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It was modified and revived in the 1990s, primarily by chiropractors, and also by osteopathic physicians; this was likely due to safer anesthesia used for conscious sedation, along with increased interest in spinal manipulation (SM). [26] In the MUA literature, spinal manipulation under anesthesia has been described as a controversial procedure.
Manual therapy, or manipulative therapy, is a treatment primarily used by physical therapists and occupational therapists to treat musculoskeletal pain and disability. It mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation .
Most contraindications apply to the manipulation of the affected region. [63] While safety has been debated, [3] and serious injuries and deaths can occur and may be under-reported, [4] these are generally rare and spinal manipulation is relatively safe [46] when employed skillfully and appropriately. [5]
Manipulation under anesthesia (MUA)—This is performed by a chiropractor certified in this technique in a hospital-outpatient setting when the patient is unresponsive to traditional adjustments. Techniques
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. [83] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. [84]
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The Activator Method Chiropractic Technique is a chiropractic treatment method that uses a device created by Arlan Fuhr as an alternative to manual manipulation of the spine or extremity joints. The device is categorized as a mechanical force manual assisted (MFMA) instrument which is generally regarded as a softer chiropractic treatment ...
The key fusion points, diagonals, and movement patterns were then addressed in the 2002 book, Fascial Manipulation for Musculoskeletal Pain. [6] Later on, he formulated a practical manual of the Stecco Method with Carla Stecco, and wrote the practical manual for internal organs that focused on internal dysfunction, which was published in 2007. [7]