Package Contents:

• 1 pc Biotronix Hi Low Height Adjustable Treatment Table/Manipulation Couch/Examination Table Motorized ( Electrical ) 2 fold ( Section )Remote Controlled Premium Model Dual Function ( Hi Low  and Remote Controlled Backrest Adjustment ) used in Physiotherapy and Rehabilitation Make in India
• 1 Hand Remote Control 
• 1 Complementary Physio Chart Set ( 6 wall pasted physio charts ) 

Warranty Details : 3 Year Motor Warranty against manufacturing Defect.

What Is Manipulation & Mobilisation?

Manipulation & mobilisation are manual techniques used by physios in order to improve the mobility and function of your soft tissues, joints, muscles, tendons and ligaments.

Manipulation is usually performed as a very fast, accurate movement on the neck or back area and provides pain relief and increases flexibility. This is a safe and effective technique used as part of a treatment plan or session. Often it’s accompanied by a small “pop” or click as a result of the release of pressure.

Mobilisation is a slower technique performed on joints, ligaments or muscle, and is also used for pain reduction and flexibility improvement. It is slower than manipulation, with smooth movements applied in a repetitive process which can be either firm or gentle, depending on what is more appropriate for your condition being treated.

Description

Manual therapy has a long history within the profession of physical therapy and physical therapists have greatly contributed to the current diversity in manual therapy approaches and techniques. Mechanical explanations were historically used to explain the mechanisms by which manual therapy interventions worked. Contemporary research reveals intricate neurophysiologic mechanisms are also at play and the beneficial psychological effects of providing hands-on examination and intervention have been substantiated.^[1]

The International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) defines orthopaedic manual physical therapy as: "a specialised area of physiotherapy/Physical Therapy for the management of NMS conditions, based on clinical reasoning, using highly specific treatment approaches including manual techniques and therapeutic exercises. Orthopaedic Manual Therapy also encompasses, and is driven by, the available scientific and clinical evidence and the biopsychosocial framework of each individual patient."

According to the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) Description of Advanced Specialty Practice (DASP) (2018), orthopaedic manual physical therapy (OMPT) is defined as: “an advanced specialty area of physical therapy practice that is based on manual examination and treatment techniques integrated with exercise, patient education, and other physical therapy modalities to address pain, loss of function, and wellness.

Early, consistent, and skillful manual physical therapy, combined with exercise and patient education, is central to the OMPT therapist’s practice. Advanced examination, communication, and decision-making skills that are built on the foundations of professional and scientific education facilitate the provision of effective and efficient care. Practitioners of OMPT provide patient management, consult with other health care providers regarding simple as well as complex neuromusculoskeletal (NMS) conditions, and provide recommendations and interventions in the area of health and wellness."

Three Paradigms for Manual Therapy Therapeutic Effects

1. Physiological: positive placebo response
2. Biomechanical and Physical: facilitates repair and tissue modelling
3. Psychological: pain relief via- stimulates gating mechanism; muscle inhibition; reduction of nocioceptive activity; reduced intraarticular or periarticular pressure

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Techniques Include

• Traction
• Massage
• Trigger Point Therapy
• Active Release Techniques: A practitioner determines where adhesions are through touch, the practitioner then couples a patient's active movement with his/her touch. 

• Assisted Active Range of Motion (AAROM)

• Passive Range of Motion
• Lymph Drainage
• Stretches (muscle, neural tissue, joints, fascia)
• Instrument Assisted Soft Tissue Mobilization

• Joint Manipulation: A passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit* with the intent to restore optimal motion, function, and/ or to reduce pain.
• Joint Mobilisation: A manual therapy technique comprising a continuum of skilled passive movements to the joint complex that are applied at varying speeds and amplitudes, that may include a small-amplitude/ high-velocity therapeutic movement (manipulation) with the intent to restore optimal motion, function, and/ or to reduce pain.

NB The terms "Thrust Manipulation" and "Non-Thrust Manipulation" have been used in the literature.  "Thrust Manipulation" is used to describe interventions described as Manipulation by IFOMPT, and "Non-Thrust Manipulation" would be synonymous with the term Mobilization as proposed by IFOMPT.  

Guide to Grading of Mobilisations/Manipulations

Maitland Joint Mobilization Grading Scale:

Grade I - Small amplitude rhythmic oscillating mobilization in the early range of movement

Grade II - Large amplitude rhythmic oscillating mobilization in the midrange of movement

Grade III - Large amplitude rhythmic oscillating mobilization to point of limitation in range of movement

Grade IV - Small amplitude rhythmic oscillating mobilization at end of the available range of movement

Grade V (Thrust Manipulation) - Small amplitude, quick thrust at end of the available range of movement

Kaltenborn Traction Grading Scale:

Grade I - Neutralises joint pressure without separation of joint surfaces

Grade II - Separates articulating surfaces, taking up slack or eliminating play within joint capsule

Grade III - Stretching of soft tissue surrounding joint

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