Mulligan

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patryk — Sat, 05 Aug 2023 03:43:37 +0000

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patryk — Sat, 05 Aug 2023 03:43:37 +0000

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admin — Tue, 22 Aug 2023 20:02:28 +0000

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patryk — Wed, 23 Aug 2023 06:12:11 +0000

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lumbar snags 2 aangepast

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admin — Tue, 03 Oct 2023 22:49:26 +0000

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admin — Tue, 03 Oct 2023 22:49:28 +0000

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admin — Tue, 03 Oct 2023 22:49:40 +0000

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admin — Tue, 03 Oct 2023 22:49:50 +0000

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admin — Tue, 03 Oct 2023 22:53:45 +0000

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admin — Tue, 03 Oct 2023 22:57:46 +0000

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admin — Tue, 03 Oct 2023 22:56:28 +0000

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admin — Tue, 03 Oct 2023 22:56:36 +0000

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admin — Thu, 05 Oct 2023 13:12:01 +0000

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admin — Thu, 05 Oct 2023 14:06:53 +0000

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patryk — Fri, 06 Oct 2023 01:07:09 +0000

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admin — Tue, 03 Oct 2023 22:57:50 +0000

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admin — Tue, 03 Oct 2023 22:57:54 +0000

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admin — Tue, 03 Oct 2023 22:57:56 +0000

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admin — Tue, 03 Oct 2023 22:58:01 +0000

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admin — Tue, 03 Oct 2023 22:58:04 +0000

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admin — Tue, 03 Oct 2023 22:58:09 +0000

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admin — Tue, 03 Oct 2023 22:58:07 +0000

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admin — Tue, 03 Oct 2023 22:58:21 +0000

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admin — Tue, 03 Oct 2023 22:58:29 +0000

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admin — Tue, 03 Oct 2023 22:58:39 +0000

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admin — Tue, 03 Oct 2023 22:58:41 +0000

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admin — Tue, 03 Oct 2023 22:58:45 +0000

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patryk — Fri, 06 Oct 2023 01:16:10 +0000

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patryk — Fri, 06 Oct 2023 01:30:45 +0000

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patryk — Sat, 07 Oct 2023 08:01:31 +0000

Elementor-post-screenshot_2813_2023-10-09-01-25-29_37231164.png

patryk — Mon, 09 Oct 2023 01:25:29 +0000

N.11 Shoulder girdle

Emilie — Thu, 12 Oct 2023 14:59:15 +0000

SONY DSC

Emilie — Thu, 12 Oct 2023 15:36:40 +0000

A.8. positional SNAG

Emilie — Thu, 12 Oct 2023 15:40:51 +0000

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Emilie — Thu, 12 Oct 2023 15:47:19 +0000

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Emilie — Thu, 12 Oct 2023 15:58:29 +0000

lumbar G.18

Emilie — Thu, 12 Oct 2023 16:02:23 +0000

65

patryk — Sat, 14 Oct 2023 08:01:32 +0000

65

patryk — Sat, 14 Oct 2023 08:02:34 +0000

105

patryk — Sat, 14 Oct 2023 08:03:10 +0000

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patryk — Sat, 14 Oct 2023 08:03:21 +0000

125

patryk — Sat, 14 Oct 2023 08:03:24 +0000

151

patryk — Sat, 14 Oct 2023 08:03:26 +0000

224

patryk — Sat, 14 Oct 2023 08:03:29 +0000

233 herstel

patryk — Sat, 14 Oct 2023 08:03:31 +0000

233

patryk — Sat, 14 Oct 2023 08:03:34 +0000

234

patryk — Sat, 14 Oct 2023 08:03:36 +0000

247

patryk — Sat, 14 Oct 2023 08:03:39 +0000

249

patryk — Sat, 14 Oct 2023 08:03:41 +0000

274

patryk — Sat, 14 Oct 2023 08:03:43 +0000

347 herstel

patryk — Sat, 14 Oct 2023 08:03:46 +0000

347

patryk — Sat, 14 Oct 2023 08:03:49 +0000

348

patryk — Sat, 14 Oct 2023 08:03:52 +0000

350

patryk — Sat, 14 Oct 2023 08:03:54 +0000

368 herstel

patryk — Sat, 14 Oct 2023 08:03:56 +0000

368

patryk — Sat, 14 Oct 2023 08:03:58 +0000

425

patryk — Sat, 14 Oct 2023 08:04:02 +0000

428

patryk — Sat, 14 Oct 2023 08:04:05 +0000

440

patryk — Sat, 14 Oct 2023 08:04:11 +0000

442

patryk — Sat, 14 Oct 2023 08:04:14 +0000

446

patryk — Sat, 14 Oct 2023 08:04:17 +0000

456

patryk — Sat, 14 Oct 2023 08:04:20 +0000

469

patryk — Sat, 14 Oct 2023 08:04:24 +0000

486 herstel met uitsnede

patryk — Sat, 14 Oct 2023 08:04:30 +0000

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patryk — Sat, 14 Oct 2023 08:04:32 +0000

486 herstel

patryk — Sat, 14 Oct 2023 08:04:34 +0000

486

patryk — Sat, 14 Oct 2023 08:04:36 +0000

510 herstel

patryk — Sat, 14 Oct 2023 08:04:38 +0000

510

patryk — Sat, 14 Oct 2023 08:04:41 +0000

515

patryk — Sat, 14 Oct 2023 08:04:43 +0000

529

patryk — Sat, 14 Oct 2023 08:04:46 +0000

545

patryk — Sat, 14 Oct 2023 08:04:48 +0000

596

patryk — Sat, 14 Oct 2023 08:04:50 +0000

644

patryk — Sat, 14 Oct 2023 08:04:53 +0000

683

patryk — Sat, 14 Oct 2023 08:04:56 +0000

692

patryk — Sat, 14 Oct 2023 08:04:59 +0000

763 herstel

patryk — Sat, 14 Oct 2023 08:05:01 +0000

763

patryk — Sat, 14 Oct 2023 08:05:05 +0000

824

patryk — Sat, 14 Oct 2023 08:05:07 +0000

869

patryk — Sat, 14 Oct 2023 08:05:09 +0000

IMG_0063

patryk — Sat, 14 Oct 2023 08:05:11 +0000

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patryk — Sat, 14 Oct 2023 08:05:14 +0000

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patryk — Sat, 14 Oct 2023 08:05:16 +0000

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patryk — Sat, 14 Oct 2023 08:05:18 +0000

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patryk — Sat, 14 Oct 2023 08:05:20 +0000

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patryk — Sat, 14 Oct 2023 08:05:22 +0000

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patryk — Sat, 14 Oct 2023 08:05:25 +0000

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patryk — Sat, 14 Oct 2023 08:05:27 +0000

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patryk — Sat, 14 Oct 2023 08:05:29 +0000

IMG_0100

patryk — Sat, 14 Oct 2023 08:05:32 +0000

IMG_0105

patryk — Sat, 14 Oct 2023 08:05:34 +0000

IMG_0111

patryk — Sat, 14 Oct 2023 08:05:37 +0000

IMG_0112

patryk — Sat, 14 Oct 2023 08:05:39 +0000

IMG_0121

patryk — Sat, 14 Oct 2023 08:05:41 +0000

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patryk — Sat, 14 Oct 2023 08:05:43 +0000

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patryk — Sat, 14 Oct 2023 08:05:46 +0000

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patryk — Sat, 14 Oct 2023 08:05:48 +0000

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patryk — Sat, 14 Oct 2023 08:05:50 +0000

IMG_0130

patryk — Sat, 14 Oct 2023 08:05:52 +0000

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patryk — Sat, 14 Oct 2023 08:05:54 +0000

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patryk — Sat, 14 Oct 2023 08:05:56 +0000

IMG_0151

patryk — Sat, 14 Oct 2023 08:05:58 +0000

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patryk — Sat, 14 Oct 2023 08:06:01 +0000

IMG_0156

patryk — Sat, 14 Oct 2023 08:06:04 +0000

IMG_0222

patryk — Sat, 14 Oct 2023 08:06:06 +0000

IMG_0224

patryk — Sat, 14 Oct 2023 08:06:08 +0000

IMG_0232

patryk — Sat, 14 Oct 2023 08:06:11 +0000

IMG_0233

patryk — Sat, 14 Oct 2023 08:06:13 +0000

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patryk — Sat, 14 Oct 2023 08:06:15 +0000

IMG_0240

patryk — Sat, 14 Oct 2023 08:06:17 +0000

IMG_0249

patryk — Sat, 14 Oct 2023 08:06:21 +0000

IMG_0251

patryk — Sat, 14 Oct 2023 08:06:24 +0000

IMG_0253

patryk — Sat, 14 Oct 2023 08:06:26 +0000

IMG_0254

patryk — Sat, 14 Oct 2023 08:06:28 +0000

IMG_0256

patryk — Sat, 14 Oct 2023 08:06:31 +0000

IMG_0270

patryk — Sat, 14 Oct 2023 08:06:33 +0000

IMG_0271

patryk — Sat, 14 Oct 2023 08:06:35 +0000

IMG_0274

patryk — Sat, 14 Oct 2023 08:06:37 +0000

IMG_0276

patryk — Sat, 14 Oct 2023 08:06:39 +0000

IMG_0277

patryk — Sat, 14 Oct 2023 08:06:41 +0000

IMG_0278

patryk — Sat, 14 Oct 2023 08:06:43 +0000

IMG_0295

patryk — Sat, 14 Oct 2023 08:06:46 +0000

IMG_0296

patryk — Sat, 14 Oct 2023 08:06:48 +0000

IMG_0298

patryk — Sat, 14 Oct 2023 08:06:50 +0000

IMG_0299

patryk — Sat, 14 Oct 2023 08:06:52 +0000

IMG_0341

patryk — Sat, 14 Oct 2023 08:06:54 +0000

IMG_0347

patryk — Sat, 14 Oct 2023 08:06:57 +0000

IMG_0348

patryk — Sat, 14 Oct 2023 08:06:59 +0000

IMG_0350

patryk — Sat, 14 Oct 2023 08:07:01 +0000

IMG_0351

patryk — Sat, 14 Oct 2023 08:07:04 +0000

IMG_0364

patryk — Sat, 14 Oct 2023 08:07:06 +0000

IMG_0367

patryk — Sat, 14 Oct 2023 08:07:08 +0000

IMG_0368

patryk — Sat, 14 Oct 2023 08:07:10 +0000

IMG_0369

patryk — Sat, 14 Oct 2023 08:07:12 +0000

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patryk — Sat, 14 Oct 2023 08:07:14 +0000

IMG_0424

patryk — Sat, 14 Oct 2023 08:07:17 +0000

IMG_0425

patryk — Sat, 14 Oct 2023 08:07:19 +0000

IMG_0426

patryk — Sat, 14 Oct 2023 08:07:22 +0000

IMG_0428

patryk — Sat, 14 Oct 2023 08:07:25 +0000

IMG_0430

patryk — Sat, 14 Oct 2023 08:07:32 +0000

IMG_0436

patryk — Sat, 14 Oct 2023 08:07:38 +0000

IMG_0439

patryk — Sat, 14 Oct 2023 08:07:46 +0000

IMG_0440

patryk — Sat, 14 Oct 2023 08:07:53 +0000

IMG_0442

patryk — Sat, 14 Oct 2023 08:08:00 +0000

IMG_0445

patryk — Sat, 14 Oct 2023 08:08:06 +0000

IMG_0446

patryk — Sat, 14 Oct 2023 08:08:12 +0000

IMG_0447

patryk — Sat, 14 Oct 2023 08:08:20 +0000

IMG_0450

patryk — Sat, 14 Oct 2023 08:08:26 +0000

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patryk — Sat, 14 Oct 2023 08:08:35 +0000

IMG_0455

patryk — Sat, 14 Oct 2023 08:08:38 +0000

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patryk — Sat, 14 Oct 2023 08:08:41 +0000

IMG_0458

patryk — Sat, 14 Oct 2023 08:08:44 +0000

IMG_0460

patryk — Sat, 14 Oct 2023 08:08:47 +0000

IMG_0465

patryk — Sat, 14 Oct 2023 08:08:50 +0000

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patryk — Sat, 14 Oct 2023 08:08:52 +0000

IMG_0467

patryk — Sat, 14 Oct 2023 08:08:55 +0000

IMG_0469

patryk — Sat, 14 Oct 2023 08:08:57 +0000

IMG_0475

patryk — Sat, 14 Oct 2023 08:08:59 +0000

IMG_0484

patryk — Sat, 14 Oct 2023 08:09:01 +0000

IMG_0485

patryk — Sat, 14 Oct 2023 08:09:04 +0000

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patryk — Sat, 14 Oct 2023 08:09:06 +0000

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patryk — Sat, 14 Oct 2023 08:09:08 +0000

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patryk — Sat, 14 Oct 2023 08:09:10 +0000

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patryk — Sat, 14 Oct 2023 08:09:12 +0000

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patryk — Sat, 14 Oct 2023 08:09:15 +0000

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patryk — Sat, 14 Oct 2023 08:09:20 +0000

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patryk — Sat, 14 Oct 2023 08:09:28 +0000

