The technique that focuses on the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine. The treatment involves manual therapy, manipulation of the spine, other joints and soft tissues with exercises and lifestyle counseling.
Mobilization with Movement manual therapy techniques were discovered and developed by Brian Mulligan. This approach addresses Musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.
The concept was introduced by g.d. maitland, according to which the central theme of the concept is a positive personal commitment to understand what the patient is enduring, listening and believing the patient in order to encourage the feeling of confidence and trust.
THE THREE MOST IMPORTANT ASPECTS OF THIS CONCEPT ARE:
The method was introduced by ROBIN MCKENZIE. He stated that the disabling and recurrent disorders that affect the spine can produce disability and mental anguish in all who experience the problem. His methods are based on posture, dysfunction, derangement syndromes.
MET is the combination of series of rapid, low amplitude contractions instead of single maintained contraction through techniques involved-
Post isometric relaxation & reciprocal innervation
1. To lengthen shortened, contractured / spastic muscle.
2. To strenghthen physiologically weakened muscle group.
3. To reduce localised edema.
4. To relieve passive congestion.
5. To mobilise an articulation with restricted mobility
PNF is a set of diagnol patterns of movements (multiplanar, multijoint, rotational movts.) Of trunk, neck & extremities used in clinical envt. To enhance both arom & prom with optimising motor function & rehabilitation.
Shortening contraction of opposing muscle to place target muscle on stretch, followed by an isometric contraction of the target muscle.
1. Develop muscular strength & endurance
2. Facilitate stability & mobility
3. Facilitate muscle elongation
4. Neuromuscular control
5. Restoring function
6. Rehab of spastic patients
Kinesiology is a method of elastic tape to provide full mobility by handling the imbalances
• Muscle function: normalising muscle tone with proper techniques
• Sensory function- decompress ‘dunk’ nerve termination & reduce pain
• Lymphatic drainage
• Joint function- correct the physiological axis by stimulating proprioception & facilitating pain
• Forms convolutions in skin thus increase interstitial space & reduce pressure, allow blood & lymphatic systems to drain fluids freely.
• Produces decompressive eccentric ballistic stretching of skin & subcutaneous
• Stabilising action concentric shortening stimulates skin & subcutaneous activation of muscle spindles & superficial fascial
The application of two therapeutic modalities at the same time, & at the same site is described as combination therapy. Ultrasonic therapy is frequently used with other modalities including hot packs, cold packs & electric nerve & muscle stimulating currents
1. Reduce pain
2. Tissue healing
3. Reduce spasm
4. Muscle guarding
Involves the insertion of dry needle into the trigger point to treat myofascial pain.
(ISO- equal & metric- measurement) involves the development of force by an increase in intra-muscular tension without any change in the length of the muscle.
Pain not responding to conservative treatment.
For the purpose of balance , coordination and postural correction.