vertebral manipulation

[manipulator]

hira,
G V manip is a valuable tech to Rx diff conditions if used discriminately & with appropriated protocol. Dx shld be accurate, clear pt for absolute and relative contraindications of G V, use prediction rule for tech to be effective, & apply only & when 100% confident with pt safety and tech efficacy. i do manip and i like its immediate dramatic results. but beleive me we are obssesed with myth of manip and its cracking sound, otherwise there are so many other manual mob techs which can yeild equally excellent immediate results. if one can get same results without chalanging pt's safety, why G V be carried out? G V should be the last option on table. Can be 1st option if 100 % or more confident with its all aspects.
G V HVLT can only be performed by a practioner having advance training in this area in form of degree prog or state approved certification. practicing G V manip on pts without training in this area is not ethical and not allowed.
hope it answers your questions.

[jesspt]

hijump -
If your questions regarding Grade V mobilization are directed at a patient with neck pain, you may want to consider these references, all of which document the benefit of thoracic spine manipulation for the treatments of patients with neck pain. It is a very safe region of the spine to perform a thrust technique on, and anecdotaly I've found it an "easier" technique to perform.

LinksFernández-de-las-Peñas C, Palomeque-del-Cerro L, Rodríguez-Blanco C, Gómez-Conesa A, Miangolarra-Page JC.

Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case series.
J Manipulative Physiol Ther. 2007 May;30(4):312-20.
PMID: 17509440 [PubMed - indexed for MEDLINE]

Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD.

Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial.
Phys Ther. 2007 Apr;87(4):431-40. Epub 2007 Mar 6.
PMID: 17341509 [PubMed - indexed for MEDLINE]

Cleland JA, Childs JD, Fritz JM, Whitman JM, Eberhart SL.

Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education.
Phys Ther. 2007 Jan;87(1):9-23. Epub 2006 Dec 1.
PMID: 17142640 [PubMed - indexed for MEDLINE]

[hijump]

thanks everyone !!
i am too late to respond .....cat had my tongue

[Alessia]

Ciao everyone!
I've been doing a cervical manipulation seminar last week end.
I'm attending a master degree in manual therapy, but i didn't feel confidence enought to do at least a thrust, even if the pre-manipulating position was correctly done.
Do you think that the practice of this kind of tecniques requests a very hard training period? And the training should be practiced only between collegues?

[hijump]

hey Alessia
yes i think first we should practice on each other rather than applying directly on the patient. practice makes the man perfect my boss used to do it very well but being a man he was able to lift and position the patient far better than me !!
and thrust in my personal view should be avoided because even if our positioning is fine the patient may get paniced and move or tilt head....that can cause serious issue.
grade 4 is good so its better to give under than over does


where have you done your masters from?
how many years are there in masters degree programme?
see ya

[Alessia]

Hi!
i agree with you about the 4 grade... mobilization is enought for now,even if training in how to find the barrier is a correct way to improve my finger sensibility...i think!
I'm doing my master in Italy,in a city of the north called Padova. Have you ever been in Italy? It lasts 2 years, and allowed to get OMT...Orthopaedic Manipulative Therapist what i attempt to do!
Ciao

[hijump]

havent been to italy yet
but its one of the dream destinations :P
we have DPT degree only for this time in our country
i liked that OMT hmmm
i am going to apply for US Ai hope i'll find something like that there

take care
good luck

[physiokavi]

hi , cn anyone give me some information regarding universities in australia giving diploma in manual therapy.

[tapaumas]

hi im 3rd diploma in physio so i have used this technique to my fellow housemates to relief their back pain cause of prolonge sitting is it ok cause they said it relief them and im confident of what i do couse i never make a mistakes before so is there any other manipulation technique that i can learn to apply at the upper and lower limb i have juz learned to use at vertebral only.

[hijump]

the maitland's techniques are non weight bearing manipulation
and the muligan's are in weight bearing positions

i am unable to get hand placement in muligan's techniques
anyone who used it ......please can you tell which in more affective and widely used now a days?