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
