Thursday, September 25, 2008

Prognosticating the effectiveness of physiotherapeutic spinal mobilization with the centralization phenomenon of symptoms.

What is centralization?

Centralization refers to the abolition of distal pain emanating from the spine in response to therapeutic exercises.

According to a review article in Manual Therapy 2004 Aug;9(3):134-143; authored by Aina A et al focused on prognostic significance along with prevalence and reliability of assessment. The prevalence rate of pure or partial centralization was 70% in 731 sub-acute back patients, and 52% in 325 chronic back patients.

Points to remember:

1. It is a symptom response that can be reliably assessed during examination.

2. Centralization is consistently associated with a range of good outcomes, and failure to centralize with a poor outcome.

3. Centralization appears to identify a substantial sub-group of spinal patients; it is a clinical phenomenon that can be reliably detected, and is associated with a good prognosis.
4. It is recommended that centralization should be monitored in the examination and reexamination of spinalpatients.

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