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ATTR 362: Manual Therapy
Transcript of ATTR 362: Manual Therapy
The use of hands-on techniques to evaluate, treat, and improve the status of neuromusculoskeletal conditions.
Types of manual therapy??
trigger point release
Direct techniques: maneuvers that load or bind tissue and structures.
Indirect techniques: move tissue away from the direction of the limitation.
trigger point release
position pt in comfortable position
place yourself in comfortable position
Use good body mechanics
Obtain feedback from pt throughout treatment
Explain technique and what they should feel to pt
repetitive pressure stimulation w/o irritation causes transmission from peripheral receptors to the spinal cord and brain, resulting in muscle relaxation and dilation of BVs
increased blood and lymph flow, mobilization of fluid, increased tissue mobility
irritations or lesions spread by direct contact
removal of rings, watches, and jewelry
Assist venous and lymphatic flow to decrease edema and aid in muscle relaxation
Promote circulation, relax muscle, mechanically assist fluid exchange, and improve mobility of muscle tissue.
Loosen areas of scar tissue and adhesions of deeper tissues
release of the tight fascia
Complex Regional Pain Syndrome
Myofascial Trigger Point
Myofascial trigger point release
release trigger point
patient should be relaxed
correct the cause of the trigger point
no prolonged direct pressure over nerves or blood vessels
discontinue if pt complains of numbness or tingling
Trigger point release
active release technique
"manual technique that involves the voluntary contraction of a muscle in a precisely controlled direction, at varying levels of intensity, against a distinct counterforce"
using muscle contractions to correct malalignments
passive accessory movements
improve nutrient exchange
increase range of motion
breaks up adhesions
5 Grades (Maitland)
Grade 1: small amp, beginning ROM
Grade 2: large amp, stops before end ROM
Grade 3: large amp, up to end of available ROM
Grade 4: small amp at end range
Grade 5: Manipulation
(ATs CAN'T PERFORM)
Extreme Caution should be used! Can cause injury easily!!!
Houglum: Should be used as a last resort when all other options are exhausted
Direct: similar to examination of neural tissue
Indirect: changing posture or altering soft tissue structure