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Home Therapy

What does manual therapy mean in physical therapy?

Isabella Victoria by Isabella Victoria
October 26, 2023
in Therapy
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physical therapy

physical therapy

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Physical therapy is a multidimensional field that aims to improve mobility, pain relief, and general quality of life for people suffering from musculoskeletal disorders. 

Manual therapy refers to skilled, hands-on techniques a physical therapist applies to mobilize joints and soft tissues of the body. It is one of the primary techniques used in physical therapy. These direct techniques aim to improve joint and muscle function, reduce pain, increase range of motion, and facilitate overall rehab progress.

Individuals seeking expert manual therapy services and comprehensive Physical Therapy Austin, Texas can turn to Carter Physiotherapy. In this comprehensive guide, we will explore the intricacies of manual therapy in the context of physical therapy, shedding light on its techniques, benefits, and the expert services offered by Carter Physiotherapy in Austin, TX.

Table of Contents

  • Goals of Manual Therapy 
  • Types of Manual Therapy Interventions 
    • Joint Mobilization
    • Joint Manipulation  
    • Soft Tissue Mobilization
    • Muscle Energy Techniques
    • Myofascial Release
    • Trigger Point Therapy   
    • Manual Lymphatic Drainage
    • Manual Traction
  • Benefits of Manual Therapy
  • Practitioner Expertise Matters
  • Integrating Manual Therapy with Other Care
  • Conclusion

Goals of Manual Therapy 

Manual therapy promotes patient wellness through varied objectives, including bettering joint range of motion, easing muscle tightness, decreasing swelling, and relieving discomfort by discharging endorphins. It also boosts blood flow, fixes biomechanical discrepancies, and reestablishes ideal neuromuscular regulation. 

These methods enable therapists to identify underlying problems, allowing precise restorative exercises and functional training. By tackling key factors contributing to conditions, manual therapy assists the return of natural movement patterns, furthering swift and effective recovery.

Types of Manual Therapy Interventions 

There are various specific forms of Austin Manual Therapy within a physical therapist’s skillset:

Joint Mobilization

Gentle oscillatory movements are performed at varying speeds and amplitudes to normalize joint mechanics, mobility, and seatedness in the socket.

Joint Manipulation  

A high-velocity, low-amplitude thrust is applied to a restricted joint to move it beyond its passive range of motion. Often results in an audible “pop.”

Soft Tissue Mobilization

Massage and cross-fiber strokes that engage restricted muscles, tendons, ligaments and fascia to minimize adhesions and realign tissues.  

Muscle Energy Techniques

The patient activates specific muscles in a controlled direction against measured resistance from the therapist to relax tight musculature and gently mobilize joints.

Myofascial Release

Sustained gentle pressure and stretching were applied to fascial restrictions to restore optimal length, mobility, and alignment in the connective tissue system. 

Trigger Point Therapy   

Manual compression, vibration, and other methods to deactivate painful trigger points in muscles and connective tissues.

Manual Lymphatic Drainage

Very light, rhythmic pumping techniques increase lymph flow and reduce swelling in edematous tissues.

Manual Traction

A gentle longitudinal distractive force, either sustained or oscillating, is applied to the spine or limbs using equipment to decompress structures.

Benefits of Manual Therapy

Manual therapy, administered by skilled therapists, offers diverse benefits to patients. It restores joint flexibility and mobility, alleviating pain and enabling fuller, less painful movements. Techniques like trigger point release and muscle energy relaxation reduce muscle spasms and pain intensity. 

Manual therapy enhances tissue flexibility and length, improves blood circulation, and restores biomechanical efficiency by re-aligning joints and correcting movement patterns. These benefits accelerate healing, often minimizing the need for medication or surgery. 

Skilled therapists can detect subtle tissue restrictions, integrating hands-on techniques seamlessly with therapeutic exercises, leading to faster recovery, increased functional independence, and higher patient satisfaction.

Practitioner Expertise Matters

It is crucial to emphasize manual therapy must be provided by a licensed physical therapist with specialized competency in these advanced hands-on interventions. During professional training, physical therapists receive extensive education in proper joint and soft tissue mobilization. 

With proper conservative application, manual therapy is very safe when practiced by a licensed PT. However, if performed improperly, there are rare risks, such as stroke from neck manipulation. Advanced certifications like Credited Manual Physical Therapist (CMPT) through the APTA provide a higher level of preparation. 

CMPT-certified therapists have honed their hands-on skills through rigorous coursework and examinations. When seeking a PT well-versed in diverse manual techniques, look for the CMPT credential. This signals advanced expertise in appropriate manual therapy application.

Physiotherapist Helping Patient While Stretching His Leg

Integrating Manual Therapy with Other Care

For optimal outcomes, manual therapy should not be used in isolation. Skilled physical therapists thoughtfully integrate hands-on approaches with:

  • Targeted therapeutic exercise
  • Neuromuscular retraining 
  • Modalities like heat, ice, electrical stimulation
  • Soft braces or taping
  • Gait training
  • Postural correction
  • Patient Education

This comprehensive care focuses on restoring standard motor control patterns and biomechanical function. The manual techniques provide added benefits in joint mobility, pain modulation, muscle relaxation, and tissue extensibility.

Manual therapy also helps prepare the body to respond favorably to the active exercises and training prescribed. Identifying the contributory impairment using manual assessment further guides the tailored interventions needed to resolve each patient’s specific dysfunctions. 

Conclusion

Manual therapy encompasses skilled hands-on techniques that improve joint and soft tissue mobility, decrease pain, and enhance function. Integrating manual and exercise approaches allows physical therapists to strategically customize treatment based on each patient’s presentation and goals. 

If you are struggling with nagging pain or stiffness, consult Austin Manual Therapy at Carter Physiotherapy in Austin, TX, to determine if manual therapy provided by a physical therapist can help resolve your condition. Used properly, manual techniques are a valuable tool that can get you moving and feeling better.

Tags: Physical therapy
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Isabella Victoria

Isabella Victoria

Isabella had a personal health journey that required to learn extensively about various aspects of health. Through that experience, she discovered passion for health and wellness and decided to share own knowledge through writing.

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