Physiotherapy and PROCEDURE: Manual Therapy – mobilization techniques

Procedure - Manual Therapy

DEFINITION/DESCRIPTION:

These techniques are described in general terms and may be used for assessment or treatment of any neuromusculoskeletal tissue in the body

Mobilization is a passive movement performed in such a manner that it is at all times within the ability of the model to prevent the movement. There are 2 type of passive mobilization performed for the purpose of relieving pain and restoring pain free functional movements;

1. passive accessory movements are those movements which a subject cannot perform themselves
2. passive physiological movements are those movements which a subject could perform themselves

Grades of Movement:

Grade I      a small amplitude movement in resistance free range

Grade II     a large amplitude movement in resistance free range

Grade III    a large amplitude movement into resistance

Grade IV    a small amplitude movement into resistance

CONTRAINDICATIONS:

-           clinical features of cauda equine compression e.g. disturbance of bladder or bowel function, perinea anesthesia

-           clinical features of cord compression

-           vascular disorders

-           vertigo

-           hyper mobility syndromes

-           infections

-           active inflammatory arthropathies

-           metabolic bone disease and endocrine disorders

-           tumors

-           congenital anomalies

HAZARDS/COMPLICATIONS/PRECAUTIONS:

-           development and/or exacerbation of symptoms including protective muscle spasm or guarding during attempts to position model would contra-indicate continuation of the technique

INFECTION CONTROLS:

-           appropriate hand hygiene

appropriate hygiene of plinth, pillows, all surfaces in direct contact with subject