Hi

I have just read an RCT Journal from Thailand and they have disproved Maitlands approach of doing a unilateral PA pressure on the side of the symptoms for treating patients presenting with unilateral neck pain. By comparing them to a random group receiving either central PA, Ipsilateral PA or contralateral unilateral PA pressure.

However in the random group the therapist was able to change treatment technique regarding pt symptoms. But if the therapist was able to change treatment technique in the random group is this not slightly biased and assumptions could be made they are doing a treatment technique on the opposite side to the symptoms.

I have just read Maitlands book and they all have pain relieving qualities.

I would really like anyone thoughts on this please as I am confused by it all and now my practice.

This is the journal.. its very convincing

Arch Phys Med Rehabil. 2009 Feb;90(2):187-92.
The immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: a randomized controlled trial.
Kanlayanaphotporn R, Chiradejnant A, Vachalathiti R.


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