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A,21.Cervical Extension Self-SNAG

patryk — Tue, 31 Oct 2023 14:48:28 +0000

A.23. Cervical Rotation Self-SNAG

patryk — Tue, 31 Oct 2023 14:53:38 +0000

A.26. en N.17. Cervical Self-Mobilisation With Arm Movement

patryk — Tue, 31 Oct 2023 14:58:36 +0000

A.22. Cervical Flexion Self-SNAG

patryk — Tue, 31 Oct 2023 15:06:04 +0000

A.25 Cervical Side Flexion Self-SNAG

patryk — Tue, 31 Oct 2023 15:08:49 +0000

A.27. Cervical Fist Traction Self Treatment

patryk — Tue, 31 Oct 2023 15:16:08 +0000

B.10 Headache Self-SNAG

patryk — Tue, 31 Oct 2023 15:18:42 +0000

B.11. Self Reverse Headache SNAG

patryk — Tue, 31 Oct 2023 15:21:30 +0000

E.4. Thoracic Self Treatment for Spine

patryk — Tue, 31 Oct 2023 15:26:45 +0000

G.16. Lumbar Self-Snag in Lion Position

patryk — Tue, 31 Oct 2023 15:31:18 +0000

G.17. Lumbar Extension Prone Self-Treatment

patryk — Tue, 31 Oct 2023 15:37:47 +0000

G.18 . Lumbar Extension Self-SNAG

patryk — Tue, 31 Oct 2023 15:49:14 +0000

G.19. Lumbar Flexion Self-SNAG

patryk — Tue, 31 Oct 2023 15:59:16 +0000

G.20. Lumbar Flexion Self-SNAG for L5-S1, use of fist

patryk — Tue, 31 Oct 2023 16:05:54 +0000

G.21. Self Two Leg Rotation (Gate) technique

patryk — Tue, 31 Oct 2023 16:12:47 +0000

G.22. Bent Leg Raise Self-Treatment

patryk — Tue, 31 Oct 2023 16:17:03 +0000

K.15. Knee Flexion Self MWM Superior Tibia Fibula in Closed Kinetic Chain

patryk — Wed, 01 Nov 2023 00:54:15 +0000

N.14. Shoulder Self MWM

patryk — Wed, 01 Nov 2023 01:00:27 +0000

N.15. Shoulder Self-Treatment

patryk — Wed, 01 Nov 2023 01:05:49 +0000

N.16. Shoulder Self-MWM with belt

patryk — Wed, 01 Nov 2023 01:13:16 +0000

O.15. Tennis Elbow Homework

patryk — Wed, 01 Nov 2023 01:15:37 +0000

B.9. C1-2 Rotation Positional SNAG

patryk — Wed, 01 Nov 2023 02:00:11 +0000

G.2. Lumbar Flexion SNAG standing

patryk — Wed, 01 Nov 2023 02:04:53 +0000

G.5. lumbar extension SNAG Prone

patryk — Wed, 01 Nov 2023 02:12:56 +0000

A.8. Cervical Positional SNAG

patryk — Wed, 01 Nov 2023 03:05:29 +0000

G.15 hip extension SLMWM prone

patryk — Wed, 01 Nov 2023 03:10:28 +0000

G.16. Lumbar Self-SNAG in Lion Position

patryk — Wed, 01 Nov 2023 03:14:20 +0000

J.14 Hip Adduction MWM traction suping lying

patryk — Wed, 01 Nov 2023 03:19:14 +0000

K.14. Knee flexion Self-MWM rotation in closed chain

patryk — Wed, 01 Nov 2023 03:22:33 +0000

N.11.B shoulder girdle Flexion MWM closed chain

patryk — Wed, 01 Nov 2023 03:27:04 +0000

O.6. Golfers elbow positional snag

patryk — Wed, 01 Nov 2023 03:30:48 +0000

O.11. Elbow Extension MWM Radio Humeral Joint

patryk — Wed, 01 Nov 2023 03:33:42 +0000

O.13. Tennis Elbow PRP

patryk — Wed, 01 Nov 2023 03:35:57 +0000

J.15 Hip Abduction MWM traction supine lying

patryk — Wed, 01 Nov 2023 04:05:29 +0000

N.11 SCAPULAR ELEVATION SITTING MWM

patryk — Wed, 01 Nov 2023 04:11:01 +0000

B.8. Reverse Headache Self-SNAG

patryk — Fri, 03 Nov 2023 01:17:46 +0000

G.14. Lion Self_SNAG

patryk — Fri, 03 Nov 2023 01:21:46 +0000

K.2. Knee flexion Self-MWM rotation in closed chain

patryk — Fri, 03 Nov 2023 01:25:40 +0000

Standaard kit

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Elementor Header #36

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Principles of the MULLIGAN™ Concept

The Physiotherapy treatment of musculoskeletal injuries has progressed from its foundation in remedial gymnastics and active exercise to therapist-applied passive physiological movements and on to therapist-applied accessory techniques. Brian Mulligan’s concept of mobilisations with movement (MWMS) in the extremities and sustained natural apophyseal glides (SNAGS) in the spine are the logical continuance of this evolution with the concurrent application of both therapist applied accessory and patient generated active physiological movements. Read more

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About the founder

Brian’s special interest has always been manual therapy since being introduced to the field by Stanley Paris in the early 1960s. He acknowledges as his mentor, Freddy Kaltenborn, but has also found invaluable the contributions of James Cyriax, Geoff Maitland, Robin McKenzie and Robert Elvey.

Brian was one of small group of physiotherapists who formed the NZ Manipulative Therapists Association in 1968. He and his colleague, Robin McKenzie, were the principle teachers on the newly formed Post graduate program for the Diploma of Manipulative Therapy. Brian joined the international lecturing circuit in 1972. Currently he has taught in 91 cities in the United States of America and 20 countries of the world.

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Techniques

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1. General information

In the spotlight this week:

The clinical decision making process in the use of mobilisation with movement - A Delphi survey R.Baeske, M.F.Silva,... Read More No posts found

MULLIGAN™ Manual Therapy Concept

Watch the video clip in which Brian Mulligan, founder of the MULLIGAN™ Concept, explains PILL and CROCKS!
Read more about the concept in general, how to become a Certified MULIGAN™ Practitioner, the learning evaluation test, research and more! More Information https://vimeo.com/413037755

Watch the movie: This is the MULLIGAN™ Concept

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Founder’s Profile & History

Mobilisation with Movement manual therapy techniques were discovered and developed by Brian Mulligan F.N.Z.S.P. (Hon), Dip. M.T., Wellington, New Zealand.
Brian trained as a physiotherapist at the NZ School of Physiotherapy and qualified in 1954. Two years later he commenced in private practice in Wellington where he remained until 2000 when he finally retired from active clinical practice. Read more

Moment: Find a Course

Only the teachers you see listed here are approved and accredited by Brian Mulligan and the MCTA to teach the MULLIGAN™ Manual Therapy Concept Courses. Search

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Only the teachers you see listed here are approved and accredited by Brian Mulligan and the MCTA to teach the MULLIGAN™ Manual Therapy Concept Courses. Facebook

MULLIGAN™ Products

Looking for the original MULLIGAN™ mobilisation belts, lumbar straps or cervical straps? Or Brian Mulligan’s books?

Go to:
www.mulliganproducts.eu(Europe)
www.planeviewservices.co.nz (Oceania)

2. MULLIGAN™ Techniques, Self-Treatment, Taping A-S

Cervical Techniques and Self-Treatment (ABC)

Cervical

Temporal Mandibular Joint Techniques (D)

TMJ

Thoracic Techniques, Self-Treatment and Taping (EF)

Thoracic

Lumbar Techniques, Self-Treatment and Taping (GH)

Lumbar

Sacro Illiac Techniques and Taping (I)

Sacro Illiac

Hip Techniques and Trochanteric Bursistis Tape (J)

Hip

Knee Techniques, Self-Treatment and Taping (K)

Knee

Ankle and Foot Techniques, Inversion Sprain Tape and Plantar Fasciiitis Tape (LM)

Ankle and Foot

Moment: Shoulder & AC Techniques, Self-Treatment and Taping (N)

Shoulder and AC

Elbow and Forearm Techniques, Self-Treatment and Taping (OP)

Elbow and Forearm

Wrist and Hand, Techniques and Taping (QR)

Wrist and Hand

Leg Taping (S)

Leg Taping

Single post

patryk — Sat, 05 Aug 2023 03:26:13 +0000

[wd_asp id=1]

Elementor Single Post #570

patryk — Sat, 05 Aug 2023 04:39:03 +0000

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Elementor Archive #2799

patryk — Tue, 22 Aug 2023 11:49:41 +0000

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Elementor Archive #2813

admin — Tue, 22 Aug 2023 14:48:12 +0000

[wd_asp id=1] MULLIGAN™ Concept is a "patient-centered approach to healthcare" Ankle joint movement losses The Lumbar Spine (SNAGS & Self-SNAGS) The clinical decision making process in the use of mobilisation with movement - A Delphi survey General Comments on Mobilisations With Movements Faq question number 3 Faq question number 2 Faq question number 1 Test S.1. Leg tape for medial gastrocnemius pain and hamstring lesions No posts found

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admin — Tue, 22 Aug 2023 20:04:33 +0000

More Delightful vases

Elementor Archive #2945

patryk — Wed, 23 Aug 2023 07:13:59 +0000

Faq question number 3 answer answer answer answer answer Faq question number 2 answer answer answer answer answer

answer answer answer answer answer

Faq question number 1 answer answer answer answer answer Test S.1. Leg tape for medial gastrocnemius pain and hamstring lesions Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Add two pieces of tape crossed on the lower lumbar spinePurposeto maintain good posture and support recovery after treatment lower lumbar spine with SNAGS IndicationsPainful lower lumbar spine IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Add two pieces of tape crossed on the lower lumbar spine

Purpose
to maintain good posture and support recovery after treatment lower lumbar spine with SNAGS

Indications
Painful lower lumbar spine

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

S.2. Lower Leg tape for achilles tendonitis Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the medial side of the achilles tendonEnd the tape on the lateral side of the achilles tendon Purposethe tape makes the tendon concave medially, alters the way the foot weight bears and alters the muscle tracks. This will improve recovery. IndicationsPain on medial side of the achilles tendon IMPORTANT information and notes: Start the tape in a relaxed position of the tendon To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the medial side of the achilles tendon
End the tape on the lateral side of the achilles tendon

Purpose
the tape makes the tendon concave medially, alters the way the foot weight bears and alters the muscle tracks. This will improve recovery.

Indications
Pain on medial side of the achilles tendon

IMPORTANT information and notes:

Start the tape in a relaxed position of the tendon
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.12. Finger tape to sustain rotation of PIP joint after MWM Step 1 Step 2 Step 3 Step 1 Step 2 Step 3 Start the (rotation) tape on the dorsal mid shaft of the middle phalanx End the tape on the dorsal shaft of the proximal phalanx Purposeto sustain effect of rotation of PIP joint with flexion or extension IndicationsPainful and/or restricted PIP joint flexion or extension IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (10 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 1 Step 2 Step 3 Start the (rotation) tape on the dorsal mid shaft of the middle phalanx
End the tape on the dorsal shaft of the proximal phalanx

Purpose
to sustain effect of rotation of PIP joint with flexion or extension

Indications
Painful and/or restricted PIP joint flexion or extension

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (10 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.11. Hand (metacarpus) tape to sustain dorsal/ventral glide of 5th metacarpal on 4th metacarpal after MWM Step 1 Step 2 Step 3 Step 4 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Start the tape distal on the palmar aspect of the 5th metacarpal End the tape on the dorsal aspect of the metacarpusORStart the tape distal on the dorsal aspect of the 5th metacarpal End the tape on the palmar aspect of the metacarpus Purposeto sustain dorsal/ventral glide of 5th metacarpal on the 4th metacarpal IndicationsPainful lateral metacarpus during movements of gripping IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less... Step 1 Step 2 Step 3 Step 4 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Start the tape distal on the palmar aspect of the 5th metacarpal
End the tape on the dorsal aspect of the metacarpus
OR
Start the tape distal on the dorsal aspect of the 5th metacarpal
End the tape on the palmar aspect of the metacarpus

Purpose
to sustain dorsal/ventral glide of 5th metacarpal on the 4th metacarpal

Indications
Painful lateral metacarpus during movements of gripping

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.10. Thumb tape to sustain the inwards twisted 1st metacarpal after MWM Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the proximal/dorsal end of the 1st metacarpal and tape across the palm of the hand Purposeto sustain the inwards twisted correction of the 1st metacarpal IndicationsPainful thumb. The pain is present during and (often) after the thumb activities. IMPORTANT information and notes: Apply tape in a lateral glide If you make it worse, do the reverse taping (twist in the other way) Re-tape every day for a week or so, until the pain is settled down To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less... Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the proximal/dorsal end of the 1st metacarpal
and tape across the palm of the hand

Purpose
to sustain the inwards twisted correction of the 1st metacarpal

Indications
Painful thumb. The pain is present during and (often) after the thumb activities.

