If you are looking for more information on this subject and how it can help you recover from an injury, please read on. What Is Manual Physical Therapy? Manual therapy interventions are just as they sound. It is a hands-on form of physical therapy treatment applied directly to the affected areas to help promote a number of deficits. Some of the techniques involved in manual physical therapy at TrueMotion include manual traction, joint mobilization, passive stretching, soft tissue mobilization, and proprioceptive neuromuscular facilitation.
If you're interested in finding a physical therapy clinic servicing Vancouver , you will likely find many options with a quick Google Search. However, before jumping headfirst into the first available clinic appointment, look into what forms of treatment are being offered, and the level of skilled experience performing manual physical therapy techniques, when offered.
When coupled with other forms of Physical Therapy treatments, manual physical therapy can help you overcome many musculoskeletal conditions and movement dysfunctions.
This includes persistent injuries, and overuse injuries, which is why it's such a valuable part of sports medicine rehab. Methods: The study was a prospective comparative research design in the setting of a research laboratory. Volunteers were recruited with symptoms suggestive of CTS based upon a phone interview and confirmed by electrodiagnostic study findings, symptom characteristics, and physical examination findings during an initial screening visit.
Interventions were, on average, twice a week for 4 weeks and once a week for 2 additional weeks. Outcome measures included 1 sensory and motor nerve conduction evaluations of the median nerve; 2 subjective pain evaluations of the hand using visual analog scales and Katz hand diagrams; 3 self-reported ratings of symptom severity and functional status; and 4 clinical assessments of sensory and motor functions of the hand via physical examination procedures.
Additional manual techniques that are outside the scope of this text but merit acknowledgement are as follows:. It is important that the underlying cause of the soft tissue abnormality be addressed for long-standing resolution of the problem to occur.
For example, upper trapezius or scalene muscle pain is a common complaint in human medicine. Upon evaluation, trigger points, tenderness, and decreased flexibility are noted.
Soft tissue techniques will likely provide temporary relief at best. The underlying cause of the overused muscles must be determined to fully resolve the issue. A possible cause may be poor posture while working on the computer. Thus, complete resolution will require changing the gravitational effect on this muscle with postural correction and exercise.
A similar canine example would be the patient with an iliopsoas strain secondary to lumbosacral instability. There are a few contraindications to STM. With these precautions in mind, the therapist can determine the best techniques to apply to the patient, based upon the indicated treatment goals. Manual Therapy. Specialized manual skills are used extensively in both evaluating and treating the canine patient.
Effleurage consists of long slow strokes, generally light to moderate pressure, usually parallel to the direction of the muscle fibers Figure 6. Petrissage involves short, brisk strokes, moderate to deep pressure, parallel, perpendicular, or diagonally across the direction of the muscle fibers. It may include kneading, wringing, or skin rolling Figure 6. Tapotement is rhythmic, brisk percussion often administered with the tips of the fingers, primarily used as a stimulating stroke to facilitate a weak muscle Figure 6.
Cross-friction massage involves applying moderate pressure perpendicularly across the desired tissue Figure 6. Pressure is maintained in such a way that the finger does not slide across the skin, but rather takes the skin with it. In so doing, the force is transmitted directly to deeper tissues. Cross-friction massage is commonly used on tendons, ligaments, and well-healed scars to realign noncontractile fibers. Cross-friction massage was made popular by one of the foremost specialists in the diagnosis and treatment of musculoskeletal injury and pain syndromes, British physician James Cyriax.
He believed that proper remodeling could be stimulated by manually manipulating the tissues to both break down the scar tissue and promote circulation. Ischemic compression is performed by applying sustained moderate to deep pressure to an area of localized hyperactivity. It is a therapeutic technique in which blood flow to a local area is intentionally blocked.
It is believed that a resurgence of local blood flow will occur upon release. Once discomfort is reduced, increased pressure is applied. Ischemic compression is thought to restore circulation, inhibit the muscle, reduce muscular tension, and promote healing.
Trigger point pressure release involves applying gentle digital pressure to a trigger point. It is based on the extensive work of Janet Travell, MD, and colleagues. In , Travell and Simons recommended treating trigger points with gentle digital pressure rather than the previously proposed ischemic compression. Deactivation of these points can be achieved by manual trigger point release, spray and stretch, dry needling, or injection McPartland, Treatment is designed to alleviate referred sensations as well as localized pain.
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