Skip to Main Content

++

At the completion of this chapter, the reader will be able to:

++

  1. Give definitions for commonly used biomechanical terms used in manual therapy (MT).

  2. List the criteria that are important for the correct application of a manual technique.

  3. Summarize the various types of MT.

  4. Apply the knowledge of the various MTs in the planning of a comprehensive rehabilitation program.

  5. Recognize the manifestations of abnormal tissue and develop strategies using manual techniques to treat these abnormalities.

  6. Categorize the various effects of MT on the soft tissues.

  7. Make an accurate judgment when recommending an MT technique to improve joint or muscle function.

++

Touch has always been and continues to be a primary healing modality. The first written records of massage go back to Ancient China, and wall paintings in Egypt depict hands-on healing techniques that go back 15,000 years. 1From this early “laying on of hands” evolved many of the techniques used today.

++

The techniques of MT fall under the umbrella of therapeutic touch. MT has become such an important component of the intervention for orthopaedic and neurologic disorders that it is considered by many as an area of specialization within physical therapy. 25

++

Several MT approaches or techniques have evolved over the years. By their nature, many of these techniques have not been developed with the same scientific rigor as fields such as anatomy and physiology, and much of their use is based on clinical outcomes, rather than evidence-based proof. However, an absence of evidence does not always mean that there is evidence of absence (of effect), and there is always the risk of rejecting therapeutic approaches that are valid. 6

++

Of the approaches commonly applied, the Cyriax, 7Mennell, 8and osteopathic techniques 9, 10( Table 10-1) originated from physicians, whereas the Maitland, 11, 12Kaltenborn, 13and McKenzie 14approaches ( Table 10-2) were derived by physical therapists. 5, 15, 16

++
Table Graphic Jump Location
Table 10-1 Manual Therapy Approach—Physician Generated

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.