IMPORTANT information and notes:

Apply tape in a lateral glide
If you make it worse, do the reverse taping (twist in the other way)
Re-tape every day for a week or so, until the pain is settled down
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.9. Finger Extension PRP https://vimeo.com/207786994PROCEDUREGraded resisted extension of PIP or DIP INDICATIONSChronic, non-irritable cases of digit extensor tenopathy pain NOTESAll pain must be relieved in 20 seconds or less PROCEDURE
Graded resisted extension of PIP or DIP

INDICATIONS
Chronic, non-irritable cases of digit extensor tenopathy pain

NOTES
All pain must be relieved in 20 seconds or less

Elementor Single Post #3195

patryk — Fri, 06 Oct 2023 01:14:09 +0000

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Tape image slider template

patryk — Wed, 11 Oct 2023 01:45:36 +0000

1 2 3 4 5 Add two pieces of tape crossed on the lower lumbar spine

Purpose
to maintain good posture and support recovery after treatment lower lumbar spine with SNAGS

Indications
Painful lower lumbar spine

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

Video post Template

patryk — Wed, 11 Oct 2023 02:01:30 +0000

MOBILISATION
Oscillatory mobilisation (2-3 per second) through spinous process
Applicable from C2 to T3
Direction of mobilisation is in the plane of the relevant apophyseal joints

INDICATIONS

Acute neck pain
Elderly clients
Multi-directional movement loss

NOTES

Ensure glide is directed in the plane of the cervical apophyseal joints
Central (spinous process) or unilateral (articular pillar) technique variations

Elementor Single Page #4514

patryk — Fri, 20 Oct 2023 04:31:16 +0000

Elementor Archive #4517

patryk — Fri, 20 Oct 2023 04:42:34 +0000

Teacher template

patryk — Sat, 21 Oct 2023 04:02:51 +0000

Dan Pilderwasser

MCTA teacher from Brasilkinedyf.com.ar/cursos

Elementor Single Post #5181

admin — Wed, 15 Nov 2023 08:04:54 +0000

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Single post

admin — Wed, 15 Nov 2023 08:04:22 +0000

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patryk — Sun, 16 Jul 2023 08:22:26 +0000

patryk — Sun, 16 Jul 2023 08:22:25 +0000

patryk — Sun, 16 Jul 2023 08:22:26 +0000

patryk — Sun, 16 Jul 2023 08:22:25 +0000

patryk — Sat, 05 Aug 2023 13:23:31 +0000

Home

patryk — Sun, 16 Jul 2023 07:45:03 +0000

The MULLIGAN™ Concept App

Gain access to over 185 video clips of the MULLIGAN™ Manual Therapy Concept, MWMs, NAGs, SNAGs, PRPs etc.

Monthly subscription:

Only €0.10 for verification

€2.45 per month (= +/- $2.95)

The first month is free

Annual subscription:

€24.50 per year (= +/- $29.50)

That’s a 2-month discount each year

Why this App?

The MULLIGAN™ Concept App is an App which gives access over more than 185 video clips of the MULLIGAN™ Manual Therapy Concept. Each 40 second movie is supported by text instructions of the procedures.

Additional text clip notes give added details and indications for each technique.

This MULLIGAN™ Concept App is fully endorsed by Brian Mulligan and members of the MULLIGAN™ Concept Teachers Association.

This distance-learning app is exclusively designed as a pre-course preparation and post-course adjunct in support of a MULLIGAN™ Concept course or study instructed by an accredited MULLIGAN™ Concept teacher. For an international listing of accredited MULLIGAN™ Concept instructors and courses go to “courses” on this website.

Subscribe https://player.vimeo.com/external/235708815.sd.mp4?s=bfd8456c2b1f17ff94b46f4c2f0d073f2ff3ef51&profile_id=164&oauth2_token_id=62170495

About the founder

patryk — Sun, 16 Jul 2023 08:08:22 +0000

General information

patryk — Sun, 16 Jul 2023 08:08:56 +0000

Principles of the MULLIGAN™ Concept

About the founder

Principles of the MULLIGAN™ Concept

patryk — Sun, 16 Jul 2023 08:09:41 +0000

Principles of the MULLIGAN™ Concept

Benefits of Mobilization with Movement

Health Practitioners trained in manual therapy assist individuals with impairments of mobility and function. The Mulligan Concept of manual therapy is specifically designed to achieve these goals through the application of pain-free manual mobilization techniques that allow pain-free movement and therapeutic loading of the musculoskeletal system. Both the clinician and the patient can quickly assess the value of this approach by its ability to immediately abolish painful limitations of function. If the techniques are indicated, an immediate improvement in pain, mobility and function will be observed during and following the technique application. If no immediate improvement is noted, the technique must be modified to achieve pain-free function or is not indicated at that time. Read more

About the founder

patryk — Sun, 16 Jul 2023 08:09:59 +0000

About the founder

In 1983 Brian relinquished his teaching role on the Diploma programme and began teaching his newly-founded techniques. One of his initial students, Barbara Hetherington, took over his Diploma programme teaching role. She later became one of his original teachers when the Mulligan Concept Teachers Association was formed in 1995.

Brian’s favorite quote has always been Louis Pasteur’s; “In the field of discovery chance only favours the prepared mind”

Numerous articles supporting Brian’s MWM techniques have been published in international peer reviewed journals. A regularly update reference section is available www.bmulligan.com

Brian has been the recipient of many awards:

Honorary Fellowship of the NZ
Society of Physiotherapists (1996)
Honorary Life Membership of the
NZ Society of Physiotherapists (1996)
Honorary Life Membership of the
NZ Manipulative Therapists
Association (1993)
Honorary Membership of the NZ
College of Physiotherapy (1998)
Ball Dynamics Award for Excellence in a Published Case Study (1997)
Award of Excellence of the World
Confederation of Physical
Therapists (2007).
Honorary Teaching Fellowship at
the University of Otago, New Zealand.
IFOMPT Maitland Award in Glasgow 2016

To meet the huge demand from therapists wishing to learn his techniques and ensure high teaching standards, he set up an international organisation in 1995 to accredit teachers. Currently there are around 50 MULLIGAN™ teachers within the MCTA (MULLIGAN™ Concept Teachers Association) from 25 nations.

Since retiring from active practice he has continued to teach internationally at seminars in many countries, drawing large crowds of physiotherapists and medical practitioners.

Brian Mulligan has been married to his devoted wife, Dawn, for over 60 years. They have a son, two daughters, a grandson, five granddaughters and 4 great grandchildren. As a typical New Zealander, he loves the outdoors. He enjoys playing golf and his piano. He had a private pilot’s licence and enjoyed flying, but had to give it up due to his multifaceted professional life. He keeps excellent health and has unbridled energy, which is spent frequently on the golf course.

Courses & Teachers

patryk — Sun, 16 Jul 2023 08:12:21 +0000

MULLIGAN™ Concept Teachers Association

Confirm the auhenticity of your instructor here in order to make sure you are getting the official high quality accredited courses by one of the instructors of the MULLIGAN™ Concept Teachers Association.

Select your continent below.

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South America

patryk — Sun, 16 Jul 2023 08:13:03 +0000

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Argentina
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Oceania

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Australia
New Zealand

patryk — Sun, 16 Jul 2023 08:22:26 +0000

patryk — Sun, 16 Jul 2023 08:22:25 +0000

patryk — Sun, 16 Jul 2023 08:22:26 +0000

patryk — Sun, 16 Jul 2023 08:22:25 +0000

Refund and Returns Policy

admin

This is a sample page.

Overview

Our refund and returns policy lasts 30 days. If 30 days have passed since your purchase, we can’t offer you a full refund or exchange.

To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be in the original packaging.

Several types of goods are exempt from being returned. Perishable goods such as food, flowers, newspapers or magazines cannot be returned. We also do not accept products that are intimate or sanitary goods, hazardous materials, or flammable liquids or gases.

Additional non-returnable items:

Gift cards
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Some health and personal care items

To complete your return, we require a receipt or proof of purchase.

Please do not send your purchase back to the manufacturer.

There are certain situations where only partial refunds are granted:

Book with obvious signs of use
CD, DVD, VHS tape, software, video game, cassette tape, or vinyl record that has been opened.
Any item not in its original condition, is damaged or missing parts for reasons not due to our error.
Any item that is returned more than 30 days after delivery

Refunds

Once your return is received and inspected, we will send you an email to notify you that we have received your returned item. We will also notify you of the approval or rejection of your refund.

If you are approved, then your refund will be processed, and a credit will automatically be applied to your credit card or original method of payment, within a certain amount of days.

Late or missing refunds

If you haven’t received a refund yet, first check your bank account again.

Then contact your credit card company, it may take some time before your refund is officially posted.

Next contact your bank. There is often some processing time before a refund is posted.

If you’ve done all of this and you still have not received your refund yet, please contact us at {email address}.

Sale items

Only regular priced items may be refunded. Sale items cannot be refunded.

Exchanges

We only replace items if they are defective or damaged. If you need to exchange it for the same item, send us an email at {email address} and send your item to: {physical address}.

Gifts

If the item was marked as a gift when purchased and shipped directly to you, you’ll receive a gift credit for the value of your return. Once the returned item is received, a gift certificate will be mailed to you.

If the item wasn’t marked as a gift when purchased, or the gift giver had the order shipped to themselves to give to you later, we will send a refund to the gift giver and they will find out about your return.

Shipping returns

To return your product, you should mail your product to: {physical address}.

You will be responsible for paying for your own shipping costs for returning your item. Shipping costs are non-refundable. If you receive a refund, the cost of return shipping will be deducted from your refund.

Depending on where you live, the time it may take for your exchanged product to reach you may vary.

If you are returning more expensive items, you may consider using a trackable shipping service or purchasing shipping insurance. We don’t guarantee that we will receive your returned item.

Need help?

patryk — Fri, 04 Aug 2023 04:14:08 +0000

admin — Tue, 22 Aug 2023 20:01:35 +0000

FAQ

patryk — Wed, 23 Aug 2023 07:26:34 +0000

North America

patryk — Sun, 16 Jul 2023 08:13:53 +0000

Select your country

Canada
Mexico
United States

Europe

patryk — Sun, 16 Jul 2023 08:14:21 +0000

Select your country

Austria
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patryk — Sun, 16 Jul 2023 08:15:14 +0000

Select your country

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patryk — Sun, 16 Jul 2023 08:15:35 +0000

Select your country

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Contact

patryk — Sun, 16 Jul 2023 08:15:50 +0000

Frequently Asked Questions FAQ

Important: read this first!
Do you belong to Group A or Group B?

We have a new website since August 12th 2020.
Users that subscribed before this date are GROUP A, the old members.
Users that subscribed after August 5th 2020 are GROUP B, the new members.

How can I stop my subscription?

Group A can unsubscribe by sending a email via the contact form
Group B can unsubscribe via their account.

I downloaded the app. I received my enter code, where can I add the code to get full access to the app?

You go to the settings. Tap the little screw-icon at the bottom of the app. On the settings page you can add your enter code.

I got a new phone, but when I try to add my code, the app doesn’t respond. What can I do?

You can only use the enter code for two devices. So probably the maximum of devices has been reached. Contact us to remove one of the devices. After this has been done, you can use the code again.

I get the message that the maximum of devices is reached. What can I do?

You can only use the enter code for two devices. Contact us to remove one of the devices. In that case you can use the code again.

I have a new credit card. How can I update my details?

Group A: you have to stop your current subscription and take a new one. Please e-mail us.
Group B: Go to your “my account” on this website. There you can update your details.

I only have a debit card. How can I get a subscription?

You can not obtain a subscription with your debit card. We advise you to take a PayPal account. With a Paypal account you can get a subscription.

Argentina

patryk — Sun, 23 Jul 2023 07:18:54 +0000

Dan Pilderwasser

MCTA teacher from Brasilkinedyf.com.ar/cursos

Brazil

patryk — Sun, 23 Jul 2023 07:19:13 +0000

Dan Pilderwasser

MCTA teacher from Brasilkinedyf.com.ar/cursos

Edelberto Gimenes

MCTA teacher from Brasilkinedyf.com.ar/cursos

Palmiro Torrieri jr.

