MANUAL THERAPY
Manual therapy is one branch of a wide range of approaches provided by Physical Therapists but it is not limited only to this discipline. Manual therapy is claimed also by other disciplines such as chiropractors, osteopaths, bioenergotherapist, etc. Theoretically, any therapeutic approach provided by the hands could be labeled as Manual Therapy. In Physical Therapy, the manual approach is limited by the scope of practice to treatment of the skeletal, articular, muscular, and neural systems. In Manual Therapy there are a lot of different concepts created by many practitioners who contributed to the development of this approach.
We can name a few of the many, such as Cyriax, Maitland, Mulligan, Kaltenborn, and Paris. Each of them had different concepts and techniques. Naturally they created their own methods of therapy, their names synonymous to manual therapy in ordinary life. It is very common that therapists call the performed techniques after their names, such as "I did some Maitland to L4", or "He can benefit from Mulligan shoulder mobilization".
One manual therapy approach is mobilization and/or manipulation, which also brings a lot of confusion. Cyriax defined manipulation as ".... simply defined as a passive movement at a joint with a therapeutic purpose, using the hands". Paris stated in 1983: "The term mobilization is identical in meaning with the word manipulation. They are interchangeable. Mobilization has been the more common term in the United States due to physical therapist wishing to avoid the word manipulation which has to some an implied association with chiropractic. While that might have been true it is no longer the case." Both ideas finally came to conclusion in July 2000 by the APTA in the Guide to Physical Therapist Practice: "Mobilization/manipulation: a manual technique comprised of a continuum of skilled passive movements to joins and/or related soft tissue that applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement."
At Beyond Physical Therapy, our therapists provide a wide range of treatments including:
· kinesio-therapy, which is a variation of movement delivered through an exercise,
· physiotherapy, which is a variation of modalities such as ultrasound, electro stimulation, infrared, etc
· and of course manual therapy.
Although one of our therapists is a Certified Orthopedic Manual Therapist in a methods developed by Maitland, and Mulligan, we are also providing techniques developed by other practitioners, who were mentioned above.
The Maitland Concept is primarily based on clinical evidence, but diagnostic/theoretical consideration will also influence a way of intervention. Maitland Principles of Treatment says that: "Biomechanical knowledge is mandatory to understand which structures are potentially relevant to the patient's symptoms however specific techniques of assessment and treatment are chosen using clinical reasoning and the presenting signs and symptoms."
We can name a few of the many, such as Cyriax, Maitland, Mulligan, Kaltenborn, and Paris. Each of them had different concepts and techniques. Naturally they created their own methods of therapy, their names synonymous to manual therapy in ordinary life. It is very common that therapists call the performed techniques after their names, such as "I did some Maitland to L4", or "He can benefit from Mulligan shoulder mobilization".
One manual therapy approach is mobilization and/or manipulation, which also brings a lot of confusion. Cyriax defined manipulation as ".... simply defined as a passive movement at a joint with a therapeutic purpose, using the hands". Paris stated in 1983: "The term mobilization is identical in meaning with the word manipulation. They are interchangeable. Mobilization has been the more common term in the United States due to physical therapist wishing to avoid the word manipulation which has to some an implied association with chiropractic. While that might have been true it is no longer the case." Both ideas finally came to conclusion in July 2000 by the APTA in the Guide to Physical Therapist Practice: "Mobilization/manipulation: a manual technique comprised of a continuum of skilled passive movements to joins and/or related soft tissue that applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement."
At Beyond Physical Therapy, our therapists provide a wide range of treatments including:
· kinesio-therapy, which is a variation of movement delivered through an exercise,
· physiotherapy, which is a variation of modalities such as ultrasound, electro stimulation, infrared, etc
· and of course manual therapy.
Although one of our therapists is a Certified Orthopedic Manual Therapist in a methods developed by Maitland, and Mulligan, we are also providing techniques developed by other practitioners, who were mentioned above.
The Maitland Concept is primarily based on clinical evidence, but diagnostic/theoretical consideration will also influence a way of intervention. Maitland Principles of Treatment says that: "Biomechanical knowledge is mandatory to understand which structures are potentially relevant to the patient's symptoms however specific techniques of assessment and treatment are chosen using clinical reasoning and the presenting signs and symptoms."
