Osteopathy: Definition of manipulation

Before getting a little more on the topic at hand will make a small digression to a topic that's well worth devoting some attention. After all, the osteopath uses manipulation as the main tool for developing and implementing therapy. We will focus on understanding the meaning of manipulation, its nature and how it develops.

The handling is thus a passive mobilization, but slightly forced, which tends to bring the game together a little beyond his usual mobility, without exceeding the limits imposed by nature or anatomic joints.

If it is determined as necessary, may be involved all natural movements such as rotation, lateral flexion, flexion extension, alone or in combination. Thus, we consider manipulation as a therapeutic measure must, whose coordinates are determined by a preliminary examination, and well defined, with few concrete indications.

Once situated in a correct position osteopath, manipulation consists of three stages:

1 .- Initial position to manipulate.
2 .- Initial tension.
3 - The impulsion manipulative.

Let's imagine a manipulation of the neck in rotation left. The supine patient, the osteopath takes her head in her hands, her neck broken left until it has the impression of having reached the limit of its natural movement. While this rotation is performed the patient's head placed in the exact position for manipulation. Rotation lighter extension. If, from this place back to the starting point and repeat the same movement several times, we say that we are carrying out mobilizations left rotation. But having made the start-voltage, being promoted with a small movement suddenly dry and very soon gained the extra position, one has the impression that resistance has subsided and that the segment is a question reaches a few degrees. This maneuver is accompanied by a characteristic snap. This movement dry, short, unique, implemented from the start voltage is manipulation.

The manipulation that should always be performed from the start voltage must be tightly controlled by the osteopath and requires some experience. The handling should always be painless. A great movement with inertia, and little violent measured can be painful and poses a serious danger to the patient.

As for the crack so peculiar that occurs when handling, and that seems to be a synonym for having done things right, does not mean always. Do not be fooled.

The noise can occur in any joint in the body for a cavitation phenomenon. By separating the joint forms a bubble of emptiness in the synovial fluid, gases rush and cause cracking noise. Noise is not evidence of a successful maneuver. Manipulation only has positive effect when done in the right joint, in the right direction and for good reason.

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*Automatic Translation