The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine

Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial

“…The randomization process was achieved using the internet-based software Graphpad. 36 The MT group was treated using MT techniques (spinal mobilization: passive accessory intervertebral movements and passive physiological intervertebral movements, five sessions lasting 10 min each, one session per week) 32,[37][38][39][40] to the vertebral levels that showed disk degeneration. For example if there was degeneration of the disk between the fourth and the fifth lumbar vertebra, both vertebrae received mobilization as there is evidence to suggest that chronic LBP may be stemming from degenerated disks.…”

“…Also, even a single treatment of spinal mobilization has been found to display positive outcome on LBP levels. 40,42 All MT interventions were performed by one physiotherapist (GK) with 17 years of experience in physiotherapy, 12 of which in the application of MT techniques.…”

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

“…Successful repetition of flexion movement causes habituation and extinction of the aversive memory (painful trunk flexion). 25 The last proposed mechanism suggests that the SNAG technique might share the same effects with posteroanterior passive mobilization technique, including restoring the normal mechanics 50 and improving muscular function, mobility, and flexibility, as well as psychological response. 51 On the other hand, Konstantinou et al 10 reported minimal improvement in pain score that did not reach statistical significance.…”

Mechanism of Action of Spinal Mobilizations

“…42,43 Fifteen studies 20,21,26,28,30,[32][33][34][35][36]38,[40][41][42][43] measured immediate effects of mobilizations; others measured after different periods of time: 24 hours afterward, 22,37 4 days 31 and 1 week, 27 and 2 to 18 weeks (Table 3). [23][24][25]29,39 Mobilizations used were the cervical lateral glide, 20,21,32,34,37,38 central 22,26,28,30,31,33,40-43 or unilateral 35,36 posteroanterior (PA) mobilizations, central anteroposterior mobilizations, 24,39 a cervical sustained natural apophyseal glide, 29 and a combination of passive physiological (e.g., flexion, extension, or retraction) and accessory mobilizations (PA and anteroposterior).…”