Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effects of Posterior to Anterior Mobilization and Press up Exercise in Response to Pain and Function in Mechanical Low Back Pain


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1 SRM College of Physiotherapy, Chennai, 3Senior Professional Trainee (NIOH), Kolkata, India
     

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The objective of this randomized controlled trial was to evaluate the efficacy Posterior to Anterior mobilization and press up exercise in response to pain and function in Mechanical Low back pain. Thirty (20 male and 10 female) subjects with mechanical low back pain participated in the study completed the trial. Subjects were randomly placed into two groups receiving the Posterior to Anterior mobilization (n=15, Group A) and press up exercise (n=15, Group B). In Group A three bouts of 40- second oscillations was applied. Following mobilization of the most painful segment, 2 bouts of 40- second oscillations (up to grade IV but short of symptom reproduction) were administered to each of the remaining lumbar vertebral levels. Subjects assigned to Group B were asked to perform a pressup maneuver as far as possible without reproducing lumbar pain. The subjects in both the groups underwent a complete evaluation where the VAS score and the Oswestry disability index were recorded. On between group comparisons, Group A showed significant improvement as compared to Group B at the end of trial (p<0.05). The results of the study suggest that the Posterior to Anterior mobilization was more effective when compared with press up exercise.

Keywords

Posterior to Anterior Mobilization, Press up Exercise, Mechanical Low Back Pain, Oswestry Disability Index
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  • Chen SM, Liu MF, Cook J, et al. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health. Mar 20, 2009

  • Frymoyer (1988); Effect of spinal manipulation on sensorimotor functions in back pain patients: study protocol for a randomised controlled trial. J manip ther.2008; 16(4):198-203.

  • Frymoyer JW, Durette CL. The economics of spinal disorders. In: Frymoyer JW, ed. Adult Spine: Principles and Practice. Philadelphia, Pa: Lippincott-Raven; 1997:143–150

  • Shekelle P G, Adams AH, Chassin MR, Hurwitz EL, Brook RH (1992). “Spinal manipulation for low-back pain”. Ann Intern Med 117 (7): 590–598.J manip ther.2008; 16(4):198-203.

  • Maitland G, Hangeveld E; Banks K, English K. Maitland’s Vertebral Manipulation. 6th ed. Oxford: Butterworth-Heinemann, J manip ther.2008; 16(4):198-203.

  • Christopher M Powers et al (2007) Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain. Journal of American physiotherapy Association.

  • Carpenter RHS: Neurophysiology. Pub Arnold (1996); David Tierney 5 Jan 2003

  • Low J,Reed A:Electrotherapy explained. Butterworth-Heinemann,London 1990.

  • Chiradejnant A, Maher CG, Latimer J. Objective manual assessment of lumbar posteroanterior stiffness is now possible. J Manipulative Physiol Ther. 2003;26: 34-39. http://dx.doi.org/10.1067/ mmt.2003

  • Goodsell M, Lee M, Latimer J. Short-term effects of lumbar posteroanterior mobilization in individuals with low-back pain. J Manipulative Physiol Ther. 2000;23:332–342


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  • Effects of Posterior to Anterior Mobilization and Press up Exercise in Response to Pain and Function in Mechanical Low Back Pain

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Authors

P. Karthikeyan
SRM College of Physiotherapy, Chennai, 3Senior Professional Trainee (NIOH), Kolkata, India
U. Radhakrishnan
SRM College of Physiotherapy, Chennai, 3Senior Professional Trainee (NIOH), Kolkata, India
Pallavi Sahay
SRM College of Physiotherapy, Chennai, 3Senior Professional Trainee (NIOH), Kolkata, India

Abstract


The objective of this randomized controlled trial was to evaluate the efficacy Posterior to Anterior mobilization and press up exercise in response to pain and function in Mechanical Low back pain. Thirty (20 male and 10 female) subjects with mechanical low back pain participated in the study completed the trial. Subjects were randomly placed into two groups receiving the Posterior to Anterior mobilization (n=15, Group A) and press up exercise (n=15, Group B). In Group A three bouts of 40- second oscillations was applied. Following mobilization of the most painful segment, 2 bouts of 40- second oscillations (up to grade IV but short of symptom reproduction) were administered to each of the remaining lumbar vertebral levels. Subjects assigned to Group B were asked to perform a pressup maneuver as far as possible without reproducing lumbar pain. The subjects in both the groups underwent a complete evaluation where the VAS score and the Oswestry disability index were recorded. On between group comparisons, Group A showed significant improvement as compared to Group B at the end of trial (p<0.05). The results of the study suggest that the Posterior to Anterior mobilization was more effective when compared with press up exercise.

Keywords


Posterior to Anterior Mobilization, Press up Exercise, Mechanical Low Back Pain, Oswestry Disability Index

References