Hauswirth Jürg, Ernst Markus J, Preusser Marianne Lanz, Meichtry André, Kool Jan, Crawford Rebecca J
Cantonal Hospital of Baselland/Bruderholz, CH-4201 Bruderholz, Switzerland.
Department of Health, Institute of Physiotherapy, Zurich University of Applied Sciences, CH-8401 Winterthur, Switzerland.
J Back Musculoskelet Rehabil. 2017;30(3):615-623. doi: 10.3233/BMR-160566.
Lateral gliding cervical spine mobilisation is shown to improve shoulder pain, disability and function. However, despite common clinical-use, no study reports the effect of unilateral anterior-posterior (A-P) cervical mobilisation on shoulder pain and function, and particularly in patients after arthroscopic shoulder surgery.
Examine the immediate effect of single-level Grade III cervical unilateral A-P mobilisation on shoulder pain, flexion and abduction range of motion (ROM) and external rotator strength compared to placebo cervical unilateral A-P light touch pressure.
Single session intervention with a crossover design in 32 (15 women) postoperative arthroscopic shoulder patients.
Immediate and superior treatment effects were shown for A-P cervical mobilisation in improving flexion ROM, isometric strength of external rotation, and pain intensity during flexion (all p< 0.05) when compared to the placebo. However, effects may not be considered clinically meaningful.
Unilateral A-P mobilisation applied to the cervical spine shows a tendency toward positively influencing post-arthroscopy shoulder pain and function. Further study examining cervical mobilisations directed in different planes to influence shoulder motion appear warranted.
已有研究表明颈椎侧方滑动松动术可改善肩部疼痛、功能障碍及功能。然而，尽管该技术在临床中常用，但尚无研究报道单侧颈椎前后向（A-P）松动术对肩部疼痛和功能的影响，尤其是对关节镜下肩部手术后患者的影响。
与安慰剂性颈椎单侧A-P轻触压力相比，研究单节段III级颈椎单侧A-P松动术对肩部疼痛、屈曲和外展活动范围（ROM）以及外旋肌力量的即时影响。
对32例（15名女性）关节镜下肩部手术后患者采用交叉设计进行单节段干预。
与安慰剂相比，A-P颈椎松动术在改善屈曲ROM、外旋等长肌力以及屈曲时的疼痛强度方面显示出即时且更优的治疗效果（所有p<0.05）。然而，这些效果可能不具有临床意义。
应用于颈椎的单侧A-P松动术显示出对关节镜检查后肩部疼痛和功能产生积极影响的趋势。进一步研究针对不同平面进行颈椎松动术以影响肩部运动似乎很有必要。
