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Manual Therapy Techniques in Occupational Therapy

Study that SUPPORTS Manual Therapy

The Effect of Joint Mobilization as a

Component of Comprehensive Treatment for

Primary Shoulder Impingement Syndrome

Results: Both groups improved in mobility but the joint mobilization group improved in pain, whereas the control group did not.

By Jillann Berns & Cynthia Kisik

Further research could be beneficial...

Does manual therapy work?

Although there is some supporting evidence of the efficacy of manual therapy, we would benefit more to have studies that have control groups that are not receiving any additional combination therapy.

YES? NO?

Manual therapy is not a "one-and-done," or, a "cure-all." And, in occupational therapy, it is never practiced as the sole therapeutic intervention. It is administered as a means of preparation and usually along with other modalities. Thus, many studies do not have control groups due to combinations of therapy and it is difficult to single out and conclude that the manual therapy is effective.

What do we mean

by manual therapy?

How do we apply this to patient care?

Study that OPPOSES

Manual Therapy

Deep transverse friction massage for treating tendinitis

Results: 19 studies- no statistically significant difference in pain intensity, grip strength and functional status (3 different measurements) after consecutive sessions of DTFM combined with physiotherapy modalities.

Being hands-on with our patients can be very therapeutic. With the use of our own hands, we can facilitate muscles, reduce inflammation, elongate scar tissue, increase joint ROM, decrease pain, and therefore, improve occupational performance.

  • Manual therapy involves utilizing manipulation and mobilization to treat musculoskeletal conditions.

  • It is performed by occupational therapy practitioners to relieve pain, increase range of motion, reduce swelling, and mobilize soft tissue and joints.

Types of manual therapy:

  • Myofascial release
  • Cross-friction massage
  • Soft tissue mobilization
  • Effleurage
  • Joint mobilization

Thank You!

References

Cheatham, S., Kolber, M., Cain, M., & Lee, M. (2015). The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review. The International Journal of Sports Physical Therapy, 10(6), 827-838.

Conroy, D., & Hayes, K. (1998). The Effect of Joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. Journal of Orthopaedic & Sports Physical Therapy, 28(1), 3-14. doi:10.2519/jospt.1998.28.1.3

Loew, L., Brosseau, L., Tugwell, P., Wells, G., Welch, V., Shea, B., . . . Rahman, P. (2014). Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database of Systematic Reviews(11), 1-36. doi:10.1002/14651858.CD003528.pub2

Study that both supports & opposes manual therapy

The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review

Results: With findings from 14 different evidence-based articles, SMR with a foam roller was discovered to have short-term effects on the increase of joint ROM and decreased DOMS following intense exercise.

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