Manual Therapy
Manual therapy according to the Maitland concept is a specific approach to the evaluation and treatment of neuro-musculoskeletal dysfunction. Here is how it is divided:
SUBJECTIVE EXAMINATION
This is the initial phase in which the physical therapist gathers detailed information directly from the patient. This stage is crucial for understanding the nature and history of the problem. The main elements include:
Medical history: complete medical history of the patient, including any previous injuries, illnesses and surgeries.
Symptomatology: description of symptoms, location, intensity, characteristics, and variability over time.
Aggravating and relieving factors: situations or movements that worsen or improve symptoms.
Impact on daily life: how the problem affects daily activities, work, and sleep.
Patient's goals: what they hope to achieve through therapy.
OBJECTIVE EXAMINATION
In the objective examination, the physical therapist examines the patient to assess physical dysfunction and identify the structures involved. This phase includes:
Observation: visual assessment of the patient's posture and movements.
Palpation: tactile examination to identify any abnormalities in soft tissues, muscles, and joints.
Active and passive movements: assessment of range of motion, both active (movements performed by the patient) and passive (movements performed by the therapist).
Specific testing: use of clinical tests to identify specific joint, muscle or nerve dysfunction.
Neurological evaluation: testing of reflexes, muscle strength and sensitivity, if necessary.
TREATMENT
Treatment is individualized based on subjective and objective examination findings. It includes a combination of manual techniques and other therapeutic modalities. The main elements are:
Joint Mobilization: manual techniques to improve joint mobility, with variations in amplitude and speed.
Therapeutic Exercises: exercises to improve stability, strength, and flexibility.
Patient education: information on how to manage symptoms, avoid painful movements, and improve posture.
REASSESSMENT
Reevaluation is an ongoing part of the Maitland therapeutic process and occurs during and after each treatment session. It includes:
Symptom monitoring: evaluation of how symptoms change in response to treatment.
Treatment adaptation: modification of treatment techniques and strategies based on the patient's progress and newly identified goals.
Patient feedback: actively listening to the patient's feelings and concerns to continuously improve the treatment plan.
With physiotherapy prescription
Duration: 25min. / 40min.
Cost: charged to the basic health insurance fund
Private
Duration: 60min.
Cost: 144.