Manipulative Techniques
Techniques under anesthesia may vary from patient to
patient as medical necessity indicates by the involved
tissues and existing relative contraindications and/or
possible complications that may exist. Some of the techniques
include:
Soft tissue procedures - lateral stretching,
linear stretching, deep pressure, traction and/or separation
of muscle origin and insertion.
| Tissue: |
periarticular |
| Goals: |
decrease muscle spasm and increase
tissue mobility |
Articulatory procedures (mobilization without impulse,
low velocity techniques) - placing articulation
through full anatomic range of motion. A passive serial
repetitive oscillatory rhythmic springing force in the
direction of restriction.
| Tissue: |
periarticular and articular |
| Goals: |
increase quantity of
motion - gradual movement of restrictive barrier
to restore range of motion increase quality of
motion - smooth range of movement with normal
elastic and feel |
Specific joint mobilization procedure - mobilization
with impulse, high velocity technique. Extrinsic operator
applied thrust overcoming restrictive articular movement.
Engagement of the restrictive barrier and thrust through
the barrier to achieve normal joint movement.
| Tissue: |
articular and intra articular |
| Goals: |
increase joint range
of motion reduce joint restrictions reduction
of hyper tonicity stretch shortened fibrosed connective
tissues of the articulation |
|