MCTA teacher from Brasilkinedyf.com.ar/cursos

Chile

patryk — Sun, 23 Jul 2023 07:19:29 +0000

Dan Pilderwasser

MCTA teacherportal.rehactivachile.com

Colombia

patryk — Sun, 23 Jul 2023 07:19:43 +0000

Dan Pilderwasser

MCTA teacher from Brasilkinedyf.com.ar/cursos

Surinam

patryk — Sun, 23 Jul 2023 07:20:04 +0000

Peter van Dalen

MCTA teacher from Germanyph7.4dalen@upcmail.nl

New Zealand

patryk — Sun, 23 Jul 2023 07:30:55 +0000

Brian Mulligan

Founder of the MULLIGAN™ Conceptwww.bmulligan.com

Jillian McDowell

Member of the MCTA Executive Board (Chair)www.bmulligan.com

Australia

patryk — Sun, 23 Jul 2023 07:31:07 +0000

Grant Mackay

www.manualconcepts.com

Kim Robinson

www.manualconcepts.com

Mark Oliver

www.aapeducation.com.au

Tim Mann

www.bmulligan.com

Sue Reid

Honorary member MCTAwww.bmulligan.com

Bill Vicenzino

Honorary member MCTAwww.bmulligan.com

Darren Rivett

Honorary member MCTAwww.bmulligan.com

Wayne Hing

Honorary member MCTAwww.bmulligan.com

Toby Hall

Honorary member MCTAwww.manualconcepts.com

Canada

patryk — Sun, 23 Jul 2023 07:32:22 +0000

Jack Miller

www.mulliganconcept.ca

Jim Millard

www.mulliganconcept.ca

Mexico

patryk — Sun, 23 Jul 2023 07:32:37 +0000

Mark Thomson

MCTA teacher from the USAwww.na-mcta.com

United States

patryk — Sun, 23 Jul 2023 07:32:50 +0000

Amy Bennett

Ohiowww.na-mcta.com

Patricia Black

Connecticutwww.na-mcta.com

Rick Crowell

Minnesotawww.na-mcta.com

Eric Dinkins

Colorado, MCTA Executive member, secretarywww.na-mcta.com

Frank Gargano

Ohiowww.na-mcta.com

David Mikos

Connecticutwww.na-mcta.com

Julie Paolino

Connecticutwww.na-mcta.com

Dan Pilderwasser

Oregonwww.na-mcta.com

Mark Thomson

California, MCTA regional manager USAwww.na-mcta.com

Russell Woodman

Connecticutwww.na-mcta.com

Austria

patryk — Sun, 23 Jul 2023 07:38:05 +0000

Carole Stolz

MCTA teacher from Germanyfortbildungsakademie.at

Johannes Bessler

MCTA teacher from Germanywww.physio-zentrum.at

Belgium

patryk — Sun, 23 Jul 2023 07:38:15 +0000

René Claassen

MCTA teacher from the Netherlands, Dutch speakingwww.mulliganconcept.be

Laurent Pitance

MCTA teacher from Belgium, French speakingwww.forthema.be

Bulgaria

patryk — Sun, 23 Jul 2023 07:38:29 +0000

Adamidis Sakis

MCTA teacher from Greecemailto: tzenkapanteva@gmail.com

Croatia

patryk — Sun, 23 Jul 2023 07:38:43 +0000

Adamidis Sakis

MCTA teacher from Greecemailto: tzenkapanteva@gmail.com

Cyprus

patryk — Sun, 23 Jul 2023 07:38:56 +0000

Adamidis Sakis

MCTA teacher from Greecemailto: tzenkapanteva@gmail.com

Czech Republic

patryk — Sun, 23 Jul 2023 07:39:12 +0000

Adamidis Sakis

MCTA teacher from Greecemailto: tzenkapanteva@gmail.com

Denmark

patryk — Sun, 23 Jul 2023 07:39:28 +0000

Josef Andersen

www.mulligan.dk

Faroe Islands

patryk — Sun, 23 Jul 2023 07:39:39 +0000

Josef Andersen

www.mulligan.dk

Finland

patryk — Sun, 23 Jul 2023 07:39:53 +0000

Vivre Havulinna

mailto:mari.visakko@fysi.fi

France

patryk — Sun, 23 Jul 2023 07:40:06 +0000

Laurent Pitance

MCTA teacher from Belgium, French speakingwww.kpten.fr/Concept-Mulligan_r21.html

Yuval David

MCTA teacher from Israelwww.kpten.fr/Concept-Mulligan_r21.html

Dr. Claus Beyerlein

MCTA teacher from Germany

info@physiotherapie-beyerlein.de

Germany

patryk — Sun, 23 Jul 2023 07:40:17 +0000

Carole Stolz

www.mulligan-concept.de

Johannes Bessler

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Test Test S.1. Leg tape for medial gastrocnemius pain and hamstring lesions S.1. Leg tape for medial gastrocnemius pain and hamstring lesions Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Add two pieces of tape crossed on the lower lumbar spinePurposeto maintain good posture and support recovery after treatment lower lumbar spine with SNAGS IndicationsPainful lower lumbar spine IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Add two pieces of tape crossed on the lower lumbar spine

Purpose
to maintain good posture and support recovery after treatment lower lumbar spine with SNAGS

Indications
Painful lower lumbar spine

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

S.2. Lower Leg tape for achilles tendonitis S.2. Lower Leg tape for achilles tendonitis Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the medial side of the achilles tendonEnd the tape on the lateral side of the achilles tendon Purposethe tape makes the tendon concave medially, alters the way the foot weight bears and alters the muscle tracks. This will improve recovery. IndicationsPain on medial side of the achilles tendon IMPORTANT information and notes: Start the tape in a relaxed position of the tendon To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the medial side of the achilles tendon
End the tape on the lateral side of the achilles tendon

Purpose
the tape makes the tendon concave medially, alters the way the foot weight bears and alters the muscle tracks. This will improve recovery.

Indications
Pain on medial side of the achilles tendon

IMPORTANT information and notes:

Start the tape in a relaxed position of the tendon
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.12. Finger tape to sustain rotation of PIP joint after MWM R.12. Finger tape to sustain rotation of PIP joint after MWM Step 1 Step 2 Step 3 Step 1 Step 2 Step 3 Start the (rotation) tape on the dorsal mid shaft of the middle phalanx End the tape on the dorsal shaft of the proximal phalanx Purposeto sustain effect of rotation of PIP joint with flexion or extension IndicationsPainful and/or restricted PIP joint flexion or extension IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (10 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less painful and ROM is improved. Ensure NO PAIN, no discomfort Step 1 Step 2 Step 3 Step 1 Step 2 Step 3 Start the (rotation) tape on the dorsal mid shaft of the middle phalanx
End the tape on the dorsal shaft of the proximal phalanx

Purpose
to sustain effect of rotation of PIP joint with flexion or extension

Indications
Painful and/or restricted PIP joint flexion or extension

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (10 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.11. Hand (metacarpus) tape to sustain dorsal/ventral glide of 5th metacarpal on 4th metacarpal after MWM R.11. Hand (metacarpus) tape to sustain dorsal/ventral glide of 5th metacarpal on 4th metacarpal after MWM Step 1 Step 2 Step 3 Step 4 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Start the tape distal on the palmar aspect of the 5th metacarpal End the tape on the dorsal aspect of the metacarpusORStart the tape distal on the dorsal aspect of the 5th metacarpal End the tape on the palmar aspect of the metacarpus Purposeto sustain dorsal/ventral glide of 5th metacarpal on the 4th metacarpal IndicationsPainful lateral metacarpus during movements of gripping IMPORTANT information and notes: To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less... Step 1 Step 2 Step 3 Step 4 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Start the tape distal on the palmar aspect of the 5th metacarpal
End the tape on the dorsal aspect of the metacarpus
OR
Start the tape distal on the dorsal aspect of the 5th metacarpal
End the tape on the palmar aspect of the metacarpus

Purpose
to sustain dorsal/ventral glide of 5th metacarpal on the 4th metacarpal

Indications
Painful lateral metacarpus during movements of gripping

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.10. Thumb tape to sustain the inwards twisted 1st metacarpal after MWM R.10. Thumb tape to sustain the inwards twisted 1st metacarpal after MWM Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the proximal/dorsal end of the 1st metacarpal and tape across the palm of the hand Purposeto sustain the inwards twisted correction of the 1st metacarpal IndicationsPainful thumb. The pain is present during and (often) after the thumb activities. IMPORTANT information and notes: Apply tape in a lateral glide If you make it worse, do the reverse taping (twist in the other way) Re-tape every day for a week or so, until the pain is settled down To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing. Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction) Never leave the tape more than 48 hours If there is any irritation remove the tape immediately. Ensure that after taping the provocative movement is less... Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the proximal/dorsal end of the 1st metacarpal
and tape across the palm of the hand

Purpose
to sustain the inwards twisted correction of the 1st metacarpal

Indications
Painful thumb. The pain is present during and (often) after the thumb activities.

IMPORTANT information and notes:

Apply tape in a lateral glide
If you make it worse, do the reverse taping (twist in the other way)
Re-tape every day for a week or so, until the pain is settled down
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.9. Finger Extension PRP R.9. Finger Extension PRP https://vimeo.com/207786994PROCEDUREGraded resisted extension of PIP or DIP INDICATIONSChronic, non-irritable cases of digit extensor tenopathy pain NOTESAll pain must be relieved in 20 seconds or less PROCEDURE
Graded resisted extension of PIP or DIP

INDICATIONS
Chronic, non-irritable cases of digit extensor tenopathy pain

NOTES
All pain must be relieved in 20 seconds or less R.8. Finger IP Flexion MWM: Rotation R.8. Finger IP Flexion MWM: Rotation https://vimeo.com/207786985 MOBILISATIONInternal or external rotation of distal phalanx on stabilized proximal joint partner MOVEMENTFinger flexion INDICATIONSPain with, or restriction of, finger flexion NOTES Use pincer style grip on finger to avoid blocking client’s range of flexion May use in combination with side glide mobilisation

MOBILISATION
Internal or external rotation of distal phalanx on stabilized proximal joint partner

MOVEMENT
Finger flexion

INDICATIONS
Pain with, or restriction of, finger flexion

NOTES

Use pincer style grip on finger to avoid blocking client’s range of flexion
May use in combination with side glide mobilisation

R.7. Finger IP Flexion MWM: Side Glide R.7. Finger IP Flexion MWM: Side Glide https://vimeo.com/207787014 MOBILISATIONMedial or lateral glide of distal phalanx on stabilized proximal joint partner MOVEMENTFinger flexion INDICATIONSPain with, or restriction of, finger flexion NOTES Use pincer style grip on finger to avoid blocking client’s range of flexion May require slight additional rotation component to mobilisation

MOBILISATION
Medial or lateral glide of distal phalanx on stabilized proximal joint partner

MOVEMENT
Finger flexion

INDICATIONS
Pain with, or restriction of, finger flexion

NOTES

Use pincer style grip on finger to avoid blocking client’s range of flexion
May require slight additional rotation component to mobilisation

R.6. de Quervain’s Tenosynovitis Positional SNAG (SMWAM) R.6. de Quervain’s Tenosynovitis Positional SNAG (SMWAM) https://vimeo.com/207787006MOBILISATIONBilateral medial pressure to sides of spinous processes of adjoining vertebrae MOVEMENTResisted thumb extension INDICATIONSResistant cases of de Quervain’s associated with cervical dysfunction NOTES Begin mobilisation quite lateral on cervical spine to avoid pinching skin Have higher thumb on painful side Use foam pad for comfort MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted thumb extension

INDICATIONS
Resistant cases of de Quervain’s associated with cervical dysfunction

NOTES

Begin mobilisation quite lateral on cervical spine to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

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General Comments on Mobilisations With Movements

Emilie

Remember that “MWMS” when indicated are never painful.
Remember that overpressure is essential to gain the maximum benefit from a MWM”.
Remember to do a sufficient number of repetitions as by doing so they have a more lasting effect and seem to restore the options to the joint to stay on track or in position.
Remember with all applications of “MWM” for painful joint restrictions, that the direction of your glide is critical. Pain may be produced if you are slightly of the treatment plane. Minor alterations to the gliding direction can make a tremendous difference.
Remember to instruct the patients whenever possible to do their own “MWMS”.
Remember whenever possible to tape the patient’s joint in a corrected position for two days and repeat the taping as necessary.
Remember that other forms of therapy can be given concurrently.
Remember to use them as part of your assessment to see if they are indicated.

Source: Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta analysis

Emilie — Tue, 28 Nov 2023 08:00:00 +0000

The application of MWM

Conclusion

This systematic review revealed that MWM in isolation or in addition to exercise therapy and/or electrotherapy is superior in improving pain, ROM, and disability in patients with shoulder dysfunction when compared with either exercise therapy and electrotherapy alone or other type of manual therapy. However, the evidence is of low quality owing to high levels of heterogeneity among included studies and inclusion of studies with high risk of bias.

Kiran Satpute, Sue Reid, Thomas Mitchell, Grant Mackay & Toby Hall (2021): Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis, Journal of Manual & Manipulative Therapy, DOI: 10.1080/10669817.2021.1955181

ABSTRACT

Objective: To assess the effects of mobilization with movement (MWM) on pain, range of motion (ROM), and disability in the management of shoulder musculoskeletal disorders.
Methods: Six databases and Scopus, were searched for randomized control trials. The ROB 2.0 tool was used to determine risk-of-bias and GRADE used for quality of evidence. Meta-analyses were performed for the sub-category of frozen shoulder and shoulder pain with movement dysfunction to evaluate the effect of MWM in isolation or in addition to exercise therapy and/or electrotherapy when compared with other conservative interventions.
Results: Out of 25 studies, 21 were included in eight separate meta-analyses for pain, ROM, and disability in the two sub-categories. For frozen shoulder, the addition of MWM significantly improved pain (SMD −1.23, 95% CI −1.96, −0.51)), flexion ROM (MD −11.73, 95% CI −17.83, −5.64), abduction ROM (mean difference −13.14, 95% CI −19.42, −6.87), and disability (SMD −1.50, 95% CI (−2.30, −0.7). For shoulder pain with movement dysfunction, the addition of MWM significantly improved pain (SMD −1.07, 95% CI −1.87, −0.26), flexion ROM (mean difference −18.48, 95% CI- 32.43, −4.54), abduction ROM (MD −32.46, 95% CI – 69.76, 4.84), and disability (SMD −0.88, 95% CI −2.18, 0.43). The majority of studies were found to have a high risk of bias.
Discussion: MWM is associated with improved pain, mobility, and function in patients with a range of shoulder musculoskeletal disorders and the effects clinically meaningful. However, these findings need to be interpreted with caution due to the high levels of heterogeneity and risk of bias.
Level of Evidence: Treatment, level 1a.

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MULLIGAN™ Concept is a “patient-centered approach to healthcare

Emilie — Tue, 21 Nov 2023 11:10:00 +0000

The application of MWM requires the patient to actively participate in their management and promotes patient-centered, collaborative clinical reasoning in several ways.

