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ATTR 362: Manual Therapy

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Jess Edler

on 11 November 2014

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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??
joint mobilizations
trigger point release
myofascial release
muscle energy
neural mobilization
Direct techniques: maneuvers that load or bind tissue and structures.
Indirect techniques: move tissue away from the direction of the limitation.
joint mobilizations
trigger point release
muscle energy
positional release
Common principles:
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
skin disease
blood clots
irritations or lesions spread by direct contact
warm hands
trimmed nails
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
Myofascial Release
release of the tight fascia
decrease pain
hyermobile jts
local infections
acute inflammation
new scars
Complex Regional Pain Syndrome
Myofascial Release
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
clinician assisted
active release technique
Muscle Energy
"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
Muscle Energy
Joint Mobilizations
passive accessory movements
decrease pain
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
Neural Mobilizations
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
Full transcript