There is a considerable number of manual therapy concepts, techniques and methods in the world of physiotherapy. What are they? Which one is best? Which specialist to choose? Is there one method that guarantees the best patient outcomes? In my understanding, all those different concepts have one thing in common- to aim to bring about pain relief and help patients get back to the pre-injury state. Now, is there any point in combining those methods in physio practice? Absolutely yes! I would go even further by saying that those physios, trained in different methods, are more effective. But that is a topic for another day…
In my blog, I will try to shed a bit more light on different physiotherapy methods. My hope is that this information will be of some use to those seeking help for their MSK problems. Since I am about to start training in Mulligan concept, I will focus today on its brief description and rationale.
The Mulligan concept is a manual therapy based on mobilization with movement. Its creator, Brian Mulligan, is a Physiotherapist born in New Zealand. According to this concept, patients experience pain and/or limitation of movements because of positional and tracking faults. In other words, bones do not move against each other in the way they should which leads to imbalance and pain in surrounding soft tissues and nerves.
Key features of this concept:
- It has to be pain free
- Must be safe and patient friendly
- It should be used with communication to forge a therapeutic union
- Patients are prescribed self-help techniques that can be then performed at home
- Use of tapes and belts
- Use of NAGS and SNAGS – mobilizations with or without patient active movement
If you are interested and would like to find out more, there is a lot on Mulligan concept on YouTube. Or simply use google…Till next time!
Chartered Physiotherapist and Master Myofascial Therapist. In the NHS since 2008; I currently work in the community as a Physiotherapy Team Lead. I also run a specialist back pain physiotherapy service in Southampton, UK. Follow me on social media.