[Purpose] This study evaluated joint mobilization and therapeutic exercise applied to the cervical spine and upper thoracic spine for functional. Purpose: To explore the range of forces used across a sample of MSc physiotherapist students applying a central posterior-to-anterior vertebral mobilisation. Learn more about performing joint mobilizations via the Maitland approach.

Author: Tojajas Mikalrajas
Country: El Salvador
Language: English (Spanish)
Genre: Education
Published (Last): 26 August 2017
Pages: 405
PDF File Size: 3.72 Mb
ePub File Size: 14.31 Mb
ISBN: 950-8-91570-235-2
Downloads: 20507
Price: Free* [*Free Regsitration Required]
Uploader: Toramar

The participants did not receive any other interventions associated mobolisation the neck pain while this research was being conducted. J Phys Ther Sci. Open in a separate window. All participants received verbal and written information about the study and signed a consent form.

The limitations of this study are as follows.

Brief Review of Maitland Joint Mobilization Grades – Physical Therapy – CyberPT

Thinking of pain theory in this way is very simplified and may not be suitable in some contexts, however when discussing pain with patients this description can be very useful.

Data were analyzed using mobi,isation SPSS Respiratory weakness in patients with chronic neck pain. The epidemiology of neck pain.

After the painful sites were located by examination, the active movement test was conducted to find where joint mobilization would be applied, and the amount and quality of motion were examined.

Abstract [Purpose] This study evaluated joint mobilization and therapeutic exercise applied to the cervical spine and upper thoracic spine for functional impairment caused by chronic neck pain. In addition, in the group to which both joint mobilization and therapeutic exercise were applied, significantly more improvement in the pain index, neck disability levels, and ACROM was seen than in the group that received only therapeutic exercise.

There was a problem providing the content you requested

Maitland categorizes grades of movement by the following 1, 2: Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. In this study, therapeutic exercises were conducted that are reported to be effective for patients with mechanical neck pain, namely, stretching exercise for the neck and upper limbs, static and dynamic stability exercise, strengthening exercise, and exercise reeducation The effects of thoracic manipulation versus mobilization for chronic neck pain: JAMA, For additional information on manual therapy, joint mobilization and the Maitland approach please visit www.


If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. The Subjective Assessment is necessary for determining whether or not mobilisations are suitable for this patient or if they are contraindicated by looking for red flags such as cancer, recent fracture, open wound or active bleeding, infective arthritis, joint fusion maittland more [6].

A significant decrease in the sway velocity mohilisation the center of gravity and in the sway distance occurred only under eyes closed, and there was no difference between groups. In conclusion, joint mobilization and therapeutic exercise for functional impairments caused by chronic neck pain significantly improved several types of functional impairment.

Maitland’s Mobilisations – Physiopedia

Muscle tone of the upper trapezius decreased significantly in both groups, and there was no difference between the groups. There are several different main stream approaches to manual therapy; arguably the most common form simplistic form manual therapy used by physiotherapists are mobilisations from the Maitland school of thought [2]. This study was implemented with non-specific neck pain patients with no medical findings who had visited the Cheongju St.

In this research, a significant reduction in the VAS and NDI was observed in both groups, and the comparison between the groups showed that the intervention was more effective in Group II. Phys Ther, Respiratory dysfunction in chronic neck pain patients.

Maitland’s Mobilisations

The rate of mobilisation should be thought of as an oscillation in a rhythmical fashion at [11]: Therapeutic exercises involved enhancing mobility, stability and muscular strength of the neck, improving proprioception, and performing reeducation of movement, and the intensity of exercises was adjusted according to the physical abilities of the individuals.


Side Flex Pre Therapeutic exercise only was applied to the cervical and upper thoracic spine for Group I, while both therapeutic exercise and joint mobilization were mobilisaton to Group II. Maitland maltland grade 3 and 4 treatment for the cervical spine and upper spine significantly decreases neck disability index NDIthe pain index 15and increases the range of motion Best Pract Res Clin Rheumatol, In addition, an the intervention combining therapeutic exercise and manual therapy was significantly more effective compared to manual therapy alone The Objective Assessment is an area which the versatile nature of mobilisations becomes clear.

In addition, as manual therapy, mobilization to reduce mailand and improve the movements of the soft tissue exhibiting contracture and restricted motions of joints Maitland Grade III and IV 1324 were applied to Group II.

In addition, the independent samples t-test was conducted to compare the differences between groups.

Failed to load RSS feed from http: Assuming homogeneity between groups, the independent samples t-test was performed, and the paired sample t-test was conducted mobilisatikn the within-group comparison of the measurements before and after the interventions. Acad Emerg Med, 8: When there is no sensation from the nerves the inhibitory interneurons stop signals travelling up the spinal cord as there is no important information needing to reach the brain so the gate is ‘ closed’ [12].

Man Ther, Eur J Appl Physiol, The number of subjects was small, and since the period of intervention was not long, it was difficult to produce a mechanical change of muscles. When refering to evidence in academic writing, you should always try to reference the primary original source.