This active participation of the patient is needed:

-to determine the CSIM (Client-Specific Impairment Measure). The use of the CSIM in relation to the MWM is essential. The CSIM is the active movement or functional task that is the most painful or limited in daily life, and that can be measured by the therapist.
-for a successful application of MWM, because the patient must understand that the technique is 100% without pain and that he/she needs to tell the therapist immediately in case he/she feels any pain
-for the best results, because the patient needs to apply over-pressure (in case of many MWMs techniques)
-for understanding and applying Self-treatment techniques

Effective communication is pivotal to the engagement of the patient and thus the effective application of MWM.

The Sprained Ankle Tape

Emilie — Tue, 05 Dec 2023 10:00:00 +0000

Brian Mulligan: “What should never be done is to tape the foot to prevent plantar flexion and inversion as the texts books suggest. This inhibits normal ankle movement and will slow down the healing process. It is pointless but sadly, it is taking many years for textbooks to change.

A study was done in Perth Australia where our taping for the sprained ankle was used as a prophylactic on a large number of male basketball players The taping reduced the incidence of ankle sprains amazingly. WOW! “

Go to the article:

The Role of Fibular Tape in the Prevention of Ankle Injury in Basketball:
A Pilot Study by Kym Moiler, BSc, Toby Hall, MSc, Postgrad Dip Manip Ther, Kim Robinson, BSc, Grad Dip Manip Ther.

Results: Four hundred forty-three measured basketball exposures resulted in 11 ankle injuries. All injuries occurred in subjects with a history of a previous ankle sprain. Significantly less ankle injuries were sustained by members of the FRT condition (n = 2), compared to members of the control condition (n = 9) (Fisher exact test, P = .03). The odds ratio of sustaining an ankle injury was 0.20 (P = .04; 95% confidence interval [CI]: 0.04, 0.93) when taped with FRT and the number needed to treat was 22 (95% CI, 12-312). Conclusions: This study provides preliminary data regarding the prophylactic effects of FRT on ankle injury in male basketball players.

link to abstract

The Client Specific Impairment Measure

Emilie — Tue, 12 Dec 2023 10:00:00 +0000

“The CSIM (the Client Specific Impairment Measure) is fundamentally the most critical element of the MWM because it connects the treatment effect to the patient’s specific problem. In doing so, it guides the application of the MWM in terms of the practitioner’s selection, modification and progression of the various parameters of a technique, In this regard it is vitally important that the practitioner understand the concept of a CSIM and its endpoint for different clinical presentations (e.g. pain-limited function).“

Elsevier, Mobilisation with Movement, the art and the science,
Bill Vicenzino, Wayne Hing, Darren Rivett, Toby Hall, 2011

“In the field of discovery chance only favours the prepared mind”. Louis Pasteur

Emilie — Tue, 19 Dec 2023 10:00:00 +0000

The “SQUEEZE” for the knee (for both acute and long standing knee symptoms

Brian Mulligan: “The origin of this technique must be told and before doing so I would again remind the reader of that famous quote attributed to Louis Pasteur .. “In the field of discovery chance only favours the prepared mind”.

Some years ago we were treating a grubby, 25 year old male, with a knee joint “derangement”. He twisted it playing football resulting in a loss of at least 25 degrees of extension and 35 degrees of flexion. Some hours after his injury the knee became swollen and he had a noticeable bulge over the antero-medial joint margin. An appointment has been made for him to see an orthopaedic surgeon and pending this visit he was referred to us for therapy.”

READ ON

“Our management included the usual manual techniques one may try to restore knee movement, ultrasound and, of course, quadriceps and hamstring exercises. The therapy was useless and resulted in the patient understandably complaining, after five visits, that he would be wasting his time by attending further. We readily agreed with him and asked him to maintain an exercise program at home until assessed by the surgeon. As a final gesture, I decided to again check his knee. I used the McMurray test and applied a very firm pressure over the anterior horn with the medial border of my thumb where the prominent bulge was located. To my amazement, while squeezing firmly over the joint margin, I was able to flex the knee fully without pain, and even more amazingly, I was then able to extend it fully from the flexed position. It must be added that I did not release my firm thumb pressure over the anterior horn. The patient was understandably delighted. “I’m cured!” he exclaimed. “Of course!” was my nonchalant reply. It was then pointed out to this fellow that only a temporary resolution to his problem had been brought about, and he could expect further trouble if he twisted his knee again. He demanded, after this “miracle”, a return appointment two days later, which was agreed to. He was fine and required neither further therapy nor surgery.

Referring again to my quotation above (“In the field of discovery chance only favours the prepared mind”) may I say, that I most certainly had a prepared mind. From that time the “Squeeze” technique has been an important and rewarding part of my therapy for knees that have lost movement after injury, and the pain with his movement is very, very localised over the joint margin near the anterior horn medially or laterally.

The “Squeeze” can be applied in lying or standing, but for extension is only done in lying. “

Source: Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

Watch technique: K.11.

The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study

Emilie — Tue, 26 Dec 2023 10:00:00 +0000

Conclusion. In older adults with NP, MMT has been found to have significant effects on pain, ROM, functional level, kinesiophobia, depression, and QoL as long as it is performed by a specialist.

ABSTRACT

Background. The purpose of this study was to examine the effect of Mulligan mobilization technique (MMT) on pain, range of motion (ROM), functional level, kinesiophobia, depression, and quality of life (QoL) in older adults with neck pain (NP).

Methods. Forty-two older adults with NP were included in the study, and they were randomly divided into two groups: traditional physiotherapy (TP) group and traditional physiotherapy-Mulligan mobilization (TPMM) group. Treatment program was scheduled for 10 sessions. Participants were assessed in terms of pain, ROM, functional level, kinesiophobia, depression, and QoL both pre- and posttreatment.

Results. Pain, ROM, functional level, kinesiophobia, depression, and QoL improved in both groups following treatment (p < 0.05). When comparing effects of these two treatment programs, it was observed that the TPMM group had a better outcome (p < 0.05) in terms of ROM, kinesiophobia, depression, and QoL.

Conclusion. In older adults with NP, MMT has been found to have significant effects on pain, ROM, functional level, kinesiophobia, depression, and QoL as long as it is performed by a specialist. “,is trial is registered with NCT03507907”.

Oznur Buyukturan, Buket Buyukturan, Senem Sas, Caner Karartı, İsmail Ceylan, "The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study", Pain Research and Management, vol. 2018, Article ID 2856375, 7 pages, 2018. https://doi.org/10.1155/2018/2856375

The Lumbar Spine (SNAGS & Self-SNAGS)

Emilie — Tue, 14 Nov 2023 10:00:00 +0000

THE RULE OF THREE

Brian Mulligan: “Do not overdo the SNAGS. As soon as an improvement is brought about on day one, stop and see them two days later. As a matter of fact we now teach “the rule of three”.

On day one when treating a patient with marked pain and thus distress, we only use our pain-free techniques three times as a precaution. This way you cannot exacerbate a patient’s condition. Too much enthusiasm can leave them sore the next day. We are all aware of the latent effects that any manual therapy may have. On subsequent visits, you may choose to “SNAG” 7-10 times.”

Source: Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

Lumbar Extension Self-SNAG

Emilie — Tue, 07 Nov 2023 10:00:00 +0000

Brian Mulligan: “Let us assume that you have a central low pain in your back when you arch backwards. Place the belt across your back at lower waist level. It lies across what is called the lordosis. That is the forward curve in the middle of our backs that is present when standing erect. It becomes humped when we bend over.

Holding each end of the belt firmly, take your forearms forward, then bend elbows and take hands up to make contact with the chest. The edge of the belt around your back should now be secured to the sping of the vertebra it lies over. “

“The purpose of pulling up on belt is to unload or free the facet joints at that level and enable you to arch back further with no pain. Try this and see if your pain with extension has gone and you can extend further.

Keep your hands in contact with chest all the time.

If there is pain or discomfort you may be at the wrong level. Try again with the belt about 2 centimetres higher or perhabs even higher still. Maybe you need it 2 cms lower.

If still sore, do not proceed.

As mentioned earlier, on the first day it is prudent to repeat the painless “SNAGS” only three or four times as a trial to ensure there is no latent discomfort from the exercise.”

Source: Self Treatments for back, neck and limbs by Brian Mulligan, 3th edition.

Watch the video clip: G.18. Lumbar Extension Self-SNAG

Ankle joint movement losses

Emilie — Tue, 31 Oct 2023 10:00:00 +0000

Brian Mulligan: “When confronted with a patient with a chronic loss of dorsi flexion or plantar flexion, ask if he has ever sprained his ankle.

You will find that most have had an ankle sprain or fracture. This why I use the following technique as a first choice.”

MWM for loss of dorsiflexion with foot on a chair.

Watch technique L.4.

Sometimes after ankle injuries, it is necessary to reposition the head of the fibula forward at the same time. If the patient is standing with the foot on a chair, they can do this using their thenar eminence behind the head of the fibula. Patients would exercise at home to maintain the range.

testing

Rogier — Sat, 21 Oct 2023 11:05:40 +0000

this will be a great app

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

MOBILISATION
Oscillatory mobilisation (2-3 per second) through spinous process
Applicable from C2 to T3
Direction of mobilisation is in the plane of the relevant apophyseal joints

INDICATIONS

Acute neck pain
Elderly clients
Multi-directional movement loss

NOTES

Ensure glide is directed in the plane of the cervical apophyseal joints
Central (spinous process) or unilateral (articular pillar) technique variations

Long term efficacy of mobilization with movement on pain and functional status in patients with knee osteoarthritis: A randomized clinical trial

Emilie — Tue, 02 Jan 2024 07:00:00 +0000

group 1: Mobilisation with movement and usual care
group 2: Usual care alone

Conclusion In patients with symptomatic knee osteoarthritis, the addition of mobilisation with movement provided clinically significant improvements in disability, pain, functional activities and patient satisfaction six months later.

Authors: Aishwarya Nigam, Kiran H Satpute and Toby M Hall

ABSTRACT

Objectives To evaluate the long term effect of mobilisation with movement on disability, pain and function in subjects with symptomatic knee osteoarthritis Design A randomised controlled trial.

Setting A general hospital

Subjects Forty adults with knee osteoarthritis (grade 1–3 Kellgren–Lawrence scale). Interventions The experimental group received mobilisation with movement and usual care (exercise and moist heat) while the control group received usual care alone in six sessions over two weeks.

Main Measures The primary outcome was the Western Ontario McMaster University Osteoarthritis index, higher scores indicating greater disability. Pain intensity over 24 hours and during sit to stand were measured on a 10 centimetre visual analogue scale. Functional outcomes were the timed up and go test, the 12 step stair test, and knee range of motion. Patient satisfaction was measured on an 11 point numerical rating scale. Variables were evaluated blind pre- and post intervention, and at three and six months follow-up.

Results Thirty five participants completed the study. At each follow-up including six-months, significant differences were found between groups favouring those receiving mobilisation with movement for all variables except knee mobility. The primary outcome disability showed a mean difference of 7.4 points (95% confidence interval, 4.5 to 10.3) at six-months and a mean difference of 13.6 points (95% confidence interval, 9.3 to 17.9) at three-months follow-up.

Clinical Rehabilitation 2021, Vol. 35(1) 80–89 © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0269215520946932 journals.sagepub.com/home/cre

Rigid or elastic tape?

Emilie — Tue, 09 Jan 2024 09:00:00 +0000

A controlled laboratory study by Grant J.K. Mackay, Sarah M. Stearne, Catherine Y. Wild, Erin P. Nugent, Alexander P. Murdock, Benjamin Mastaglia, and Toby M. Hall proved that Mulligan knee taping with both rigid and elastic tape reduced pain across all 3 tasks and altered tibiofemoral rotation during the SLSq and running tasks.

Clinical Relevance: Both taping methods reduced pain and altered lower limb biomechanics.
Elastic tape may be chosen clinically for comfort reasons.

Title of this research study:
Mulligan Knee Taping Using Both Elastic and Rigid Tape Reduces Pain and Alters Lower Limb Biomechanics in Female Patients With Patellofemoral Pain

The shoulder girdle

Emilie — Tue, 16 Jan 2024 10:00:00 +0000

Brian MULLIGAN:
“The shoulder girdle, wonderful to treat with scapular MWMS.”

“After injuries etc. scapular positional faults can occur, may of which can be seen and measured. When these are manually corrected, and offending movements are undertaken, the outcomes can be astonishing. Acute shoulder injuries or chronic can respond. The corrections require skill and usually an assistant is needed. The positional faults seem to follow a regular pattern. Four changes occur. The shoulder girdle is elevated (the outer end of the scapula is raised). The scapula is rotated (the inferior angle moves laterally). The scapula translates laterally on the chest wall. There appears to be some winging of the scapula. These positional changes would most certainly have a mechanical effect of the acromio and sterno-clavicular joints, not to mention the shoulder joint”.

“Just for you interest, elevate you scapula slightly, hold it there and try and raise your arm. You will find your movement is markedly restricted. Because of this fact I cannot believe we did not give the scapula more attention when patients presented with shoulder problems”.

Research

Emilie — Tue, 23 Jan 2024 09:00:00 +0000

Effect of Manual Therapy and Conventional Physiotherapy on pain, movement, and function following Acute and Sub-acute Lateral Ankle sprain: A Randomized Clinical Trial

Two groups:
group 1: MWMS and conventional physiotherapy
group 2: conventional physiotherapy alone

Conclusion: MWM with conventional physiotherapy is significantly more effective than conventional physiotherapy alone in reducing pain and improving ankle dorsiflexion ROM and function in acute and subacute grade I or II LAS.

