PMID- 17416271
OWN - NLM
STAT- MEDLINE
DCOM- 20070419
LR  - 20070409
IS  - 1532-6586 (Electronic)
IS  - 0161-4754 (Linking)
VI  - 30
IP  - 3
DP  - 2007 Mar-Apr
TI  - Flexion mobilizations with movement techniques: the immediate effects on range of 
      movement and pain in subjects with low back pain.
PG  - 178-85
AB  - OBJECTIVE: This study investigates the immediate effects of flexion mobilizations 
      with movement techniques (MWMs) on spinal range of movement in individuals with 
      low back pain and also their impact on pain. A preliminary attempt has been made 
      to describe the clinical profiles of subjects who were thought to benefit from 
      MWMs. METHOD: A small-scale explanatory study was conducted using a crossover 
      design, placebo-controlled, with subjects and assessors blinded. After assessment 
      by physiotherapists, 26 subjects with low back pain with pain on lumbar flexion, 
      thought to be appropriate for treatment with MWMs, participated. Subjects 
      received an MWM intervention and a placebo intervention in a randomized order. 
      Lumbar spinal flexion and extension and pain during flexion were recorded 
      immediately before and after each intervention, using double inclinometry and 
      visual analogue scales. RESULTS: Mean spinal range of movement increased 
      significantly with the MWM intervention, as compared with the placebo (true 
      flexion: MWMs 49.2 degrees [SD 16.4], placebo 45.3 degrees [SD 14.1], P = .005; 
      total flexion: MWMs 76.7 degrees [SD 22.4], placebo 69.7 degrees [SD 21.5], P = 
      .005). Mean pain scores did not change. CONCLUSIONS: The MWMs produced 
      statistically significant, but small, immediate spinal mobility increases but no 
      pain reduction when compared with placebo. By introducing clinical judgment into 
      the subject selection process for the trial, 19 (73%) of 26 subjects benefited 
      from MWMs techniques in terms of range of movement and/or pain intensity, whereas 
      9 (35%) subjects showed such changes with the placebo intervention.
FAU - Konstantinou, Kika
AU  - Konstantinou K
AD  - Spinal Physiotherapy Specialist/Research Physiotherapist, Haywood Hospital/ 
      Primary Care Sciences Research Centre, Keele University, UK. 
      k.konstantinou@cphc.keele.ac.uk
FAU - Foster, Nadine
AU  - Foster N
FAU - Rushton, Alison
AU  - Rushton A
FAU - Baxter, David
AU  - Baxter D
FAU - Wright, Christine
AU  - Wright C
FAU - Breen, Alan
AU  - Breen A
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cross-Over Studies
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Low Back Pain/classification/*therapy
MH  - Male
MH  - Manipulation, Chiropractic/*methods
MH  - Middle Aged
MH  - Pain Measurement
MH  - *Range of Motion, Articular
MH  - Treatment Outcome
EDAT- 2007/04/10 09:00
MHDA- 2007/04/20 09:00
CRDT- 2007/04/10 09:00
PHST- 2006/10/13 00:00 [received]
PHST- 2006/11/22 00:00 [revised]
PHST- 2006/12/06 00:00 [accepted]
PHST- 2007/04/10 09:00 [pubmed]
PHST- 2007/04/20 09:00 [medline]
PHST- 2007/04/10 09:00 [entrez]
AID - S0161-4754(07)00060-7 [pii]
AID - 10.1016/j.jmpt.2007.01.015 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2007 Mar-Apr;30(3):178-85. doi: 
      10.1016/j.jmpt.2007.01.015.