AN ALTERNATIVE MANUAL THERAPY: THE MAITLAND CONCEPT
Keywords:
manual therapy, accessory movements, Maitland.Abstract
Maitland developed in the 50's a new concept of manual therapy based on the evaluation of the symptoms and its interpretation. An exhaustive interview with the patient allows the physiotherapist to understand the symptoms and carry out a better assessment strategy. The most important findings of the objective assessment are those related to accessory movements, and they are going to determine the treatment plan. The accessory movements are small amplitude movements of gliding, sliding, rotation, etc., that take place during physiological movements. They are used not only in the objective assessment but also in treatment and are executed oscillatory on both sides of the joint line. Their amplitude would be variable depending on the patient and the symptoms. This concept introduces the possibility of changing the treatment according to the outcome of each technique and to new findings.
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