Functional mobilization is a manual treatment technique developed by Gregg Johnson at the Institute of Physical Art, which uses the principles of localized myofascial release and PNF to quickly mobilize joints and reactivate the surrounding muscles.
Muscle Energy treatment Technique is a form of osteopathic manipulative treatment in which the patient’s muscles are actively used from a precisely controlled position such that force is used to create motion at a specific joint. It was first described in 1948 by Fred Mitchell, Sr, DO.
Myofascial release and soft tissue mobilization
Myofascial release is a form of soft tissue therapy used to treat pain and restriction of motion. Myofascial release is effective for treating muscle and associated connective tissues that supports it. It releases soft tissue restrictions and in turn improves the function of the nervous, muscular, lymph and circulatory systems. In medical literature, myofascial was first described by Janet Travell M.D. in the 1940s.
Prescriptive exercise is an exercise program that is specific to a musculoskeletal problem in the same way that a medication treats a specific disease or symptom. For example, a patient may be asked to repeatedly move a specific joint that is very stiff or practice a movement that reinforces a newly acquired motion. In contrast, many therapy practices rely on protocols. Patients with similar diagnoses get series of predetermined exercises that are then modified based on patient tolerances.
Visceral mobilization is a manual treatment strategy which helps body organs to regain their natural motion. Visceral mobilization effects body movements as well as organ function. For example, for a person to twist their spine and rib cage from side to side the liver must move with them. If the liver is unable to move, rib cage is blocked and can become painful or cause other compensations. Changes in organ function are mainly attributed to improved circulation and improved ability to move.
PNF is a manual resistance treatment technique used for mobilization, neural activation and strengthening. The therapist uses verbal and manual cues to help the body become aware of (proprioception) and facilitate the use of muscles. In essence the therapist activates muscles through specific resistance. PNF is often performed as part of or following structural mobilization. PNF was initially used for stroke victims and children with cerebral palsy; it is now commonly used to treat a broad range of orthopedic conditions.
Cranial mobilization is a manual treatment strategy that involves decompression of the bones of the skull to improve circulation and decrease tension on the tissues around the brain and associated nerves. It is a common misconception that the skull is rigid. Sutures provide small amounts of motion to keep the skull from breaking with sudden movements or impact. Cranial mobilization is very helpful in treating TMJ, headaches and craniosacral dysfunctions.