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Use of Translatoric Mobilization in a Patient with Cervical Spondylotic Degeneration: A Case Report

Abstract Cervical spondylotic changes have been found in more than 80% of persons over the age of 55 years. Advanced spondylotic changes can narrow the vertebral and intervertebral foramina and restrict cervical mobility. This case report describes movement analysis and the clinical decision-making used prior to the application of translatoric mobilization to an 80-year-old male with severe movement restriction secondary to cervical spondylosis. Joint specific non-rotatory mobilization techniques were used to increase cervical range of motion. Left cervical rotation improved by 60°; right rotation by 30°; and backward bending by 22°. Medical literature regarding conservative treatment options for cervical spondylosis make no mention of referral to an orthopedic manual physical therapist for movement analysis or for manual intervention using translatoric mobilization techniques. This case demonstrates the potential effectiveness of non-rotational mobilization techniques in a patient with significant movement restriction due to severe cervical spondylosis. Translatoric mobilization was effective in reducing symptoms, increasing cervical ROM, and improving function in this patient.