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Effect of joint mobilization using KEOMT and PNF on a patient with CLBP and a lumbar transitional vertebra: a case study
Authors:Si-Eun Park  Joong-San Wang
Affiliation:1) Department of Physical Therapy, Yongin University, Republic of Korea;2) Department of Physical Therapy, Yeoju Institute of Technology, Republic of Korea
Abstract:[Purpose] The purpose of this case study was to identify the effects ofjoint mobilization using Kaltenborn-Evjenth orthopedic manual therapy (KEOMT) andproprioceptive neuromuscular facilitation (PNF) techniques on a patient with chronic lowback pain (CLBP) and a lumbar transitional vertebra. [Methods] The intervention methodswere joint mobilization using KEOMT and PNF techniques. The program consisted of 40-minsessions 3 days a week for 4 weeks. The spinal motion (thoracic and lumbar vertebrae),pain, and thickness of the multifidus were measured. [Results] The angle of spinalcurvature increased, and the range of motions (ROMs) flexion and extension increased inthe thoracic and lumbar vertebrae. The pain score as measured on a visual analogue scale(VAS) and the Oswestry disability index (ODI) score decreased. The thickness of themultifidus (L4) increased on the left and right sides. [Conclusion] These results suggestthat joint mobilization using KEOMT and PNF techniques had a positive effect on the spinalmotion, pain, and thickness of the multifidus of a patient with chronic low back pain anda lumbar transitional vertebra.Key words: Lumbar transitional vertebra, Joint mobilization, Proprioceptive neuromuscular facilitation
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