Short term Efficacy of C0-C1 Mobilization in the Cervical Neutral Position in Upper Cervical Hypomobility: A Randomized Controlled Trial

Hidalgo-Garcia, Cesar; Tricas-Moreno, Jose Miguel; Lucha-Lopez, Orosia; Estebanezde-Miguel, Elena; Bueno-Gracia, Elena; Malo-Urries, Miguel; Perez-Guillen, Silvia; Fanlo-Mazas, Pablo; Ruiz-de-Escudero, Alazne; Krauss, John

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자료유형: 학술저널

저자정보: Hidalgo-Garcia, Cesar (University of Zaragoza) Tricas-Moreno, Jose Miguel (University of Zaragoza) Lucha-Lopez, Orosia (University of Zaragoza) Estebanezde-Miguel, Elena (University of Zaragoza) Bueno-Gracia, Elena (University of Zaragoza) Malo-Urries, Miguel (University of Zaragoza) Perez-Guillen, Silvia (University of Zaragoza) Fanlo-Mazas, Pablo (University of Zaragoza) Ruiz-de-Escudero, Alazne (University of Zaragoza) Krauss, John (Oakland University)

저널정보: 국제물리치료연구학회 Journal of international academy of physical therapy research Journal of international academy of physical therapy research 제7권 제1호

발행연도: 2016.1

수록면: 908 - 914 (7page)

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The purpose of this study is to explore the effects of mobilization of C0-C1 and C7-T1 applied to asymptomatic individuals with reduced upper cervical rotation during the FRT. Design: parallel randomized controlled trial. 48 subjects(38.52 years${\pm}15.13$) with C1-C2 rotation hypomobility in TFR joined the study and were randomized into three groups(C0, C7, control group). FRT in both directions was measured before and after the intervention. C0 intervention consisted of a dorsal translatoric mobilization of C0-C1 in the cervical neutral position. C7 intervention consisted of a ventral cranial translatoric mobilization of C7-T1 in neutral position and the control group maintained a supine position. C0 group experienced a FRT ROM to the restricted side increase of $17.64^{\circ}$(SD=4.55), that was significantly greater (P<0.001) than $5.95^{\circ}$(SD=4.81) of the C7 group and $2.45^{\circ}$(SD=5.05) of the control group. The results showed that a dorsal translatoric mobilization of C0-C1 in neutral position restored the physiological FRT mobility in subjects with C1-C2 hypomobility and experienced statistical significant improvement in FRT as compared to a C7-T1 translatoric mobilization and a control group. (Level of evidence: 1b).

#Cervical Vertebrae #Atlantoaxial Joint #Manipulation

참고문헌 (29)

참고문헌 신청

Salem W / 2013 / In vivo three-dimensional kinematics of the cervical spine during maximal axial rotation / Man Ther 18(4):339~344

Clements B / 2001 / The amelioration of atlanto-axial rotation asymmetry using high velocity low amplitude manipulation : is the direction of thrust important? / J Osteopath 4:8~14

Hall TM / 2010 / Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test / J Headache Pain 11(5):391~397

Zito G / 2006 / Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache / Man Ther 11(2):118~129

Venkatesan M / 2012 / Traumatic atlantoaxial rotatory subluxation(TAARS)in adults : a report of two cases and literature review / Injury 43(7):1212~1215

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