Manual Therapy

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.

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