1Associate Professor, Department of Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research, Cuttack, Odisha, India
2Assistant Professor, Department of Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research, Cuttack, Odisha, India
Online published on 28 September, 2015.
Experimental Pre-test-Post-test comparative analysis design
to find out the efficacy of thoracic mobilization and stretching of levator scapulae in cases of PIVD.
75 subjects (52 males and 23 females), (age range 25–45 years)with acute or sub-acute low back pain due to PIVD were recruited and randomly distributed in one of the three groups. Group I received Cyriax's listing correction followed by stretching of Levator scapulae and Maitland's rhythmic oscillatory central PA/bilateral PA mobilization of the upper thoracic spines that reproduced the original symptom and McKenzie Extension exercises. Group II received Cyriax's listing correction-I followed by sustained lumbar. Group III received McKenzie listing correction followed by Extension exercises.
Pain by Horizontal visual analog scale (VAS) and Functional outcome measure by Oswestry Disability Index (ODI). Measurements were taken before the treatment and after 4 weeks of treatment, for 5 days/week.
Overall result of the study shows significant change in pain and function for all the groups after 4 weeks of treatment. At the end of treatment there was significant difference between the groups for function; however, Group II and III showed similar reduction in pain.
stretching of levator scapulae muscles and mobilisation of cervicothoracic spine that reproduced the original back pain with or without leg pain is found to be effective for the management of PIVD.
Mobilisation, cervico-thoracic dysfunctions, myofascial pain syndrome, Prolapsed intervertebral disc, manual therapy, Maitland, Mckenzi, Cyriax
