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The Spine: Single Manipulation or Repeat Mobilization?

Posted by Stacy Soappman, PT, DScPT, COMT, FAAOMPT on Oct 5, 2018 11:22:15 AM

Time is one of the most valuable things we have. Patient's often struggle to find time in their busy lives to come to physical therapy. Saying yes to physical therapy means they might have had to say no to something else they wanted/needed to do.  It is our responsibility to provide patients with the most efficient and effective treatment possible to be respectful of the time they are choosing to spend in physical therapy. When seeing patients in the clinic we have a certain amount of time to listen to the patient, treat the patient, and hopefully give them exercises and education to take home with them.

I have found it is much more efficient to perform a single manipulation rather then repeated mobilizations or muscle assisted techniques. Don't get me wrong, mobilizations and muscle assisted techniques have their place in my clinical practice. But given the choice, I would pick a manipulation over one of these techniques, as for me it is one of the most effective ways to start affecting the neuromuscular system, which can in turn lead to decreased pain and improved functional mobility.

In NAIOMT's Advanced Spinal Manipulation course we will cover techniques from the craniovertebral region to the sacro-iliac joint. We will talk about how to treat the patient that is bigger then you.  We will problem solve through different ways to protect "sensitive segments" and still effectively treat the target segment. This class is not just about manipulation, we will also discuss follow-up education, home exercise programs, and what to do when the patient is not responding as we thought they would. 

In the related video below, I demonstrate a different way to manipulate the thoracic spine in a patient that has a anteriorly rounded posture.

 

The Advanced Spinal Manipulation course is designed to stand alone so regardless if it is your first or 10th NAIOMT course we would love to have you join us!

For more information about this course course, please visit NAIOMT's dedicated Advanced Spinal Manipulation page.

Upcoming C-725 Advanced Spinal Manipulation courses:

Topics: NAIOMT, stacy soappman, advanced spinal manipulation

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