Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/article/doi/10.17784/mtprehabjournal.2015.13.234
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Acute effects of Maitland’s central posteroanterior mobilization on youth with low back pain.

Abe, Karina Yuko; Tozim, Beatriz Mendes; Navega, Marcelo Tavella

Downloads: 3
Views: 1118

Abstract

Introduction: The low back pain is the most prevalent between the musculoskeletal disorders, and it is the most common reasons of absence from work. The flexibility, mobility, strength and endurance of the low back stability influence and the disharmony between these factors may result in low back pain. One of Maitland's technique, which alter these factors, is posteroanterior (PA) mobilization. Objective: To analyze the posterior chain’s flexibility, low back's mobility, trunk extensor’s endurance and low back extensors' muscle strength after performed one treatment session using the Maitland method on youth with low back pain. Method: For this research, sixteen women (22 ± 3.03 years) with chronic low back pain participated. All volunteers were evaluated according to their perception of pain, flexibility, mobility, muscular strength and muscular endurance. The treatment protocol was the application of PA mobilization on the five lumbar vertebrae, from caudal direction to cranial, of three series of one minute in each vertebra. The same procedures of the initial evaluation were performed after the immediate application of PA mobilization technique (revaluation 1) and 7 days after the protocol (revaluation 2). The data were analyzed by the Shapiro-Wilk's normality test; analysis of variance (ANOVA) repeated measures one-way with pos-hoc Bonferroni and Friedman's ANOVA with pos-hoc Wilcoxon, with the level of significance of 5% (p< 0,05). Results: After PA mobilization application, there were significant improvements in muscular strength (immediate post-treatment and past seven days) and muscular endurance (immediate post-treatment). There were no significant improvements in the other variables, such as, level of pain, and lumbar flexibility and mobility. Conclusion: The lumbar PA mobilization was effective for increasing muscular strength and endurance, with stabilization of the level of pain, flexibility and mobility.

Keywords

Physical endurance, Muscular strength, Low back pain, Range of joint motion, Spinal manipulation.

References

1. Panjabi MM. The stabilizing system of the spine; Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383-389.

2. Costa D, Palma A. O efeito do treinamento contra resistência na síndrome da dor lombar. Rev Port Cien Desp. 2005;5(2):224–234.

3. Hubley-Kozey CL. Testing flexibility. In: MacDougall JC, Wenger HA, Green HJ (eds.) Physiological testing of the high-performance athlete. 2ª ed., Champaign: Human Kinetics, 1990:309-59.

4. Verma Y, Goyal M, Narkeesh, D. Pain, Range of Motion and Back Strength in Chronic Mechanical Low Back Pain Before & After Lumbar Mobilisation. Int J Physioth Res. 2013;(3):48-57.

5. Andersson Gunnar BJ. Epidemiologic aspects on low-back pain in industry. Spine. 1981;6(1):53-60.

6. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl. 2):S-192-300.

7. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–2196.

8. Seidel, H.; Beyer, H.; Bräuer, D.; Electromyographic evaluation of back muscle fatigue with repeated sustained contractions of different strengths. Eur J Appl Physiol. 1987;56(5):592—602.

9. Meusel, H. Developing physical fitness for the elderly through sport and exercise. Brit J Sports Med. 1984;18(1):4-12.

10. Thomas E, Silman AJ, Papageorgiou AC, Macfarlane GJ, Croft PR. Association between measures of spinal mobility and low back pain. Spine. 1998;23(3): 343-347.

11. Maitland G, Hengeveld E, Banks, K, English, K. Maitland: Manipulação vertebral. 7ª Edição. Rio de Janeiro: Butterworth-Heinemann; 2005.

12. Demoulin C, Vanderthommen M, Duysens C, Crielaard J. Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine. 2006;73(1):43-50.

13. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2):106–119.

14. Wells KF, Dillon EK. The sit and reach. A test of back and leg flexibility. Res Q Exerc Sport. 1952;23:115-8.

15. Hui SS, Yuen PY. Validity of the modified back-saver sit and reach test: a comparison with other protocols. Med Sci Sports Exerc. 2000;32(9):1655-1659.

16. Cavazzoto TG, Tratis L, Ferreira SA, Fernandes RA, Queiroga MR. Desempenho em testes de força estática: comparação entre trabalhadores hipertensos e normotensos. Rev Assoc Med Bras. 2012;58:57458-57459.

17. Schober P. The lumbar vertebral column in backache. Munch Med Wochenschr. 1937;84:336-338.

18. McArdle WD, Katch FI, Katch VL. Fisiologia do exercício: energia, nutrição e desempenho humano. Rio de Janeiro: Guanabara Koogan; 2008.

19. Mark PJ, Karoly P, Braver S. The Measurement of Clinical Pain Intensity: A comparison of six methods. Pain. 1986;27(1):117-126.

20. Krouwel O, Hebron C, Willett E. An investigation into the potential hypoalgesic effects of different amplitudes of PA mobilisations on the lumbar spine as measured by pressure pain thresholds (PPT). Man Ther. 2010;15(1):7-12.

21. Moss P, Sluka K, Wright, A. The initial effects of knee joint mobilization on osteoarthritic hyperalgesia. Man Ther. 2007;12(2):109-118.

22. Chiradejnant A, Mager CG, Latimer J, Stepkovicth N. Efficacy of “therapist-selected” versus “randomly selected” mobilisation techniques for the treatment of low back pain: A randomised controlled trial. Aust J Physiother. 2003;49(4):233–241.

23. Freddolini M, Strike S, Lee RYW. Stiffness properties of the trunk in people with low back pain. Hum Mov Sci. 2014;36:70-79.

24. Hodges P, van den Hoorn W, Dawson A, Cholewicki J. Changes in the mechanical properties of the trunk in low back pain may be associated with recurrence. J Biomech. 2009;42(1):61-66.

25. Van Dieen JH, Cholewicki J, Radebold A. Trunk Muscle Recruitment Patterns in Patients With Low Back Pain Enhance the Stability of the Lumbar Spine. Spine. 2003;288(8):834-841.

26. Colloca C, Keller TS, Gunzburg R. Biomechanical and neurophysiological responses to spinal manipulation in patients with lumbar radiculopathy. J Manipulative Physiol Ther. 2004;27(1):1-15.

27. Goodsell M, Lee M, Latimer J. Short-term effects of lumbar Posteroanterior Mobilization in individuals with low-back pain. J Manipulative Physiol Ther. 2000;23(5):332-342.

28. Alaranta H, Luoto S, Heliövaara M, Hurri H. Static back endurance and the risk of low-back pain. Clin Biomech. 1995;10(6):323-324.

29. Mayorga-Vega D, Merino-Marban R, Viciana J. Criterion-Related Validity of Sit-and-Reach Tests for Estimating Hamstring and Lumbar Extensibility: a Meta-Analysis. J Sports Sci Med. 2014;13(1):1-14.

588167e07f8c9d710a8b45b1 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections