (PA) Mobilisation Technique'''</u> | ||
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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. | 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. | ||
Revision as of 19:44, 8 January 2013
Original Editors - Jenny Arnatt, Tabitha Eddleston, Tori Jovcic, Lizzie Wakeham
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Introduction[edit | edit source]
Mobilisations[edit | edit source]
Joint mobilisation is a treatment technique which can be used to manage musculoskeletal dysfunction [1] Hertling et al (1996). The techniques are performed by physiotherapists, and fall under the category of manual therapy. Spinal mobilisation is described in terms of improving mobility in areas of the spine that are restricted [2](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. This results in gentle mobilisations being used for pain relief while more forceful, deeper mobilisations are effective for decreasing joint stiffness. [3] (Maitland 1986).
Background[edit | edit source]
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.
- ↑ Hertling D., and R.M. Kessler. Management of Common Musculoskeletal Disorders. Baltimore: Lippincott, Williams & Wilkins, 1996.
- ↑ Korr IM (1977): The neurobiologic mechanisms in manipulative therapy. New York, Plenum Press.
- ↑ Maitland GD (1986): Vertebral manipulation, 5th ed. Sydney, Butterworths.