Authors: D. Prabhakaradoss , M. S. Sreejesh , Shahul Hameed Pakkir Mohamed , Arun Vijay Subbarayalu , Sivasankar Prabaharan.
International Journal of Sport, Exercise and Health Research 2021; 5(2): 73-79

ABSTRACT

Background: Lateral Ankle Sprain (LAS) is the most common musculoskeletal injury among highly active and non-active populations. Physiotherapy plays a significant role in reducing pain and improving range of motion (ROM) and functional outcomes in people with LAS.

Aims and Objectives: The study's main objective is to compare the effects of manual therapy (Mulligan's MWM) and conventional physiotherapy (PRICE and therapeutic exercises) and conventional physiotherapy alone on pain, ankle ROM, and function in subjects with LAS.

Study Design: A randomized clinical trial was used, and 40 patients diagnosed with acute and sub-acute grade I or II LAS were randomly allotted to two experimental groups.

Setting: The patients who met the selection criteria were recruited from the Team Physio Clinic, Pudukkottai, Tamilnadu, from January 2020 to June 2021.

Materials and Methods: The experimental group I (n=20) received Mulligan's MWM and conventional physiotherapy, whereas those assigned to the experimental group II (n=20) received conventional physiotherapy alone. The treatment duration for both groups was four weeks. Outcome measures such as pain intensity, ankle dorsiflexion ROM, and foot and ankle disability index (FADI) were used.

Statistics: The Shapiro-Wilk test was applied to examine whether the data had a normal distribution. A paired 't-test' was used to compare the pre-and post-intervention mean scores within a group. Further, an unpaired 't-test' was used to compare the mean scores of both experimental groups at pre-and post-intervention stages. The data analysis was carried out using SPSS at a 5% level of significance.

Results: Both experimental groups significantly reduced pain and improved ankle dorsiflexion ROM and function following the treatment duration. There is a significant difference between the two experimental groups in reducing pain and improving ankle dorsiflexion ROM and function at the postintervention stage.

Watch clip L.7. in the app.

The knee joint

Emilie — Tue, 30 Jan 2024 09:00:00 +0000

Brian Mulligan: “MWMS should always be tried when there is a loss of movement that is obviously not the result of serious trauma.

There are two techniques, you can use.

The first is the medial or lateral glide MWM.
The second, as expected, is the rotation MWM, because the knee is a hinge joint.

A general guide for the gliding direction, that I use with movement is:
medial glide with medial knee pain and lateral glide with lateral knee pain.

MWMS are much more likely to assist with a flexion loss than extension. A flexion loss is usually the result of a sporting injury and is often seen when the patient is referred with the diagnosis, internal derangement. “

(On the photo: knee internal rotation MWM technique)

Source: Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

In the spotlight this week:

patryk — Fri, 04 Aug 2023 11:25:16 +0000

General Comments on Mobilisations With Movements

Remember that “MWMS” when indicated are never painful.
Remember that overpressure is essential to gain the maximum benefit from a MWM”.
Remember to do a sufficient number of repetitions as by doing so they have a more lasting effect and seem to restore the options to the joint to stay on track or in position.
Remember with all applications of “MWM” for painful joint restrictions, that the direction of your glide is critical. Pain may be produced if you are slightly of the treatment plane. Minor alterations to the gliding direction can make a tremendous difference.
Remember to instruct the patients whenever possible to do their own “MWMS”.
Remember whenever possible to tape the patient’s joint in a corrected position for two days and repeat the taping as necessary.
Remember that other forms of therapy can be given concurrently.
Remember to use them as part of your assessment to see if they are indicated.

Source:Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

MULLIGAN™ Manual Therapy Concept

patryk — Fri, 04 Aug 2023 11:33:56 +0000

More information

Watch the movie: This is the MULLIGAN™ Concept

patryk — Fri, 04 Aug 2023 13:25:20 +0000

Cape Town - Madrid

https://vimeo.com/413037755

Founder’s Profile & History

patryk — Fri, 04 Aug 2023 13:27:58 +0000

Mobilisation with Movement manual therapy techniques were discovered and developed by Brian Mulligan F.N.Z.S.P. (Hon), Dip. M.T., Wellington, New Zealand.
Brian trained as a physiotherapist at the NZ School of Physiotherapy and qualified in 1954. Two years later he commenced in private practice in Wellington where he remained until 2000 when he finally retired from active clinical practice.

Moment: Find a Course

patryk — Fri, 04 Aug 2023 13:30:32 +0000

Only the teachers you see listed here are approved and accredited by Brian Mulligan and the MCTA to teach the MULLIGAN™ Manual Therapy Concept Courses.

Join the MULLIGAN™ Concept App Facebook!

patryk — Fri, 04 Aug 2023 13:32:53 +0000

Only for our MULLIGAN™ Concept App users: a Facebook group to learn, inspire and grow!
Click below to join:

FACEBOOK MULLIGAN Concept App Users Group

MULLIGAN™ Products

patryk — Fri, 04 Aug 2023 13:34:24 +0000

Looking for the original MULLIGAN™ mobilisation belts, lumbar straps or cervical straps? Or Brian Mulligan's books?

Go to:
www.mulliganproducts.eu(Europe)
www.planeviewservices.co.nz (Oceania)

MULLIGAN™ Manual Therapy Concept

patryk — Sat, 05 Aug 2023 03:00:11 +0000

https://vimeo.com/235708815

This simple yet effective manual approach addresses musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.

Related information

Principles of Treatment
Benefits of Mobilisation with Movement
Learning Evaluation Test
How to become a Certified MULLIGAN™ Practitioner
MULLIGAN™ Manual Therapy Concept Publications

Founder’s Profile & history

patryk — Sat, 05 Aug 2023 03:08:47 +0000

In 1983 Brian relinquished his teaching role on the Diploma programme and began teaching his newly-founded techniques. One of his initial students, Barbara Hetherington, took over his Diploma programme teaching role. She later became one of his original teachers when the MULLIGAN™ Concept Teachers Association was formed in 1995.

Brian’s favorite quote has always been Louis Pasteur’s; “In the field of discovery chance only favours the prepared mind”

Numerous articles supporting Brian’s MWM techniques have been published in international peer reviewed journals. A regularly update reference section is available www.bmulligan.com

Brian has been the recipient of many awards:

Honorary Fellowship of the NZ Society of Physiotherapists (1996)
Honorary Life Membership of the NZ Society of Physiotherapists (1996)
Honorary Life Membership of the NZ Manipulative Therapists Association (1993)
Honorary Membership of the NZ College of Physiotherapy (1998)
Ball Dynamics Award for Excellence in a Published Case Study (1997)
Award of Excellence of the World Confederation of Physical Therapists (2007).
Honorary Teaching Fellowship at the University of Otago, New Zealand.
IFOMPT Maitland Award in Glasgow 2016

Since retiring from active practice he has continued to teach internationally at seminars in many countries, drawing large crowds of physiotherapists and medical practitioners.

Principles of Treatment

patryk — Sat, 05 Aug 2023 03:10:34 +0000

It is clearly understood that the Health Practitioner will conduct a thorough personal health and family/social history as well as a detailed orthopaedic assessment of each client.

During the physical examination, the therapist will identify one or more Client Specific Impairment Measures (CSIM). This clinical finding is similar to the “comparable sign” concept described by Maitland. It is not a tissue pathology diagnosis but rather the neuro-musculo-skeletal system impairment of complaint (i.e. pain-limited mobility, headache, dizziness).

The therapist will apply a graded, pain-free accessory mobilisation following the principles’ of Kaltenborn based on sound knowledge of joint arthrology and mechanics.

While sustaining the pain-free accessory mobilisation, the client is requested to perform the pain-generating and/or functionally impaired CSIM activity. If it is now pain-free and increased in function the client is asked to repeat the movement and add sustained overpressure of the CSIM functional activity to load the tissues maximally. Continuous interactive communication between the clinician and the client to ensure no pain is experienced during the procedure is essential to achieving a positive outcome.

Failure to improve the CSIM would indicate that the therapist has not found the correct contact point, treatment plane, grade of mobilisation, spinal segment or that the technique is not indicated at that time.

These points may be summarized by the acronym CROCKS.

C - Contraindications

R - Repetition

O - Overpressure

C - Communication

K - Knowledge

S - Sustained, Common Sense, Skills

Benefits of Mobilisation with Movement

patryk — Sat, 05 Aug 2023 03:11:50 +0000

It is clearly understood that the Health Practitioner will conduct a thorough personal health and family/social history as well as a detailed orthopaedic assessment of each client.

During the physical examination, the therapist will identify one or more Client Specific Impairment Measures (CSIM). This clinical finding is similar to the “comparable sign” concept described by Maitland. It is not a tissue pathology diagnosis but rather the neuro-musculo-skeletal system impairment of complaint (i.e. pain-limited mobility, headache, dizziness).

The therapist will apply a graded, pain-free accessory mobilisation following the principles’ of Kaltenborn based on sound knowledge of joint arthrology and mechanics.

While sustaining the pain-free accessory mobilisation, the client is requested to perform the pain-generating and/or functionally impaired CSIM activity. If it is now pain-free and increased in function the client is asked to repeat the movement and add sustained overpressure of the CSIM functional activity to load the tissues maximally. Continuous interactive communication between the clinician and the client to ensure no pain is experienced during the procedure is essential to achieving a positive outcome.

These points may be summarized by the acronym CROCKS.

C - Contraindications

R - Repetition

O - Overpressure

C - Communication

K - Knowledge

S - Sustained, Common Sense, Skills

Learning Evaluation Test

patryk — Sat, 05 Aug 2023 03:15:32 +0000

The MULLIGAN™ App was exclusively designed to assist participants to prepare for and to serve as a reinforcement of skills gained at MULLIGAN™ Concept courses delivered by accredited MULLIGAN™Concept Teachers. It does not replace the one to one mentoring, knowledge transfer and skill development gained by instruction from an accredited MCTA member.

Following an appropriate period of pre-course learning you may evaluate your knowledge of the MULLIGAN™ Manual Therapy Concept. The Learning Evaluations test is divided in three parts. Every two months the link in this page will be renewed and give the participant access to a next part of the Learning Evaluation test.

If you want to test your knowledge, you can click for the Learning Evaluation Test 1: here.

Successful completion of the learning evaluation will allow you to print a document of your pre-course distance learning.

How to become a Certified MULLIGAN™ Practitioner

patryk — Sat, 05 Aug 2023 03:17:38 +0000

www.bmulligan.com

The CMP process is a unique professional pathway to assist you to better develop your clinical skills and reasoning for the ultimate benefit of your clients. The CMP certification process is focused on assisting the clinician in a formal process to better develop their knowledge base and skill competence in the Mulligan Concept, and then have that competency evaluated by peer review/examination process.

CMP’s are a referral source for other clinicians and the general public, seeking treatment from clinicians who achieved a recognised level of competence in the Mulligan Concept. The successful CMP practitioner will be eligible to have their names listed on the Mulligan (www.bmulligan.com) web sites; they could also be listed on other regional websites.

The assessment process for the CMP credentialing includes both a didactic and manual skills assessment; the pass mark is 80% as high competence is expected. Upon successful completion of the examination process these clinicians will be recognised as Certified Mulligan Practitioners (CMP).

Notification on teaching: Individuals who pass the CMP qualifying exam are NOT entitled to, nor are they recognized by the MCTA to formally teach MULLIGAN™ Concept courses.

REQUIREMENTS

Those eligible to apply for the CMP exam include: Physical Therapists, Medical Doctors, Osteopaths, and Chiropractors (Note: RMT, ATC, OT, PTA, and COTA are not eligible). To be admitted to the CMP examination process, applicants must have completed all of the following courses provided by accredited MCTA teachers. (See "Find a course").

Part A: UPPER QUADRANT: MOBILISATION WITH MOVEMENT, “NAGS”, “SNAGS” AND MORE
Part B: LOWER QUADRANT: MOBILISATION WITH MOVEMENT, “NAGS”, “SNAGS” AND MORE
Part C: ADVANCED COURSE: MWM, “NAGS”, “SNAGS”, PRPs, Clinical Progressions AND MORE

In some regions, other courses may be offered such as an Introductory Course and other specific courses; while recommended these are not the primary courses required to be completed for the CMP process.

Clinical Experience with MULLIGAN™Concept is highly recommended. It is the expectation of the MCTA that individuals who have taken the recommended course work and have clinical experience with the MULLIGAN™Concept, should to be successful with the exam process. The assessment content is based on Brian Mulligan’s 6th edition text as a clinical resource and guide for developing further understanding and skill in the MULLIGAN™Concept.

