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Anatomy Trains Structural Integration
Published in David Lesondak, Angeli Maun Akey, Fascia, Function, and Medical Applications, 2020
Manual therapy is applied to match the individual’s needs and tolerances. This is not a “no-pain, no-gain” treatment. It’s a refined skill, some would say art, of matching the tissue response with the person’s overall response in order to find that fine line of just the right amount of pressure. When there is too much pressure, the person will usually resist or guard against that pressure. This often results in a breakdown of the therapeutic connection with the patient. In ATSI, the goal is to have the person fully engaged during the process even, and especially, during moments where restrictions and adhesions make movement difficult or uncomfortable (but never painful).
Physical Therapy Approach to Fibromyalgia with Myofascial Trigger Points: A Case Report
Published in Robert M. Bennett, The Clinical Neurobiology of Fibromyalgia and Myofascial Pain, 2020
In October 1999 the patient started physical therapy and by this time was experiencing total body symptoms, headache and was only able to work four hours a day in a home office. The patient reported, following physical therapy sessions in the first three to four weeks that she got physically ill with nausea and vomiting and had to lie on the floor for five to six hours waiting for symptoms to decrease. The patient attended physical therapy sessions three times weekly from October 1999 through July 2000, which included numerous manual therapy techniques and an attempt of exercise regimes. The patient continued her physical therapy sessions in spite of its ill effects expecting that it would eventually help her return to “a functioning human being.” The patient also received treatments from a neuromuscular therapist who was trained in craniosacral techniques and myofascial release and this intervention seemed very helpful, but temporary in nature.
Low Back Pain and Sciatica: Pathogenesis, Diagnosis and Nonoperative Treatment
Published in Gary W. Jay, Practical Guide to Chronic Pain Syndromes, 2016
Manual therapy includes passive stretching, soft-tissue mobilization, myofascial release, manual traction, muscle energy techniques, joint mobilization, and manipulation. Joint mobilization is a low-velocity passive stretch applied to a joint within or at the limit of its range. Manipulation uses a high-velocity thrust maneuver beyond a joint’s restricted range of motion (71, 72). More controlled trials have been carried out to evaluate manipulation than any other nonoperative treatment measures (73). However, it is difficult to interpret these studies because of a variety of methodological issues. Manipulative therapy may vary due to the variable skill levels and techniques among different practitioners, that is, physiotherapists, osteopaths, physicians, and chiropractors. A recent systematic review showed evidence of a modest beneficial effect of spinal manipulation on cLBP when compared to sham interventions judged to have no efficacy; however, this effect was not greater than other usually applied therapies (74). Spinal manipulation is probably most beneficial for the treatment of acute axial spinal pain, without radiculopathy or neurological impairment (73).
Effect of dynamic stabilisation exercise therapy enhanced with muscles energy technique on some selected patients outcomes and trunk muscles function in patients with chronic non-specific low back pain: a study protocol
Published in European Journal of Physiotherapy, 2021
Usman Abba Ahmed, Thaya Nadasan, Jessica Van Oosterwijck, Sonill Sooknunan Maharaj
A review of some randomised controlled trials reported that manual therapy seems more effective on pain relief, physical function and physical disability when compared to the general form of exercises [27–30]. However, a meta-analysis did not confirm the benefit of manual therapy over exercises on long term pain and disability [28]. Additionally, a recent RCTs result favoured combining treatment effect of strengthening and spinal manipulation exercises over isolated treatment alone in chronic NSLBP population [21,31,32]. They further argued that it is uncertain if isolated strengthening or isolated mobilisation would have the same effect. Therefore, the focus of this study is to determine if stabilisation exercises (strengthening exercise) enriched with Muscles Energy Techniques (manual therapy) will provide long-term therapeutic benefits on the biopsychosocial variables when compared with isolated stabilisation exercises or standard physiotherapy in chronic NSLBP.
Electroacupuncture with rehabilitation training for limb spasticity reduction in post-stroke patients: A systematic review and meta-analysis
Published in Topics in Stroke Rehabilitation, 2021
Jiyao Zhang, Luwen Zhu, Qiang Tang
Rehabilitation is defined as a comprehensive and coordinated application of medical, social, educational, and vocational measures to reduce the physical, mental, and social dysfunction of individuals with a disability and to help them return to the society. Currently, the rehabilitation training methods for the treatment of post-stroke spasticity mainly include motor therapy, manual therapy, and physical factor therapy. Motor therapy and manual therapy primarily include range of motion training, antagonistic muscle strength training, stretching, and neurodevelopmental therapy. In physical factor therapy, wax therapy, water therapy, biofeedback therapy, functional electrical stimulation, and transcranial magnetic stimulation are commonly used. Recently, post-stroke rehabilitation has been further developed by combining EA and rehabilitation training. Such combination has been reported to be more effective than EA alone or rehabilitation training alone; however, the evidence remains insufficient.15,16
Evidence for managing chronic low back pain in primary care: a review of recommendations from high-quality clinical practice guidelines
Published in Disability and Rehabilitation, 2021
Roberto Meroni, Daniele Piscitelli, Claudio Ravasio, Carla Vanti, Lucia Bertozzi, Giovanni De Vito, Cecilia Perin, Andrew A. Guccione, Cesare G. Cerri, Paolo Pillastrini
Remarkably, the TOP clinical practice guideline changed the recommendation for “therapeutic exercise” from “DO NOT KNOW” to “DO”. More specifically, therapeutic exercises are prescribed according to the results of an individual patient assessment, and recommendations are based on the specific impairments identified. A supervised exercise program or formal home exercise regimen may include general physical fitness or aerobic exercise, muscle strengthening, stretching, or different combinations of these elements. Physical activity and therapeutic exercise are classified with “DO”, with strong to moderate evidence, by all the Clinical practice Guidelines. Manual therapy, in general, can be given a “MIGHT DO”, as some Clinical practice Guidelines report short term effectiveness and other suggest that manual therapy need to be part of a combined approach and not applied as a sole therapy.