[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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When the smaller fibres are stimulated the inhibitory interneurons do not act, so the gate is ‘ open’ and pain is sensed.

Maitland’s Mobilisations

The limitations of this study are as follows. Retrieved from ” https: J Korean Orthop Assoc, Once a determination is made on whether a patient is pain or stiffness dominant through both the subjective and physical exams a treatment plan can be developed see chart below.

Group I was matiland therapeutic exercise group, and Group II was the group to which joint mobilization was applied in combination with therapeutic exercise Table 1. Published online Mar Muscle tone improved significantly in the upper trapezius in both groups. In addition, decreased movement of the cervical spine restricts the range of motion of the spine and decreases breathing function 10 According to Sharon, the upper thoracic spine is involved in the physiologic motion of the neck 4.

In a Cochrane review study of neck pain, stretching exercises for the neck and upper limbs, strengthening exercises, static and dynamic stabilization exercises were recommended as highly effective For an alternate explanation: This result is different from studies that found no difference between groups based on a short-term intervention The post-test was carried out with the same protocol as the pretest mmaitland two weeks.

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Due to anatomical position and other physical limitations not all peripheral or spinal joints can be subjected to all of the types of glide. Author information Article notes Copyright and License information Disclaimer. For the normality test, the Shapiro Wilk test was conducted, confirming that the data are normally distributed. J Phys Ther Sci.


Please review our privacy policy. JAMA, The size of the fibres is an important consideration as the bigger a nerve is the quicker the conduction, additionally conduction speed is also increased by the presence of a myelin sheath, subsequently large myelinated nerves are very efficient at conduction.

Research related to neck pain suggests that there are more efficient interventions based on evidence through systematic reviews, and the interventions combining manual therapy and therapeutic exercise are described as more effective in recent literature Physiotherapists are sometimes considered specialists in manual therapy but other professions such as Osteopaths, Chiropractors and Nurses employ manual therapy in treatment.

There are several different main stream approaches to manual therapy; arguably the most common form simplistic form manual therapy used by physiotherapists are mobilisations from the Maitland school of thought [2]. In most cases Physiopedia articles are a secondary source and so should not be used as references. To make sure you settle on appropriate mobilisations it is important to get the type of glide, the direction and speed correct.

This maitoand was implemented with non-specific neck pain patients with no medical findings who had visited the Cheongju St. Physiotherapists are using methods such as electrotherapy, therapeutic exercise, and manual therapy to intervene in the neck pain Neck pain is a common musculoskeletal disorder in modern society that can produce severe pain. This is a concern due to the numbers of people suffering from hypertension, obesity and other known risk factors for hypertension and stroke surely it should be important for any patient population.

Brief Review of Maitland Joint Mobilization Grades – Physical Therapy – CyberPT

That is usually the journal article where the information was first stated. From a Physiotherapy perspective manual therapy is an essential and commonly used treatment method for the management of tissue, joint and movement dysfunction. Visual Analog Scale of the subjects.


There is a wide range of disciplines which use manual therapeutic methods to treat and manage pathology and dysfunction as a primary treatment method or in conjunction with other treatments. Muscle tone of the subjects.

The Objective Assessment is mobilksation area which the versatile nature of mobilisations becomes clear.

The assessment should be conducted throughout the entire process ie. Mobilisaation, future research is required to investigate the effect of joint mobilization and therapeutic exercise on the functional impairments caused by chronic neck pain using diverse subjects and intervention periods, and research on the persistence of the effect also needs to be conducted.

Joint mobilizations are one of many tools utilized by physical therapists to treat various conditions at various joints.

Grade I — small amplitude movement at the beginning of the available range of movement Grade II — large amplitude movement at within the available range of movement. It needs to be thought of as not just a linear process, instead a complex interaction of a multitude of different mobilization and physical factors which must be thoroughly mobbilisation to understand the process and this is why this topic has a page dedicated to it Descending Inhibition.

Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. Cochrane Database Syst Rev, 8: Quadriceps muscle tone, elasticity and stiffness in older males: