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Spinal Dysfunction: Maitland and Mulligan - Literature review Example

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SPINAL DYSFUNCTION (name) (school) (date) Word count: 1606 Spinal Dysfunction: Maitland and Mulligan Lower back pain is one of the most common health problems encountered by adults. Waxman, et.al., (2000, p. 2085) discusses that it has a 60% lifetime prevalence rate among adults; and a single episode of lower back pain can mark an episodic incidence, and the progress of the pain or dysfunction to chronic status…
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Spinal Dysfunction: Maitland and Mulligan

Download file to see previous pages... Most of these patients undergo physiotherapy and other processes to manage their condition and ensure that they would not suffer a negative progression of their condition. In the UK, mobilization is the usual course of action in the management of lumbar pain dysfunction. “Manual traction or specific mobilization may be effective in relieving symptoms by decreasing mechanical stress on sensitized structures and encouraging physiologic responses to assist in reduction of edema and inflammatory reaction” (Herkowitz and Bell, p. 430). For authors and practitioners Maitland and Mulligan, they present management techniques for the management of spinal dysfunction, and in this instance, in the management of lumbar spinal dysfunction and associated lower back pain. Dysfunction is often seen as damage or constraints in the functioning of the spinal vertebral movement (Geraci, et.al., 2005, p. 6). These spinal dysfunctions may affect the cervical, thoracic, or lumbar portion of the spinal column. Lumbar spinal dysfunction which affects the psoas muscle often causes an individual to incline forward “and toward the side of the dysfunctional psoas” (Chaitow and DeLany, 2002, p. 83). ...
Mulligan’s approach to the management of lumbar spinal dysfunction has become an accepted and widely supported technique with many physiotherapists favouring this method over other options for treatment (Konstantinou, et.al., 2001, p. 206). This method of treatment has been known to immediately resolve functional issues and movements among joints, even after prolonged immobility and restriction (Mulligan, 2010, p. 5). Various clinical studies which establish the favourable application of this therapy have been published. In a paper by Exelby (2002, p. 69) sets forth that stimulating joint receptors through passive mobilization or manipulation would have an immediate impact on muscle activity. Spinal mobilization with leg movements in the lower limbs is often indicated in instances of straight leg raise, and it often helps relieve lower back pain as well as lower limb pain. This study was able to establish a strong support for the use of Mulligan approaches. In another study however, a more non-committal assessment of the Mulligan approach was set forth by Hall (2006, p. 95), where the authors set out to establish the immediate impact of the Mulligan traction straight leg raise technique (TSLR) on the range of straight leg exercise (SLR) among patient-respondents with lower back pain. The study revealed that there was a significant increase in the range of SLR of 11 degrees; such increase was credited to hip flexion, not hip rotation. In terms of pain relief, an assessment was made by Konstantinou, et.al., (2002, p. 206) where the authors set out to evaluate the current use of mobilization with movement for the management of lower back pain. The ...Download file to see next pagesRead More
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