Manual Therapy approach with Maitland’s concept is considered to be (among others like Kaltenborn, Mulligan, Lewit, McKenzie et al.), a leading methodology for the treatment and rehabilitation of spinal and peripheral joint problems.
Manual Therapy is generally defined as a hands-on clinical examination/evaluation, intervention & rehabilitation of cases with orthopaedic problems. Manual Therapy as a therapeutic approach is based on the application of methodical clinical reasoning, and the science-based evidenced informed practice. The goal is the patient to fully return to function and independence in their daily activities through the stimulation of different mechanisms of the human body (physiology, neurophysiology, biomechanics, etc.).
Each patient’s psychosocial background and personal needs & goals are always the main targets in the approach of every certified therapist on Manual Therapy. A shared decision-making process is required to form a therapeutic/rehabilitation plan tailored to the individual needs of every person.
The evaluation procedure followed on the first day is the fundamental basis for the overall course of each patient.
At the beginning of the clinical evaluation the steps are:
Following the subjective evaluation is the clinical examination, where the procedure requires:
Once the assessment is completed, the therapeutic plan is then formulated by selecting and adapting the appropriate techniques, therapeutic approaches or exercise prescription to each patient’s capabilities, needs and goals. The therapeutic approach is constantly adapted according to the response of the symptoms and/or the body, so as to achieve optimal recovery.
There is an established misconception that manual therapy is exclusively about interventions that apply intense and violent movements. In fact, health professionals practising certified Orthopaedic Manual Physical Therapy meet the requirements of a wide range of scientific knowledge and interventions in order to ensure that they provide the highest quality of service for their patient’s health.
In general, Manual Therapy is recognised worldwide as an effective, safe and mild way of evaluating and treating orthopaedic cases for pain management, reducing inflammation, restoring movement and function. The contribution of specialised physiotherapists to the timely and effective treatment of the orthopaedic patient has been proven in various countries such as Canada, Australia and the United Kingdom. In this way, the patient avoids unnecessary radiological tests or medications that only contribute to the additional discomfort and financial burden of the patient and/or the health care system.
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