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The International Federation of Orthopaedic Manipulative Physical Therapists defines joint mobilization as "a manual therapy technique comprising a continuum of skilled passive movements that are applied at varying speeds and amplitudes to joints, muscles or nerves with the intent to restore optimal motion, function, and/or to reduce pain." [1]
Many definitions of joint manipulation have been proposed. [1] The most rigorous definition, based on available empirical research is that of Evans and Lucas: [2] "Separation (gapping) of opposing articular surfaces of a synovial joint, caused by a force applied perpendicularly to those articular surfaces, that results in cavitation within the synovial fluid of that joint."
Like many chiropractic and osteopathic manipulative techniques, Diversified is characterized by a high-velocity, low-amplitude thrust. [11] It is considered the most generic chiropractic manipulative technique and is differentiated from other techniques in that its objective is to restore proper movement and alignment of spine and joint ...
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 .
Kale Technique (Specific Chiropractic) is a gentle technique that utilizes a special adjusting table to help adjust and stabilize the upper cervical region surrounding the brain stem. Logan Basic Technique—A light touch technique that works to "level the foundation" or sacrum. Its concept employs the use of heel lifts and specific contacts.
This is usually done through a course of physical therapy, which will also help reduce the chances of repeated dislocations of the same joint. [33] Take the shoulder for example. The most common treatment method for a dislocation of the shoulder joint is exercise based management. [ 34 ]
For neck pain, manipulation and mobilization produce similar changes, and manual therapy and exercise are more effective than other strategies. [12] A 2015 Cochrane systematic review found that there is no high-quality evidence assessing the effectiveness of spinal manipulation for treating neck pain. [13]
Most small joint manipulation is done on the hands or feet to hyperextend joints as part of a pain compliance strategy. The basic techniques of small-joint manipulation involve grabbing and bending back one or more fingers/toes and by applying pressure to the wrist/ankle joints that disrupt the interconnectivity of the system of smaller joints within.