Our Techniques

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Our Techniques

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:
EXAMINATION
TECHNIQUES
ASSESSMENT

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

  • The method of discovering the potential structures that are causing nerve impingement in order to regain the neural mobility
  • While performing this technique one is not checking the stretchability of the nerve, instead we are checking the mobility of the nerve, whether it is adhered in its path or fully mobile.
  • The terminologies *ULTT* & *LLTT* which stands for “upper limb neural tissue tension tests” & “ lower limb neural tissue tension tests” respectively are not appt nomenclatures.

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.
IMPORTANCE

   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

BASIC PRINCIPLES- 
• 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

APPLICATION-

• 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
INDICATION-
    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.

  • Stretching makes the muscles active & prepares for the movement.
  • It reduce muscle tension & promote free movement by not concentrating on attaining flexibility.
  • Release nervous tension.
  • Increase the range of motion.
  • Prevent injuries like muscle strain

  • Stretching makes the muscles active & prepares for the movement.
  • It reduce muscle tension & promote free movement by not concentrating on attaining flexibility.
  • Release nervous tension.
  • Increase the range of motion.
  • Prevent injuries like muscle strain

INDICATION

 Pain not responding to conservative treatment.

  • Complain of 1 anatomic structure/region
  •  Soft tissue tightness
  • Postural abnormalities
  •  Assymetrical muscle weakness

For the purpose of balance , coordination and postural correction.

  1. Stand with weight mostly on the balls of the feet, not with weight on the heels
    2. Keep feet slightly apart, about shoulder-width
    3. Let arms hang naturally down the sides of the body
    4. Avoid locking the knees
    5. Tuck the chin in a little to keep the head level
    6. Be sure the head is square on top of the spine, not pushed out forward
    7. Stand straight and tall, with shoulders upright
    If standing for a long period of time, shift weight from one foot to the other, or rock from heels to toes.
    8. Stand against a wall with shoulders and bottom touching wall. In this position, the back of the head should also touch the wall – if it does not, the head is carried to far forward (anterior head carriage).

  • Keep the head up and eyes looking straight ahead
  • Avoid pushing the head forward
  • Keep shoulders properly aligned with the rest of the body

  1. A relatively firm mattress is generally best for proper back support, although individual preference is very important
    2. Sleeping on the side or back is usually more comfortable for the back than sleeping on the stomach
    3. Use a pillow to provide proper support and alignment for the head and shoulders
    4. Consider putting a rolled-up towel under the neck and a pillow under the knees to better support the spine
    5. If sleeping on the side, a relatively flat pillow placed between the legs will help keep the spine aligned and straight.

 

1.  Always bend at the knees, not the waist
2. Use the large leg and stomach muscles for lifting, not the lower back
3. If necessary, get a supportive belt to help maintain good posture while lifting
4. When carrying what a heavy or large object, keep it close to the chest
5. If carrying something with one arm, switch arms frequently
6. When carrying a backpack or purse, keep it as light as possible, and balance the weight on both sides as much as possible, or alternate from side to side
7. When carrying a backpack, avoid leaning forward or rounding the shoulders. If the weight feels like too much, consider using a rolling backpack with wheels.