All Certified MULLIGAN™ Practitioners have met the conditions and qualifications outlined by the MCTA to be listed as a Certified MULLIGAN™ Practitioner. Beyond documenting the above Certification requirements, the MCTA makes no representation as to the overall professional qualifications or competence of those listed and does not necessarily recommend or endorse the services of those listed. To retain their CMP status and listing in our directory, CMPs are expected to maintain the highest ethical professional conduct and promote and support the mission of the International MULLIGAN™ Concept

MULLIGAN™ Manual Therapy Concept Publications

patryk — Sat, 05 Aug 2023 03:18:17 +0000

Here you can find relevant publications related to the MULLIGAN™Manual Therapy Concept.

peripheral joints reference list Mulligan Concept

Spine reference list Mulligan Concept

A.1. NAGS

patryk — Wed, 09 Aug 2023 13:37:14 +0000

MOBILISATION
Oscillatory mobilisation (2-3 per second) through spinous process
Applicable from C2 to T3
Direction of mobilisation is in the plane of the relevant apophyseal joints

INDICATIONS

Acute neck pain
Elderly clients
Multi-directional movement loss

NOTES

Ensure glide is directed in the plane of the cervical apophyseal joints
Central (spinous process) or unilateral (articular pillar) technique variations

A.2. Reverse NAGS

patryk — Wed, 16 Aug 2023 00:33:20 +0000

MOBILISATION
Oscillatory mobilisation (2-3 per second) through TVP’s of segment below
Applicable from C6 to T4
Direction of mobilisation is in the plane of the relevant apophyseal joints

INDICATIONS

End range neck movement loss
Head forward postural dysfunction

NOTES

Ensure glide is directed in the plane of the cervical apophyseal joints
Place thumb pad and first digit PIP contact points quite lateral to spinous process to contact TVP’s of target segment

A.3. Cervical Extension SNAG

patryk — Wed, 16 Aug 2023 00:37:54 +0000

MOBILISATION
Antero-cranial glide through spinous process or one articular pillar

MOVEMENT
Cervical extension

INDICATIONS
Pain with, or restriction of, cervical extension

NOTES

Ensure glide is directed sufficiently cranial
Take portion of weight of the head with the index fingers on the zygoma
Track with the dynamic treatment plane through range of movement

A.4. Cervical Extension Self-SNAG

patryk — Wed, 16 Aug 2023 00:39:50 +0000

MOBILISATION
Antero-cranial glide through spinous process or one articular pillar through pull of towel’s edge

MOVEMENT
Cervical extension

INDICATIONS
Self-management of pain with, or restriction of, cervical extension

NOTES

Ensure glide is directed sufficiently cranial
Ensure client’s use of towel’s edge only for contact
Track with the dynamic treatment plane through extension

A.5. Cervical Flexion SNAG

patryk — Wed, 16 Aug 2023 00:41:30 +0000

MOBILISATION
Antero-cranial glide through spinous process or one articular pillar

MOVEMENT
Cervical flexion

INDICATIONS
Pain with, or restriction of, cervical flexion

NOTES

Ensure glide is directed sufficiently cranial
Take portion of weight of the head with the index fingers on the zygoma
Track with the dynamic treatment plane through flexion

A.6. Cervical Flexion Positional SNAG

patryk — Wed, 16 Aug 2023 00:43:42 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Cervical flexion

INDICATIONS

Pain with, or restriction of, cervical flexion
Non-irritable cases
Ensure pressure is begun quite laterally to avoid pinching skin
Use foam pad for comfort

NOTES
Have higher thumb on painful side

A.7. Cervical Rotation SNAG

patryk — Wed, 16 Aug 2023 00:47:27 +0000

MOBILISATION
Antero-cranial glide through spinous process or one articular pillar

MOVEMENT
Cervical rotation

INDICATIONS
Pain with, or restriction of, cervical rotation

NOTES

- Ensure glide is directed sufficiently cranial

- Take portion of weight of the head with the index fingers on the zygoma
- Track with the segment through the range of movement

A.8. Cervical Positional SNAG

patryk — Wed, 16 Aug 2023 00:50:22 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Cervical rotation

INDICATIONS

Pain with, or restriction of, cervical rotation
Non-irritable cases

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.9. Cervical Rotation Self-SNAG

patryk — Wed, 16 Aug 2023 00:52:46 +0000

MOBILISATION
Antero-cranial glide through spinous process or one articular pillar through pull of towel’s edge

MOVEMENT
Cervical rotation

INDICATIONS
Self-management of pain with or restriction of, cervical rotation

NOTES

Ensure glide is directed towards client’s eyes
Ensure client’s use of towel’s edge only for contact

A.10. Cervical Side Bend SNAG

patryk — Wed, 16 Aug 2023 00:54:17 +0000

MOBILISATION
Antero-cranial glide through spinous process or articular pillar

MOVEMENT
Cervical side bend

INDICATIONS
Pain with, or restriction of, cervical side bending

NOTES

Ensure glide is directed sufficiently cranial
Take portion of weight of the head with the index fingers on the zygoma
Track with the segment through the range of movement

A.11. Cervical Quadrant SNAG

patryk — Wed, 16 Aug 2023 00:55:55 +0000

MOBILISATION
Antero-cranial glide through spinous process or articular pillar

MOVEMENT
Cervical combined extension/side bend/rotation

INDICATIONS

Pain with, or restriction of, cervical posterior quadrant
Non-irritable cases

NOTES

Ensure glide is directed sufficiently cranial
Take portion of weight of the head with the index fingers on the zygoma
Track with the segment through the range of movement

A.12. Cervical Quadrant Positional SNAG

patryk — Wed, 16 Aug 2023 00:57:40 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Combined cervical extension / side bend / rotation

INDICATIONS

Pain with, or restriction of, cervical posterior quadrant
Non irritable cases

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.13. Spinal Mobilisation With Arm Movement (SMWAM)

patryk — Wed, 16 Aug 2023 00:59:21 +0000

MOBILISATION
Medial pressure on side of one spinous process

MOVEMENT
Shoulder horizontal adduction or elevation

INDICATIONS

Pain with, or restriction of, shoulder movement related to cervical dysfunction
Non indicated for radicular arm symptoms
Non-irritable cases

NOTES

Encourage client to swing arm with vigor
Control segmental movement but do not block

A.14. Cervical Fist Traction

patryk — Wed, 16 Aug 2023 01:00:52 +0000

MOBILISATION
Sustained 10 seconds hold of cervical flexion over fulcrum of therapist’s or client’s own fist

INDICATIONS

Restoration of cervical flexion
Arm dominant cervical radicular pain self-management
Cervicogenic headache final resolution

NOTES

Ensure fist is in contact with sternum and mandible
May require a folded towel on chest to enlarge fist fulcrum

A.15. Cervical Belt Traction

patryk — Wed, 16 Aug 2023 01:02:20 +0000

MOBILISATION
Longitudinal cervical traction through pull of mobilisation belt

INDICATIONS

Arm dominant, cervical radicular pain
Specific segmental cervical traction

NOTES

Ensure 2cm. gap between fingers for spinous process
Ensure force is provided by belt not practitioner’s arms

A.16. Acute Wry Neck Protocol

patryk — Wed, 16 Aug 2023 01:03:33 +0000

MOBILISATION
Graded, repeated rotation towards side of pain in non-weight bearing

INDICATIONS

Acute, non-traumatic locking of the cervical spine
Young clients who wake with acute unilateral neck pain and deformity of side bending away from pain

NOTES

Have client slowly rotate to tease the point of first onset of pain
Gradually take up side bending gained in stages
Repeat as self-management over next 24 hours

A.17. Shoulder Painful Arc Positional SNAG (SMWAM)

patryk — Wed, 16 Aug 2023 01:05:19 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Active shoulder elevation through the range of scaption

INDICATIONS
Non-irritable cases of painful arc related to cervical dysfunction

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.18. Tennis Elbow Positional SNAG (SMWAM)

patryk — Wed, 16 Aug 2023 01:06:43 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted wrist extension +/- grip

INDICATIONS

Resistant cases of tennis elbow related to cervical dysfunction
Non irritable cases

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.19. Golfer’s Elbow Positional SNAG (SMWAM)

patryk — Wed, 16 Aug 2023 01:08:25 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted wrist flexion +/- grip

INDICATIONS

Resistant cases of golfer’s elbow related to cervical dysfunction
Non irritable cases

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.20. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)

patryk — Wed, 16 Aug 2023 01:10:27 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Graded resisted thumb extension

INDICATIONS

Resistant cases of de Quervain’s tenosynovitis related to cervical dysfunction
Non-irritable cases

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

A.21. Cervical Extension Self-SNAG

patryk — Wed, 16 Aug 2023 01:24:09 +0000

Mobilisation
Antero-cranial glide through spinous process or one articular pillar using a cervical Self-SNAG strap

Movement
Cervical extension

Indications
Self-management of pain with, or restriction of, cervical extension

Notes
- Ensure NO PAIN, no discomfort
- Ensure glide is directed sufficiently cranial
- Track with the dynamic treatment plane through extension
- You can use a towel instead of the Cervical Self-SNAG strap, but make sure client’s use of towel’s edge only for contact

A.22. Cervical Flexion Self-SNAG

patryk — Wed, 16 Aug 2023 01:26:25 +0000

Mobilisation
Antero-cranial glide through spinous process or one articular pillar using a cervical Self-SNAG strap

Movement
Cervical flexion

Indications
Self-management of pain with, or restriction of, cervical flexion

Notes
- Ensure NO PAIN, no discomfort
- Ensure glide is directed sufficiently cranial
- Track with the dynamic treatment plane through flexion
- You can use a towel instead of the Cervical Self-SNAG strap, but make sure client’s use of towel’s edge only for contact

A.23. Cervical Rotation Self-SNAG

patryk — Wed, 16 Aug 2023 01:28:52 +0000

Mobilisation
Antero-cranial glide through spinous process or one articular pillar using a cervical Self-SNAG strap

Movement
Cervical rotation

Indications
Self-management of pain with, or restriction of, cervical rotation

Notes
- Ensure NO PAIN, no discomfort
- Ensure glide is directed towards client’s eyes
- You can use a towel instead of the Cervical Self-SNAG strap, but make sure client’s use of towel’s edge only for contact
-In case of cervicogenic headache, glide is horizontal, see Homework exercise, cervical 1-2 rotation Self-SNAG

A.25. Cervical Side Flexion Self-SNAG

patryk — Wed, 16 Aug 2023 01:32:03 +0000

Mobilisation
Antero-cranial glide through spinous process or one articular pillar through pull of strap

Movement
Cervical side flexion

Indications
Self-management of pain with, or restriction of, cervical side flexion

Notes
-Ensure NO PAIN, no discomfort
-Ensure glide is directed towards client’s eyes
-In case client uses a towel instead of a Cervical Self-SNAG strap, ensure client’s use of towel’s edge only for contact

A.26. Cervical Self-Mobilisation With Arm Movement

patryk — Wed, 16 Aug 2023 01:34:35 +0000

Mobilisation
Transverse pressure of the spinous process to right at level C2-C7

Movement
Left arm horizontal adduction

Indications
This technique can be used for any other arm movement with segmental/spine type pain, for example, elevation arm etc.

Notes
- Ensure NO PAIN, no discomfort
- Head client in good postural position
- Client pokes finger strongly forward before he pulls across

A.27. Cervical Fist Traction Self-Treatment

patryk — Wed, 16 Aug 2023 01:36:05 +0000

Mobilisation
Sustained 10 seconds hold of cervical flexion over fulcrum of client’s own fist

Indications
Neck Pain and Stiffness
- For clients with pain and stiffness toward the end of forward bending
- Self fist tractions are often useful when clients respond to Reverse Headache SNAG

Notes
- Ensure NO PAIN, no discomfort
- Client sits on a chair, position of cervical spine in neutral alignment
- Client makes a fist and places it under chin, thumb side up
- Client uses other hand on the back of the head to apply overpressure into flexion
- Client holds (pain-free) over-pressure for 10 seconds, 3 repetitions

B.1. Headache SNAG

patryk — Wed, 16 Aug 2023 01:53:28 +0000

MOBILISATION
Graded anterior glide of C2 through contact on spinous process

MOVEMENT
Stabilize cranium / C1

INDICATIONS
Relief of cervicogenic headache

NOTES

Ensure glide is true anterior translation of C2 under stabilized cranium and C1
May need to vary degree of flexion/extension, and rotation, to achieve headache relief
Do not oscillate mobilisation force

B.2. Headache Self-SNAG

patryk — Wed, 16 Aug 2023 02:29:13 +0000

MOBILISATION
Graded active retraction of cranium and C1

MOVEMENT
Stabilization of C2 through restraint of towel’s edge

INDICATIONS
Self-management of cervicogenic headaches

NOTES

Have client gently retract head into towel’s edge
Do not pull towel anteriorly
May need to vary degree of flexion/extension, and rotation, to achieve headache relief

B.3. Reverse Headache SNAG

patryk — Wed, 16 Aug 2023 02:31:55 +0000

MOBILISATION
Anterior glide of cranium and C1

MOVEMENT
Stabilize C2 through posterior web space grip of transverse processes

INDICATIONS
Relief of cervicogenic headache

NOTES

Ensure glide is true anterior translation of cranium with concurrent posterior fixation of C2
May need to vary degree of flexion/extension/rotation to achieve headache relief
Do not oscillate mobilisation force

B.4. Forearm Traction

patryk — Wed, 16 Aug 2023 02:35:01 +0000

MOBILISATION
Longitudinal traction achieved by pronation of forearm hooked on base of occiput

INDICATIONS
Relief of cervicogenic headache

NOTES

Ensure radial edge of forearm is hooked under base of occiput not on upper cervical segments
Prevent upper cervical flexion by counter-pressure on mandible

B.5. Test for C1/2 Rotation

patryk — Wed, 16 Aug 2023 02:36:20 +0000

PROCEDURE
Client placed in full cervical flexion
Comparison of right-left range of rotary movement and normative range

INDICATIONS
Assessment of segmental upper cervical rotation passive ROM

NOTES

Ensure client is medically appropriate to be placed in test position
Ensure cervical spine is fully flexed
Use tissue tension sense to assess first onset of resistance not pain provocation

