Immediate improvement in the cranio-cervical flexion test associated with MDT-based interventions: a case report

Takasaki, Hiroshi and Herbowy, Scott (2016) Immediate improvement in the cranio-cervical flexion test associated with MDT-based interventions: a case report. Journal of Manual and Manipulative Therapy, 24 5: 1-8. doi:10.1179/2042618614Y.0000000081


Author Takasaki, Hiroshi
Herbowy, Scott
Title Immediate improvement in the cranio-cervical flexion test associated with MDT-based interventions: a case report
Journal name Journal of Manual and Manipulative Therapy   Check publisher's open access policy
ISSN 2042-6186
1066-9817
Publication date 2016-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1179/2042618614Y.0000000081
Open Access Status Not yet assessed
Volume 24
Issue 5
Start page 1
End page 8
Total pages 8
Place of publication Abingdon, Oxfordshire United Kingdom
Publisher Taylor &Francis
Language eng
Abstract The patient in this case study presented with constant idiopathic neck pain and left lower scapular pain (greater than 3 months) and was treated based on the principles of Mechanical Diagnosis and Therapy (MDT). Retraction exercises produced centralization of the lower scapular pain to the upper part of the scapula at the initial visit. At the first visit, the performance level on the Cranio-Cervical Flexion Test (CCFT) was ≤20 mmHg before the treatment. At the conclusion of the treatment during which centralization occurred, the CCFT level improved to 24 mmHg. At the second visit, all symptoms were abolished and cervical range of motion (ROM) was fully restored by performing repeated extension in lying from a retracted position with clinician’s traction. The CCFT levels before and immediately after the treatment were 24 and 26 mmHg, respectively. At the third visit (1 week after the initial visit), he noted that all daily activities could be performed without pain. The CCFT level was maintained at 26mmHg. The patient in this study showed immediate improvement in the CCFT through the treatments based on MDT. This suggests a possible link between MDT interventions and motor control of the cervical spine and a need to further investigate this relationship.
Keyword Assessment
Deep cervical flexors
Neck pain
McKenzie
MDT
Motor control
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 11 Oct 2016, 14:42:53 EST by System User on behalf of School of Health & Rehabilitation Sciences