The main focus of this study was to investigate effects of lumbar central posteroanterior (PA) mobilization on isometric knee extension (IKE) ability and patellar tendon reflex amplitude (PTRA) in healthy university students. University students aged 19-26 (male; 10, female; 10) without any neurological disorders participated voluntarily and excluded the subjects with abnormal reflexes. The participation had an average body mass of 64.25±13.52 kg, an average height of 1.66±0.08m, and an average Body Mass Index (BMI) of 23.07±3.21. Every student was randomly assigned to be received squatting exercise and PA mobilization sequentially with 5 days of wash out period. IKE and PTRA were not significantly different between the two groups after the intervention. All the outcome measures were arranged into two data groups; PA mobilization and squatting exercise data group. In the PA mobilization data group, IKE and PTRA significantly increased after the intervention, however, these aspects were decreased in the squatting exercise group. These findings suggest that IKE and PTRA increase immediately after PA mobilization, therefore PA mobilization could be a valuable topic for controlled clinical trials.

The purpose of this study was to measure the mean peak mobilization forces to the cervical spine 3-5 with grade III and grade IV of posteroanterior (PA) mobilization. Asymptomatic 25 college subjects were participated in the trial and eligible physical therapists performed cervical mobilization. The mean peak mobilization force was measured during the PA mobilization with grade III and grade IV by attaching a flexible force transducer over the C3-C5 spinous process. Three cycles of PA mobilization were performed in each spine and the therapist took approximately 2.5s to complete mobilization. After applying the grade III mobilization to the C3-C5, 30 minutes later, the grade IV mobilization was applied to the same area again. There were no significant differences between C3, C4 and C5 during grade III as well as grade IV. Upon comparing the mean peak force of grade III with mean peak force of grade IV at the C3, C4 and C5 respectively, an insignificant difference was also observed. The mean peak mobilization force was 4.53±1.79 N at the C3, 5.10±1.91 N at the C4, and 5.17±2.63 N at the C5 during grade III force was applied. The mean peak mobilization force was 4.40±1.56 N at the C3, 5.53±2.01 N at the C4, and 5.38± 2.73 N at the C5 during grade IV force was applied. This study suggested that the mean peak force of the grade III and grade IV mobilization in the C3-C5 was similar each other, also there was no difference between mean peak force of grade III and grade IV on C3, C4 and C5.