Maltland Mobilisation along with Conventional Physiotherapy In Lumbar Facet Joint Syndrome- A Case Series
Keywords:
Lumbar facet joint syndrome, Maltland mobilization, Therapeutic ultrasoundAbstract
Background: Interest in the lumbar facet joint has been reviewed in recent years and various modalities of treatment for lumbar facet joint syndrome have been described by numerous authors. This study was undertaken to find out effectiveness of Maltland lumbar spine mobilization and conventional physiotherapy in patients with lumbar facet joint syndrome. Purpose: to describe the management and outcomes of 5 patients with lumbar facet syndrome treated with Maltland lumbar spine mobilization, therapeutic ultrasound and lumbar stabilization exercises. Study Design: A case Series of 5 consecutive patients (mean age 52 years) with lumbar facet joint syndrome. The subjects were treated with two weeks protocol which included Maltland mobilization, Therapeutic ultrasound & lumbar stabilization exercises. Follow up was taken 1 week after the end of active intervention. All patients completed Visual Analogue Scale, Modified Oswestery Disability Questionnaire (MODQ), Sorensen test hold timing and spinal range of motion on initial assessment, immediately at the end of active intervention (2weeks) and at the end of follow up. Outcome: all five patients showed the mean percentage change in score of VAS 41.38%, MODQ 46.98%, Sorensen test score 12.88%, Flexion range 5.64% and extension range 13.86% at the end of follow up.
Downloads
References
Goldwaith JE. The Iumbosacral articulation: an explanation of many cases of “lumbago,” “sciatica” and “paraplegia”. Boston Med Surg J. 1911;164:365-72.
Ghormley RK. Low back Pain with special reference to the articular facets, with presentation of an operative procedure. JAMA. 1933;101:1773-7.
Datta S, Lee M, Falco F JE, Bryce DA, Hayek SM. Systematic assessment of diagnostic Accuracy and therapeutic utility of lumbar facet joint interventions. Pain Physician 2009; 12:437-460.
Cavanaugh JM, Lu Y, Chen C, Kallakuri S. Pain generation in lumbar and cervical facet joints. J Bone joint Surg Am 2006;88:63-67.
Ishikawa T, Miyagi M, Ohtori S, Aoki Y Ozawa T, Doya H, Saito T, Moriya H, Takahashi K. Characteristics of sensory DRG neurons innervating the lumbar facet joints in rats. Eur Spine J 2005; 14:559-564.
Fukui S, Ohseto K, Shiotani M, Onho K, Karasawa H, Naganuma Y, Yuda Y. Referred pain distribution of the cervical zygapophyseal joints and cervical dorsal rami. Pain 1996; 68:79-83.
Chambers H. Physiotherapy and lumbar facet joint injections as a combination treatment for chronic low back pain. A narrative review of lumbar facet joint injections, lumbar spinal mobilizations, soft tissue massage and lower back mobillty exercises. Musculoskeletal Care. 2013 Jun; 11(2): 106-20.
McGregor A, Anderton L, Gedroyc W. The assessment of intersegmental motion and pelvic tilt in elite oarsmen. Med Sci Sports Exerc. 2002; 34:143-1149.
Burton AK, Battie MC, Gibbons L, et al. Lumbar disc degeneration and sagittal flexibility. J Spinal Disord. 1996;9:418-424.
Koes BW, Bouter LM, van Maneren H, et al. Randomised clinical trial of manipulative therapy and physiotherapy for persistent back and neck complaints: results of one year follow –up. BMJ. 1992;304:601-605.
Radebold A, Cholwicki J, PasnjabiMM, et al. Muscle response pattern to sudden trunk loading in healthy individuals and in patient with chronic low back pain. Spine 2000;25:947-54.
O’sullivan, P.B., G.D.M. phyty, L.T. Twomey, and G.T. Allison. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 22:2959-2967. 1997.
Fair bank JC, Couper J, DeviesJB, O’Brien JP. The Oswestry Low Back pain Disability Questionnaire. Physiotherapy, 1980;66:271-273.
Huskisson EC: Measurement of pain. Lancet, 1974, 2: 1127 – 1131.
Chad E. Moreau, Bart N. Green, Claire D. Johnson, Susan R. Moreau, Isometric Back Extension Endurance Tests: A Review of the Literature, Journal of Manipulative and Physiological Therapeutics, 2001,24:2, 110-122.
Macrae IF, Wright V. Measurement of back movement. Ann Rheum Dis. 1969;28:584-589.
Maitlland GD. Vertebral Manipulation. 4th ed. Boston, MA: Butterworths;1977
Chiradejnant A, Latimer J, Maher CG, Stepkovith N. Dose the choice of spinal level treated during posteroanterior (PA) mobilization affect treatment outcome? Physiother Theory Pract. 2002;18:165-174.
Goodsell M, Lee M, Latimer J, Short-term effects of lumbar posteroanterior mobilization in individuals with low-back pain. J Manipulative physiol Ther. 2000;23:332-342.
Refshauge, K.M. and Gass, E.M. 1995. Musculoskeletal Physiotherapy: Clinical Science and Practice. Oxford. Butterworth – Heinemann Ltd. 345p.
Flynn, T.W. 1996. The Thoracic Spine and Rib Cage, USA. Butterworth – Heinemann. 336p
Biering – Sorensen, F. (1984) Physical measurement as risk indicators for low back trouble over a one – year period. Spine, 9: 106-119.
Panjabi M 1992. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders. 5(4): 383-389.
O’sullivan, P.B., G.D.M. Phyty, L.T. Twomey, and G.T. Allison Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis Spine 22:2959-2967. 1997.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
