편타증 치료를 통해 살피는 manipulation - 공재철 원장 강의요청

[문형철]

15년 넘게 직관적으로 "이건 아니다'라고 하는 정골추나요법에 대해서 이제 완전히 관대해졌나보다.

다행이다. 실제 정골추나요법을 국소적으로 잘 이용하고, 치료적 exercise를 시행할때 진정한 치료과정일 수 있다. 

이제서야 이러한 manual therapy의 적응증과 contra적응증에 대해서 완전하게 이해한듯 하다.

이 자료를 보고 관대한 것을 보면.......

기쁜 날이다....

panic bird.....

편타증의 manual therapy.pdf

Abstract 

1. Introduction: There are many therapeutic approaches aimed at treating the clinical syndrome resulting from whiplash injury. However, there seems to be little agreement between therapists as to the ideal treatment for these patients. Spinal manipulation/mobilization and soft tissue mobilization techniques are manual therapies commonly used in the management of neck disorders. 

The aims of the present paper are to detail a manual approach developed by our research group, to help in future studies of the  management of the sequels to whiplash injury, and to suggest explanations for the mechanisms of this protocol. These manual pproaches

are considered by the authors to be more effective than conventional physical therapy in the management of whiplash patients.

2. Vertebral manipulations: The biomechanical analysis of whiplash injury showed that upper cervical manipulation, cervicothoracic junction manipulation, thoracic spine manipulation, and pelvic girdle manipulation are the major areas requiring

such treatment, for beneficial outcomes to be assured. 

Although the exact biological mechanisms underlying the effects of spinal manipulation are not clearly understood, there are previous papers justifying most methods used in the current experimental protocol.

3. Soft tissues manipulation techniques: The soft tissues techniques used in this protocol were neuromuscular technique in paraspinal muscles, muscle energy techniques in the cervical spine, myofascial release in the occipital region, and myofascial trigger point manual therapies as required.

4. Clinical dissertation: The definition of spinal joint dysfunction (hypomobility) implies that muscle shortening is involved. This suggests that manual treatment of persons suffering from whiplash injury requires the treatment of muscular and fascial shortening, as well as the treatment of spinal joint dysfunction, when appropriate.

1. upper cervical spine manipulation

2. cervico-thoracic junction manipulation

3. thoracic spine manipulation

4. thoraco-lumbar junction manipulation

5. pelvic girdle manipulation