Article

The locked lumbar facet joint: intervention using mobilizations with movement

Pinehill Hospital, Hitchin, Herts, UK.
Manual Therapy (Impact Factor: 1.76). 06/2001; 6(2):116-21. DOI: 10.1054/math.2001.0394
Source: PubMed
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    • "The SNAGs was effective in the treatment of locked lumbar facet joint syndrome (Exelby, 2001) as well as acute locked thoracic joint (Horton, 2002). The patient reported a 95% improvement and had maintained an upright posture. "
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    ABSTRACT: Manuscript History: The aim of the present study was to compare the effects between sustained natural apophyseal glides (SNAGs) mobilization and manipulation in the treatment of patients with cervical spine disorders. Forty-nine male patients participated and completed the study. They were randomly assigned into three groups: SNAGs group, manipulation group, and exercise group. Patients in all groups received exercise therapy. The SNAGs group received the specialized SNAGs mobilization. The manipulation group was treated with high-velocity, low-amplitude manipulation. The cervical range of motion (CROM) was measured using CROM device, with the pain assessed using the visual analogue scale (VAS) and the grade of functional recovery measured using the neck disability index (NDI). The patients received two sessions per week for 6 weeks. Evaluations were carried out before treatment, immediately after treatment, and at one month follow up. Repeated measures analysis, Friedman's test, and Wilcoxon signed ranked test respectively revealed a significant increase in ROM, pain reduction, and improved function after treatment and at one-month follow-up. The results showed significant difference in the ROM, VAS, and NDI between the exercise group and both the SNAGs group and the manipulation group. No significant difference was found between the SNAGs group and the manipulation group in terms of ROM, VAS, and NDI after treatment and after one month follow up. The SNAGs mobilization and manipulation were found to be effective treatments more than the exercises alone in the treatment of cervical spine disorders. Copy Right, IJAR, 2014,. All rights reserved.
    International Journal of Advanced Research 06/2014; 2(6):274-280. · 1.66 Impact Factor
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    • "The SNAGs was effective in the treatment of locked lumbar facet joint syndrome (Exelby, 2001) as well as acute locked thoracic joint (Horton, 2002). The patient reported a 95% improvement and had maintained an upright posture. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The aim of the present study was to compare the effects between sustained natural apophyseal glides (SNAGs) mobilization and manipulation in the treatment of patients with cervical spine disorders. Forty-nine male patients participated and completed the study. They were randomly assigned into three groups: SNAGs group, manipulation group, and exercise group. Patients in all groups received exercise therapy. The SNAGs group received the specialized SNAGs mobilization. The manipulation group was treated with high-velocity, low-amplitude manipulation. The cervical range of motion (CROM) was measured using CROM device, with the pain assessed using the visual analogue scale (VAS) and the grade of functional recovery measured using the neck disability index (NDI). The patients received two sessions per week for 6 weeks. Evaluations were carried out before treatment, immediately after treatment, and at one month follow up. Repeated measures analysis, Friedman’s test, and Wilcoxon signed ranked test respectively revealed a significant increase in ROM, pain reduction, and improved function after treatment and at one-month follow-up. The results showed significant difference in the ROM, VAS, and NDI between the exercise group and both the SNAGs group and the manipulation group. No significant difference was found between the SNAGs group and the manipulation group in terms of ROM, VAS, and NDI after treatment and after one month follow up. The SNAGs mobilization and manipulation were found to be effective treatments more than the exercises alone in the treatment of cervical spine disorders.
    International Journal of Advanced Research 05/2014; 2(6):274-280. · 1.66 Impact Factor
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    • "Ici, le glissement étant appliqué conjointement à un mouvement actif corrigé, il permettrait au sujet de récupérer des informations proprioceptives plus justes , ouvrant la voie à une application de la technique sur des positions ou des tâches comportant plus de risques . Exelby [18] a notamment utilisé ce raisonnement chez des patients présentant une réduction de lordose lombaire basse et une augmentation excessive de l'extension lombaire haute. Des SNAGs sont appliqués aux articulations lombaires en direction antérosupérieure pendant que le patient, assis, réalise une extension active lombaire basse, la région lombaire haute étant fixée en flexion (tronc penché vers l'avant). "
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    ABSTRACT: Ce résumé d’un article de Linda Exelby, paru dans Manual Therapy en mai 2002, fait une présentation générale de la méthode Mulligan peu connue en France. Cette méthode s’applique non seulement à la colonne vertébrale mais aussi aux articulations périphériques.
    Kinésithérapie la Revue 10/2008; 8(82):20–22. DOI:10.1016/S1779-0123(08)70660-0
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