Article

OBJECTIVE: To determine the immediate effects on both pain and active range of
motion (ROM) of the unilateral posteroanterior (PA) mobilization technique on the
painful side in mechanical neck pain patients presenting with unilateral
symptoms. DESIGN: Triple-blind, randomized controlled trial. SETTING: Outpatient
physical therapy, institutional clinic. PARTICIPANTS: Patients (N=60), 2 physical
therapists, and 1 assessor involved in this study. INTERVENTIONS: The patients
were randomly allocated into either preferred or random mobilization group by
using an opaque concealed envelope. The first therapist performed the screening,
assessing, prescribing the spinal level(s), and the grade of mobilization. The
second therapist performed the mobilization treatment according to their
allocated group stated in an envelope. The assessor who was blind to the group
allocation conducted the measurements of pain and active cervical ROM.
MAIN OUTCOME MEASURES:
Pain intensity, active cervical ROM, and global perceived
effect were measured at baseline and 5 minutes posttreatment. RESULTS: After
mobilization, there were no apparent differences in pain and active cervical ROM
between groups. However, within-group changes showed significant decreases in
neck pain at rest and pain on most painful movement (P<0.001) with a significant
increase in active cervical ROM after mobilization on most painful movement (P=0.002). CONCLUSIONS: The results of this study did not provide support for the
preference of the unilateral PA mobilization on the painful side to the random mobilization.

Langue : ANGLAIS