What is Manual Therapy

A Clinical approach utilizing specific hands-on techniques, including but not limited to manipulation/mobilization, used by the physiotherapist 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.

Techniques :

  • Myofascial Therapy targets the muscle and fascial systems, promotes flexibility and mobility of the body's connective tissues. It is to mobilize adhesions and reduce severity/sensitivity of scarring.
  • Massage may be used as part of a treatment. Proponents claim this may reduce inflammation.
  • Friction massage is to increase mobilization of adhesions between fascial layers, muscles, compartments and other soft tissues.
  • Soft Tissue Technique is firm, direct pressure to relax hypertonic muscles and stretch tight fascial structures.
  • Soft Tissue Technique is firm, direct pressure to relax hypertonic muscles and stretch tight fascial structures.
  • Trigger Point techniques claim to address Myofascial Trigger points.
Styles of manual therapy

There are many different styles of manual therapy :

  • Bobath concept
  • Chiropractic
  • Joint manipulation
  • Joint mobilization
  • Spinal manipulation
  • Spinal mobilization
  • Massage therapy
  • Medical acupuncture
  • Muscle energy techniques
  • Myofascial release (MFR)
  • Osteopathy
  • Postural Integration
  • Traction

Manual physical therapy is a specialized form of physical therapy delivered with the hands as opposed to a device or machine. It has an important place in Physiotherapy and when used appropriately by practitioners is a very effective set of tools literally at our fingertips.

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