Study On Mulligan’s Manual Therapy Dosage Between Loading And Movement Disorder Of Cervical spine

Oct. 10, 2011 - PRLog -- According to Mansi Mittal and team from Department of Therapies & Health Sciences, Faridabad Institute of Technology,Faridabad, Haryana, patients with neck pain constitute approximately 25% of all patients encountered in outpatient physical therapy practice and in about 90% cases it is diagnosed as mechanical neck pain. Once serious medical pathology and specific diseases have been excluded, the anatomical source of symptoms is difficult to establish and consequently the term cervical pain of unknown origin (CPUO) or mechanical neck pain or non-specific neck pain have been recommended to this patient group. The most recent classification, given by Clair et al (2006) classifies patients with CPUO into Loading disorders and Movement disorders, according to their dominant impairment of spinal function.
Mulligan’s manual therapy techniques, developed by Brain Mulligan are widely used for treating spinal problems of mechanical onset. However the authors point out that there is a lack of conclusive information on guiding factors evaluating the dosimetery of Mulligan’s manual therapy in loading and movement disorders of cervical spine.
Authors used the Kaplan Meier curve which demonstrated that all the patients with loading disorders showed probability of getting discharged by 7th treatment session as compared to 10th treatment session in movement group. It was also observed by the authors that both the groups achieved a significant improvement in neck pain and disability following intervention. It is concluded that this relatively simple method of classification of patients with neck pain carries prognostic significance and appears to be a useful indicator of treatment dosing required to achieve a significant response to specifically standardized physical therapy treatment.
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