Human Body Alignment
Due to improper body alignment, body function
is limiteds, and thus it is a concern of everyone regardless of occupation,
activities, environment, body type, sex, or age. To effectively overcome
postural problems, therapy must be based upon mechanical principles. In the
absence of gross pathology, postural alignment is a homeostatic mechanism that
can be voluntarily controlled to a significant extent by osseous adjustments,
direct and reflex muscle techniques, support when advisable, therapeutic
exercise, and kinesthetic training.
In the health sciences, body mechanics has
often been separated from the physical examination. Because physicians have been
poorly educated in biomechanics, most work that has been accomplished is to the
credit of physical educators and a few biophysicists. Prior to recent decades,
much of this had been met with indifference if not opposition from the medical
profession.
Chiropractic Treatment
Chiropractors use hands-on spinal
manipulation and other alternative treatments, the theory being that proper
alignment of the body's musculoskeletal structure, particularly the spine, will
enable the body to heal itself without surgery or medication. Manipulation is
used to restore mobility to joints restricted by tissue injury caused by a
traumatic event, such as falling, or repetitive stress, such as sitting without
proper back support.
Chiropractic is primarily used as a pain relief
alternative for muscles, joints, bones, and connective tissue, such as
cartilage, ligaments, and tendons. It is sometimes used in conjunction with
conventional medical treatment.
Mulligan’s Joint Mobilization
The Mulligan Concept of manual therapy is
based on the application of a sustained accessory joint mobilization, often in
a weight-bearing position, which utilizes patient generated active or
functional tasks through a specified range of joint movement.
As the use of mobilization with movement (MWM)
techniques has increased, the number of studies analyzing the efficacy of
Mulligan’s techniques has proliferated in the field of peripheral manual
therapy.
There is also a corresponding increase of
investigations examining the use of MWM in spinal rehabilitation
Accurate annotation of Mulligan Concept
manual therapy is essential to ensure future quality dissemination of clinical
information within patient records, research, education, governance and audit.
This paper presents a documentation framework, based on existing annotation
applicable to Mulligan techniques, utilizing acronyms, abbreviations and tenets
common to established manual therapy approaches.
