Manual Therapy is a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to manipulation/mobilization to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation; improving contractile and non-contractile tissue repair, extensibility, and/or stability; facilitating movement; and improving function. manual therapy in delhi
Types of Manual therapy techniques
Mobilization is passive joint movement applied to spinal or peripheral joint in which a rhythmic oscillatory movement within the control of patient is applied at varying speeds and amplitudes using physiologic or accessory motions to increase range of motion (ROM) or decreasing pain.
Manipulation is passive joint movement applied to a joint in which a sudden, forceful thrust beyond the patient’s control is applied to increase range of motion (ROM).
Soft Tissue Manipulation:
The soft tissue manipulation techniques involve various forms of deep massage and are used to increase the mobility of adherent or shortened connective tissues.
Muscle Energy Technique:
Muscle energy techniques use the concepts of autogenic inhibition, and reciprocal inhibition to relax and then stretch the target muscle. The patient is asked to do isometric/ concentric/ eccentric contraction in a precisely controlled direction and intensity against a counterforce applied by the therapist.
The neural tissues are stretched and mobilized in the cases of adhesion or scar tissue around the nerve root or at the site of injury at the plexus or peripheral nerves after trauma or surgical procedures. Tension placed on the adhesions or scar tissue leads to pain or neurological symptoms.
Graded Oscillation was widely promoted by Maitland. Graded oscillation is a form of cyclic loading whereby alternative pressure, on and off, is delivered at different parts of the available range.
Stretching is a general term that describes any therapeutic maneuver that increases the extensibility of restricted soft tissues.
Myofascial Release techniques focus on relaxing the fascia by applying direct pressure on the body and using slow and sometimes deep pressure to restore the extensibility of the fascia.