Manual therapy

Manual therapy, also known as manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, occupational therapists, chiropractors, massage therapists, athletic trainers, osteopaths, and osteopathic physicians to treat musculoskeletal pain and disability.

Definition

Manual therapy or manipulative therapy is a physical treatment primarily used by physical therapists, physiotherapists to treat musculoskeletal pain and disability; it most includes kneading and manipulation of muscles, joint mobilization and joint manipulation.

Techniques

Manual therapy techniques may be applied to any joint in the body, but are most commonly performed on the spine. The three most notable forms of manual therapy are:

• Manipulation: A technique involving a high velocity, low amplitude thrust beyond the physiological limit of joint motion.
• Mobilization: A slower, more controlled process of articular and soft-tissue stretching intended to improve bio-mechanical elasticity.
• Massage: A technique aimed at reducing muscle tension and fatigue, and increasing circulation and flexibility.

Efficacy

The efficacy of manual therapy varies depending on the condition being treated, the specific technique used, and the skill and experience of the practitioner. Some studies have found manual therapy to be effective in reducing pain and improving function in patients with musculoskeletal conditions, while others have found no benefit or mixed results.

See also

• Physical therapy
• Chiropractic
• Osteopathy
• Massage therapy

External links

• What is Manual Therapy? - American Physical Therapy Association

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