[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.

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Muscle tone improved significantly in the upper trapezius in both groups. In this study, static balance was measured under a variety of conditions, including hard or soft bearing surfaces and open or closed eyes. This categorization mobiisation assist with determining which grade of mobilizations should be performed on the affected area of the patient.

The assessment should be conducted throughout the entire process ie. The intervention was carried out for 60 minutes a day, three times a week, for two weeks for each group, followed by a post-test using the same protocol as the pre-test. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain.

Maitland’s Mobilisations – Physiopedia

There are a number of complex systems which interact to produce the pain-relieving effects of mobilisations, subsequnelty there is not a single theory into its mechanism. Side Flex Pre Original Editors – Scott Buxton. Cochrane Database Syst Rev, 8: Neck pain causes respiratory dysfunction.

In conclusion, joint mobilization and therapeutic exercise for functional impairments caused by chronic neck pain significantly improved several types of functional impairment. Group I was the therapeutic exercise group, and Group II was the group to which joint mobilization was applied in combination with therapeutic exercise Table 1.

J Korean Orthop Assoc, The limitations of this study are as follows. The application of the Maitland concept can be on the peripheral or spinal joints, both require technical explanation and differ in technical terms and effects, however the main theroetical approach is similar to both [4].

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Chronic neck pain, Mobilization, Therapeutic exercise. However, in this research, no significant change in the respiratory function was observed. The subjects were randomly assigned to one of two groups of nine people each. Therapeutic exercise only was applied to the cervical and upper thoracic spine for Group I, while both therapeutic exercise and joint mobilization were applied to Group II.

Support Center Support Center. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

Cross-cultural adaptation and validation of the Korean version of the neck disability index. Acad Emerg Med, 8: The purpose of this study was to apply joint mobilization and therapeutic exercise to the cervical spine and upper spine, investigate the effects on functional impairments caused by the neck pain, and examine differences between groups by comparing the intervention group with the group to which only therapeutic exercises were applied.

Choosing moblisation direction of the mobilisation is integral to ensuring you are having the desired clinical outcome. J Orthop Sports Phys Ther, Please review our privacy policy.

Author information Article notes Copyright and License information Disclaimer. These results are consistent with studies that reported that mobilization applied to both the neck and spine at the same time improved cranial vertical angle and cranial rotation angle 25 and research that showed that endurance exercise of the neck, stabilization exercise, and strength training improved the joint range of motion Maitoand significant decrease in the sway velocity of the center of gravity maitlan in the sway distance occurred only under eyes closed, and there was no difference between groups.


The pretest included the visual analog scale VASneck disability index NDIactive cervical range of motion ACROMstatic balance ability, muscle tone of the upper trapezius, and respiratory function. Grade III — large amplitude movement that reaches the end range of movement Grade IV — small amplitude movement at the very end range of movement.

Maitland’s Mobilisations

Chronic neck pain patients suffer diverse functional impairments, including a deterioration mobilisafion balance ability, respiratory function, range of joint motion, and proprioception At its most simple explanation there are 3 types of sensory nerves involved of transmission of stimuli [13] [14]:. The participants did mobilisaation receive any other interventions associated with the neck pain while this research was being conducted.

The pain mobilisatiom and fades periodically, and many patients do not fully recover from the symptoms 2. Neck pain occurs in the upper thoracic spine area including the shoulder, and it is mechanical pain caused by bad postures and habits in most cases 3. All of these nerves synapse onto projection cells which travel up the spinothalamic tract of the CNS to the brain where they go via the thalamus to the somatosensory cortex, the limbic system and other areas [16]. Research related to neck pain suggests that there are more efficient interventions based on evidence through systematic reviews, mobi,isation the interventions combining manual therapy and therapeutic exercise are described as more effective in recent literature