Manual Therapy
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MANUAL THERAPY
Manual therapy techniques are skilled hand movements and skilled passive movements of joints and soft tissue and are intended to improve tissue extensibility; increase range of motion; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; and reduce soft tissue swelling, inflammation, or restriction.
Techniques may include manual lymphatic drainage, manual traction, mobilization/manipulation, and passive range of motion.
Three paradigms for Manual Therapy therapeutic effects
- Physiological: positive placebo response
- Biomechanical and Physical: facilitates repair and tissue modelling
- Psychological: pain relief via- pain gate mechanism; muscle inhibition; reduction of nocioceptive activity; reduced intraarticular or periarticular pressure
Techniques Include
- Traction
- Trigger Point Therapy
- Active Release Techniques
- Assisted Active Range of Motion (AAROM)
- Passive Range of Motion
- Lymph Drainage
- Stretches (muscle, neural tissue, joints, fascia)
- Instrument Assisted Soft Tissue Mobilization
CONCLUSION
Manual physical therapy is a specialised form of physical therapy delivered with the hands as opposed to a device or machine. It has an important place in Physiotherapy and when used appropriately by practitioners is a very effective set of tools literally at our fingertips.