Two commonly used methods for
improving spinal extension are passive segmental mobilization and
press-up exercises. Maitlandetal
18
advocated the use of a segmental specific approach (ie, posterior-to-anterior [PA] mobilization), in which
the intervention is focused on the specific vertebral levels that demonstrate restricted motion. In contrast,
McKenzie and May 19 advocated a more general approach, in which a press-up exercise is used as a means of decreasing pain and increasing spinal motion.