Shankar Ganesh G, Mohanty Patitapaban, Smita Pattnaik Swati
Department of Physiotherapy, SVNIRTAR, Olatpur, P.O.Bairoi, Cuttack Dt., Odisha 754010, India.
Department of Physiotherapy, SVNIRTAR, Olatpur, P.O.Bairoi, Cuttack Dt., Odisha 754010, India.
J Bodyw Mov Ther. 2015 Apr;19(2):226-31. doi: 10.1016/j.jbmt.2014.04.009. Epub 2014 Apr 18.
Few studies have reported the effects of lumbar spine mobilization on neurodynamics. In a recent study, Szlezak et al. (2011) reported immediate improvement of posterior chain neurodynamics [range of passive straight leg raise (SLR)] following ipsilateral lumbar spine zygopophyseal (Z) joint mobilization. We re-duplicated the study with a 24 h follow-up measurement. Sixty healthy college students were assigned to two groups, mobilization and control. The mobilization group received ipsilateral grade 3 Maitland mobilizations to Z joint at a frequency of 2 MHz for 3 min and the control group received no treatment. The SLR was measured before and after the intervention for both the groups on the day of testing and 24-h later. Repeated measures ANOVA showed statistically significant pre to post improvement in SLR range after mobilization. The improvement was retained at 24-h. The results of the study are consistent with Szlezak et al. (2011).
很少有研究报道腰椎松动术对神经动力学的影响。在最近一项研究中，斯莱扎克等人（2011年）报告称，同侧腰椎关节突（Z）关节松动术后，后链神经动力学[被动直腿抬高（SLR）范围]立即得到改善。我们重复了该研究，并进行了24小时的随访测量。60名健康大学生被分为两组，即松动组和对照组。松动组接受频率为2兆赫、持续3分钟的同侧3级梅特兰Z关节松动术，对照组不接受任何治疗。在测试当天及24小时后，对两组在干预前后的SLR进行测量。重复测量方差分析显示，松动术后SLR范围从术前到术后有统计学意义的改善。这种改善在24小时时仍然存在。该研究结果与斯莱扎克等人（2011年）的研究一致。
