MANUAL THERAPY HISTORY

The hand is the organ that covers the largest area in the brain. Since ancient times, the “use of hands

has been used as a practice for diagnosis and treatment.

The use of hands in musculoskeletal system diseases dates back centuries. There is strong evidence that manual medicine was used in ancient Thailand 4000 years ago. The use of hands in the treatment of various injuries and diseases dates back to the ancient Egyptians.

Hippocrates, the father of modern medicine, introduced manual medicine into the field of medicine by treating many musculoskeletal disorders and deformities using traction and lever arms

. The techniques described by Hippocrates

are still used today.

There are records that such techniques were used during the Roman Empire.

Many techniques of "laying on hands" have been used for thousands of years to relieve human suffering. Although their popularity may wax and wane from time to time, these modalities and techniques have become increasingly accepted in recent years. These methods have been used as a non-surgical 'aggressive approach' in the treatment of musculoskeletal disorders

especially for neck and lower back pain

.

These techniques, based on passive movements, date back to the 18th-19th centuries. It has been used only by clerics for centuries. Dr. graduated from Edinburgh University in the early 19th century. Edward Harrison gained great fame in London by using manual medicine methods

. The 19th century was the heyday of bonesetter in England and the USA. Among these, the successful studies of the famous fracture-

dislocation specialist Hutton attracted the attention of medical authorities such as James Paget and Warton Hood

and were published in journals such as the British Medical Journal and Lancet

was published and subsequently these techniques began to attract the attention of the medical world again.

In addition to describing the diseases treated in these articles, it was stated that Hutton did not manipulate acutely inflamed joints

.

James Mennell is a professor of physical medicine. He has developed new

manipulation techniques that are very useful and applicable in the treatment of spinal pathologies without the use of anesthesia. By examining joint movements throughout his life, he determined how important they were in manipulating involuntary movements. Mennell's main area of ​​work is on peripheral joints

.

James Cyriax. F. M. Kaltenborn is one of the most important names in manipulation

.

Andrew Taylor Still developed the first osteopathic technique in 1874.

Osteopathy; It is a method of providing painless joint movement by increasing the mobility in the damaged segment in spinal disorders. Those who perform this procedure are called osteopaths

. Still's work led to many modern manipulation techniques used today.

Still's idea of ​​treatment without medication was not accepted by many doctors

but Oliver Wendell Holmes said, 'If all the drugs used in medicine were thrown into the sea

it would be very good for humanity. ', but it would be very bad for the fish', he supported Still

. Still's view can be summarized as follows.

1. The body is a whole.

2. The body has the power to heal itself. Everything necessary for maintaining health and getting rid of diseases is present in the human body. The role of the physician should be to activate and

strengthen this capacity.

3. The musculoskeletal system is an integral part of the entire body structure. A disorder in this system affects the whole body.

4. Structure-function cooperation is important. While body structure manages function

function also affects the structure positively.

5. Improving the body's functional capacity enables the level of well-being to increase and recovery from disease and disability.

Nowadays, neck and low back pain have reached epidemic proportions

in many industrialized countries. It is estimated that approximately 80% of all adults will suffer from low back pain and 50% from neck pain at some point in their lives.

 

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