Article

PURPOSE : To determine the immediate effects of the central posteroanterior (PA)
mobilization technique on both pain and active cervical range of motion in
patients with mechanical neck pain presenting with central or bilateral symptoms.
METHODS: A randomized controlled trial was conducted in 60 patients who were
randomly allocated into either 'central PA' or 'random' mobilization group. Two
physical therapists and one assessor participated. Outcome measures included neck
pain at rest, pain on the most painful movement, and active cervical range of
motion taken before and immediately 5 min after the mobilization treatment.
RESULTS: Significant reductions in pain at rest and on the most painful movement
were noted within-group comparisons (p < 0.001). However, the 'central PA'
mobilization group obtained a significantly greater reduction in pain on the most
painful movement than the 'random' mobilization group (p < 0.05). Both
mobilization techniques had no effects on the active cervical range of motion.
However, the differences in the means of pain reduction between both mobilization
techniques were modest (<10 mm). CONCLUSION: The clinical recommendation
regarding the selection of the central PA mobilization technique for treating
patients with central or bilateral mechanical neck pain is therefore arguably.

Langue : ANGLAIS