Manual therapy has a long history in the physical therapy profession, and physical therapists have made significant contributions to today’s variety of manual therapy approaches and techniques. In the past, mechanical explanations have been used to explain the mechanisms by which manual therapy interventions worked.
New research shows that complex neurophysiological mechanisms are involved and the beneficial psychological effects of practical research and intervention should not be ignored.
Treatment may include moving the joints in specific directions and at different speeds to regain movement (mobilization and manipulation of the joints), muscle stretching, passive movements of the affected body part, or moving the patient’s body part against the resistance of the therapist for Muscle activation to improve synchronization. Specific soft tissue techniques can also be used to improve tissue and muscle mobility and function.
Physical therapists are leaders in the diagnosis and treatment of movement disorders. There is evidence that manipulation and movement are the PT’s most useful tools. Professional associations promote and protect the scope of practice Legislation needs to be amended to recognize the fact that PD can diagnose.
Manual therapy is used in Musculoskeletal Injuries
Soft Tissue mobilisation, Maitland Mobilization , Manipulation are few example
McMillan uses the word “manipulation” throughout his book to describe techniques such as effleurage, tapotement, friction massage, and rowing technique which comes under soft tissue manipulation.
Manual therapy is crucial to release muscular tension, correcting postural deviation and aches and pain related to neck pain, back pain, knee pain and any other joint pain. In case of joint hypomobility, Facet arthropathy, locked facet joint, Manipulation is important to regain the range back to normal.
Manual therapy used in Neural Injuries –
Neurodynamics in case of nerve compression along the root of nerve, Proprioceptive Neuromuscular Facilitation in case of gaining the strength of muscle are few examples.
Manual Therapy is ICU
Positioning, Manual and ventilator hyperinflation, Weaning from mechanical ventilation, Non-invasive ventilation, Percussion, vibration, suctioning, Respiratory muscle strengthening, Breathing exercises and mobilisation are few manual techniques used in ICU.
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