Manual Therapy is a treatment approach planned according to the needs of each patient, used by physicians, physiotherapists, osteopaths and chiropractors.
The International Federation of Orthopedic Manipulative Physiotherapy Specialists (IFOMPT) defines manual therapy techniques as: "Skilled hand movements intended to produce any or all of the following effects: improving tissue stretching; increasing range of motion of the joint; manipulating soft tissues." or Mobilization. Causes relaxation on joints; regulates muscle work; pain; and reduces soft tissue edema, inflammation, or movement restriction.
Advanced Specialty Practices (DASP) according to the American Academy of Orthopedic Manual Physical Therapist (AAOMPT) ) According to its definition, Orthopedic Manual Therapy is defined as: any type of "hands-on" treatment provided by physical therapists. Accordingly, “The treatment involves moving joints in certain directions and at different speeds to regain the ability and angle of movement (joint mobilization and manipulation), muscle Increasing stretching and flexibility may involve passive movements of the affected body part or having the patient move the body part against the therapist's resistance to improve muscle activation. Selected special soft tissue techniques may also be used to improve the mobility and function of tissues and muscles. ''
History of Manual Therapy
The first information about manual therapy dates back to B.C. Papyrus found in Egypt dates back to 3000 years ago and mentions techniques similar to manual therapy techniques used today for neck pain. Indian physicians such as Susruta (1500 B.C.) used manual techniques. Physicians such as Hippocrates and Galen were interested in spinal pain and talked about different manual therapy techniques. There are records that such techniques were used during the Roman Empire. Many techniques applied with the help of hands have been used to relieve human suffering for thousands of years. These methods have been used as a non-surgical “aggressive approach” to the treatment of musculoskeletal disorders, especially neck and low back pain. In the modern sense, Manuel tera pi began to make its name known all over the world with the initiatives of Andrew Taylor Still in the USA in 1874 and David Palmer in 1895. It can be said that especially the schools founded by Palmer made a significant contribution to the development of the field of manual therapy as a discipline. In Europe, manual therapy practices; It was shaped by the manipulation studies of Mennel and Cyriax in the field of manual therapy since the mid-20th century.
The Mechanism of Effect of Manual Therapy can be explained by three theories
1. Positive Placebo Response
2. Facilitating Tissue Repair and tissue remodeling
3.
A -Pain relief – through gate control mechanism
B - Muscle inhibition; reduction of nociceptive activity;
C -Decreased intra-articular or periarticular pressure
What are Manual Therapy Techniques?
Traction
Medical-Clinical Medical Massage
Trigger Point Therapy
Active Relaxation Techniques
Active Assistive Movement (AAROM)
Passive Range of Motion Increasing (PROM)
Lymphatic drainage
Stretchings (muscle, nerve tissue, joints) , fascia)
Instrument Assisted Soft Tissue Mobilization (Graston Technique)
Joint Manipulation: A joint within its anatomical border for the purpose of optimal movement, function and/or pain reduction. a passive, high-velocity, low-amplitude thrust applied to the joint complex. It helps to reduce pain and improve joint function and mobility. Often, an air bubble emerges from the joint cavity, creating a clicking sound or a popping sound. It is a dull sound and this sound is required for effective manipulation.
Joint Mobilization Mobilization: It can be a persistent pressure applied to the affected joints or a rhythmic oscillation. It helps reduce pain and improve joint function and mobility.
What Diseases is Manual Therapy Used to Treat?
Manual Therapy Musculoskeletal It has been used reliably for many years in the treatment of many diseases related to System Disorders. Especially:
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Waist Problems (Disk Disc Herniation, Joint Blockages, Canal Stenosis, Waist Slip arch, Waist Straightening)
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Neck Problems (Neck Herniation, Joint Blockages, Canal Stenosis,
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Neck Straightening)
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Knee Disorders (Meniscus Tear, Anterior / Lateral / Cross and Posterior Ligament Tears, After Knee Operations
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Hip Problems (Hip Dislocations) -Strains, After Hip Prosthesis)
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Elbow Problems (Tennis Elbow, Golfer's Elbow, Nerve Compression)
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Shoulder Problems ( Nerve Compression, Muscle Tear, Frozen Shoulder, Impingement Syndrome, Impengement, Bankart Lesion)
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Scoliosis (Spine Curvatures)
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Sacroiliac Joint Disorders (Coccyx, Butt Pain)
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Nerve Compression (Sciatic Radial, Median, Ulnar, Tibial Nerves)
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Increase-Decrease in Postural Kyphosis (Hunchback)
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Joint Problems-Calcification
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Ankle Disorders (Hallux valgus, Tarsal Tunnel Syndrome, Heel Spurs, Sprains)
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Wrist Disorders (Carpal Tunnel Syndrome, Cubital Tunnel Syndrome)
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Post-Fracture Rehabilitation It is the method used in the treatment of many physical ailments.
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