B.6. Cervical 1/2 Rotation SNAG

patryk — Wed, 16 Aug 2023 02:38:38 +0000

MOBILISATION
Anterior glide through transverse process of C1

MOVEMENT
Cervical rotation

INDICATIONS

Restoration of segmental C 1/2 rotation
Cervicogenic headache and recovery of function

NOTES

Ensure client is medically appropriate for procedure
Ensure contact point is on extreme lateral aspect of C1 transverse process
Track with C1 segment through the range of rotation

B.7. Cervical 1/2 Rotation Self-SNAG

patryk — Wed, 16 Aug 2023 02:40:06 +0000

MOBILISATION
Anterior glide of transverse process of C1 through edge of hand towel

MOVEMENT
Cervical rotation

INDICATIONS

Self-management of restriction of upper cervical rotation
Cervicogenic headache recovery of function

NOTES

Ensure client is medically appropriate for procedure
Ensure glide is horizontal through pull of towel’s edge only

B.8. Reverse Headache Self-SNAG

patryk — Wed, 16 Aug 2023 02:41:40 +0000

PROCEDURE
- Place towel or mobilisation belt across occiput
- Hold towel in both hands with towel placed horizontally
- Perform gentle cervical retraction while holding towel still in space

NOTES

Ensure retraction does not involve cervical flexion or extension
Ensure retraction is of low to moderate grade only

B.9. C1/2 Rotation Positional SNAG (SNAGS 0/C1/C2)

patryk — Wed, 16 Aug 2023 02:43:13 +0000

MOBILISATION
- Anterior glide of transverse process of C1
- Lateral glide of spinous process of C2

MOVEMENT
Upper cervical rotation

INDICATIONS

Recalcitrant headaches of cervical origin

NOTES

May use foam pad as required for comfort

B.10. Headache Self-SNAG

patryk — Wed, 16 Aug 2023 02:50:04 +0000

Mobilisation
Graded active retraction of cranium and C1

Stabilization of C2 through restraint of Self-SNAG strap

Indications
Self-management of cervicogenic headache

Notes
-Ensure NO PAIN, no discomfort
-Ensure retraction does not involve flexion or extension
-Ensure retraction is of low to moderate grade only
-In case client uses a towel instead of a Cervical Self-SNAG strap, ensure client’s use of towel’s edge only for contact

B.11. Self Reverse Headache SNAG

patryk — Wed, 16 Aug 2023 02:52:11 +0000

Mobilisation
Graded active retraction of chin on stabilized cranium

Stabilization of head through restraint of Self-SNAG strap

Indications
Self-management of cervicogenic headache

Notes
-Ensure NO PAIN, no discomfort
-Use a Lumbar Self-SNAG strap because of the size, or use a towel
-Ensure retraction does not involve cervical flexion or extension
-Ensure retraction is of low to moderate grade only

B.12. Cervical 1/2 Rotation Self-SNAG

patryk — Wed, 16 Aug 2023 02:54:35 +0000

https://vimeo.com/207467889Mobilisation
Anterior glide of transverse process of C1 through edge of hand towel

Movement
Cervical rotation

Indications
Self-management of restriction of upper cervical rotation
Cervicogenic headache recovery of function

Notes
-Ensure NO PAIN, no discomfort
-Ensure client is medically appropriate for procedure
-Ensure glide is horizontal through pull of towel’s edge only

C.1. Cervical 2 Extension SNAG for cervicogenic dizziness

patryk — Wed, 16 Aug 2023 02:56:33 +0000

MOBILISATION
Anterior glide through spinous process of C2

MOVEMENT
Upper cervical extension

INDICATIONS
Dizziness of cervical mechano-receptive origin

NOTES
Ensure client is medially appropriate for procedure

C.2. Cervical 1 Rotation SNAG for or Cervicogenic dizziness

patryk — Wed, 16 Aug 2023 02:58:03 +0000

Mobilisation
Anterior glide through transverse process of C1

Movement
Upper cervical rotation

Indication
Dizziness of cervical mechano-receptive origin

Notes

Ensure client is medically appropriate for procedure
Choice 1: Apply mobilisation to ipsilateral TVP of side that client is turning towards
Choice 2: Apply to contralateral TVP of side that client is turning towards
Choice 3: Apply Unilateral PA to TVP of C2 of side that client is turning towards

D.1. Temporal Mandibular Opening MWM

patryk — Wed, 16 Aug 2023 03:45:53 +0000

MOBILISATION
Antero-medial glide of mandible on stabilized temporal bone

MOVEMENT
Jaw opening

INDICATIONS
Pain with, or restriction of, jaw opening

NOTES

Ensure glide pressure is applied close to TMJ not on posterior aspect of mandible
Encourage the left TMJ to spin axially as the right TMJ glides antero-medially or vice versa

D.2. Temporal Mandibular Closing MWM

patryk — Wed, 16 Aug 2023 04:51:42 +0000

MOBILISATION
Antero medial glide of mandible on stabilized temporal bone

MOVEMENT
Jaw closing

INDICATIONS
Pain with, or restriction of, jaw closing

NOTES

Ensure glide pressure is applied close to TMJ not on posterior aspect of mandible
Encourage the left TMJ to spin axially as the right TMJ glides antero-medially or vice versa

D.3. Temporal Mandibular Lateral Deviation MWM

patryk — Wed, 16 Aug 2023 04:53:58 +0000

https://vimeo.com/207469068

MOBILISATION
Antero medial glide of mandible on stabilized temporal bone

MOVEMENT
Jaw lateral deviation

INDICATIONS
Pain with, or restriction of, jaw lateral deviation

NOTES

Ensure glide pressure is applied close to TMJ not on posterior aspect of mandible
Encourage the left TMJ to spin axially as the right TMJ glides antero-medially or vice versa

E.1. Thoracic Rotation SNAG

patryk — Wed, 16 Aug 2023 05:33:16 +0000

MOBILISATION
Cranial glide in the plane of the relevant apophyseal joint through the spinous or one transverse process

MOVEMENT
Thoracic rotation

INDICATIONS
Pain with, or restriction of, thoracic rotation

NOTES

Ensure glide is cranially directed
Take portion of body weight with arm across anterior chest. This hand is above the mobilising hand
Stabilize pelvis by straddle seating of client on plinth

E.2. Thoracic Extension SNAG

patryk — Wed, 16 Aug 2023 05:35:45 +0000

MOBILISATION
Cranial glide in the plane of the relevant apophyseal joint through the spinous or one transverse process

MOVEMENT
Thoracic extension

INDICATIONS
Pain with, or restriction of, thoracic extension

NOTES

Ensure glide is cranially directed
Take portion of body weight with arm across anterior chest

E.3. Thoracic Belt Traction

patryk — Wed, 16 Aug 2023 05:40:55 +0000

MOBILISATION
Longitudinal traction glide through pull of mobilisation belt

INDICATIONS
Constant thoracic and referred trunk pain of mechanical origin

NOTES
Ensure practitioner pushes through fists on bed to save own spine from injury

E. 4. Thoracic - Self-Treatment

patryk — Wed, 16 Aug 2023 05:47:32 +0000

Related information

E.4. Thoracic Self-Traction for Spine

E.4. Thoracic Self-Traction for Spine

patryk — Wed, 16 Aug 2023 05:50:39 +0000

Indication
After a strained thoracic spine

Notes
- Ensure NO PAIN, no discomfort
- Maintain traction for 20 seconds (3 repetitions, several times a day)
- After 3rd stretch client should be able to move and breath more freely if the technique is indicated

E.5. Upper Thoracic Spine Tape

patryk — Wed, 16 Aug 2023 06:07:00 +0000

1 2 3 4 5

Add a piece of tape horizontally on the upper thoracic spine

Indications
-To maintain a good posture en speed up recovery after treatment upper thoracic spine
-Can be useful to make end range neck-rotations symptomless

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

F.1. Rib Cage Trunk Rotation MWM

patryk — Wed, 16 Aug 2023 08:30:36 +0000

MOBILISATION
Cranial glide of one specific rib

MOVEMENT
Trunk rotation +/- inspiration

INDICATIONS
Rib cage pain with, or restriction of, trunk rotation +/- inspiration

NOTES

Ensure both contact hands are on the same rib front and back (consider angulation of ribs)
May benefit from deep inspiration at the end of range

F.2. Rib Cage Trunk Side Bend MWM

patryk — Wed, 16 Aug 2023 08:33:15 +0000

MOBILISATION
Cranial glide of one specific rib

MOVEMENT
Trunk side bending +/- inspiration

INDICATIONS
Rib cage pain with, or restriction of, trunk side bend +/- inspiration

NOTES

Ensure both contact hands are on the same rib (consider angulation of ribs)
May benefit from deep inspiration at end of range

F.3. Rib Cage Anterior Chest Wall Pain MWM

patryk — Wed, 16 Aug 2023 08:35:07 +0000

MOBILISATION
Cranial glide of one specific rib

MOVEMENT
Trunk extension +/- inspiration

INDICATIONS
Rib cage pain with, or restriction of, trunk movement +/- inspiration

NOTES
May benefit from deep inspiration at end of range

F.4. Rib Cage First Rib MWM

patryk — Wed, 16 Aug 2023 08:36:55 +0000

MOBILISATION
Infero-medial glide of the 1st rib

MOVEMENT
Cervical side bend away from painful side

INDICATIONS
Lower cervical and/or upper trapezius pain with cervical side bending (away from the painful side) +/- apical inspiration

NOTES

Ensure glide is infero-medially directed
May benefit from client’s deep apical inspiration at end of range
Elevate shoulder girdle and flex elbow to avoid adverse neural tension

G.1. Lumbar Flexion SNAG: Sitting

patryk — Wed, 16 Aug 2023 09:29:13 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar flexion in sitting

INDICATIONS
Pain with, or restriction of, lumbar flexion in sitting

NOTES

Use mobilisation belt to stabilize pelvis but not force posterior pelvic tilt
Vary vector of glide through range to track with the dynamic treatment plane

G.2. Lumbar Flexion SNAG: Standing

patryk — Wed, 16 Aug 2023 09:34:06 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar flexion in standing

INDICATIONS
Pain with, or restriction of, lumbar flexion in standing

NOTES

Use mobilisation belt to stabilize pelvis but not force posterior pelvic tilt
Vary vector of glide through range to track with the dynamic treatment plane
Have client slightly flex knees to relieve hamstring tension and hold bed for security
You might tape the acute lower dorsal and lumbar lesions after SNAGS to remind the patient

G.3. Lumbar Flexion Self-SNAG

patryk — Wed, 16 Aug 2023 09:44:56 +0000

MOBILISATION
Antero-cranial glide through pull of mobilisation belt

MOVEMENT
Lumbar flexion

INDICATIONS
Self-management of pain with, or restriction of, lumbar flexion

NOTES

Ensure pull of mobilisation belt is cephalically oriented
Use foam pad between belt and spine to avoid slippage

G.4. Lumbar Extension SNAG: Sitting

patryk — Wed, 16 Aug 2023 09:49:01 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar extension in sitting

INDICATIONS
Pain with, or restriction of, lumbar extension

NOTES

Use mobilisation belt to stabilize pelvis but not restrain anterior pelvic tilt
Vary vector of glide through range to track with the dynamic treatment plane

G.5. Lumbar Extension SNAG: Prone

patryk — Wed, 16 Aug 2023 07:51:51 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar extension in lying

INDICATIONS
Pain with, or restriction of, lumbar extension in lying

NOTES
Vary vector of glide through range to track with the dynamic treatment plane

G.6. Lumbar Extension Self-SNAG

patryk — Wed, 16 Aug 2023 09:53:57 +0000

MOBILISATION
Antero-cranial glide through pull of mobilisation belt

MOVEMENT
Lumbar extension

INDICATIONS
-Self-management of pain with, or restriction of, lumbar extension

NOTES

Ensure pull of mobilisation belt is cephalically oriented
Use foam pad between belt and spine to avoid slippage

G.7. Lumbar Side Bending SNAG

patryk — Wed, 16 Aug 2023 09:56:36 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar side bend in sitting

INDICATIONS
Pain with, or restriction of, lumbar side bend

NOTES
Use mobilisation belt to stabilize pelvis

G.8. Lumbar Rotation SNAG

patryk — Wed, 16 Aug 2023 09:58:39 +0000

https://vimeo.com/207470013

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar rotation in sitting

INDICATIONS
Pain with, or restriction of, lumbar rotation

NOTES

Take portion of body weight with arm across anterior chest
Provide end-range overpressure for lumbar rotation
Stabilize pelvis by straddle seating of client on plinth

G.9. Lion Stretch SNAG

patryk — Wed, 16 Aug 2023 10:01:19 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Client on hands and separated knees sinks buttocks down between feet

INDICATIONS
Pain with, or restriction of, lumbar flexion/extension in lion position

NOTES

Ensure client has knees and fees well apart
Ensure mobilisation force is cranially directed not postero-antero

G.10. Slump Position SNAG

patryk — Wed, 16 Aug 2023 10:03:45 +0000

MOBILISATION
Antero-cranial glide through spinous or one transverse process

MOVEMENT
Lumbar slump position

INDICATIONS
Pain with, or restriction of, lumbar flexion in slump test position

NOTES

Use mobilisation belt to stabilize pelvis but not force posterior pelvic tilt
Progress by increasing range of hip flexion (elevate client’s foot)

G.11. Hip Flexion SMWLM: Side Lying

patryk — Thu, 17 Aug 2023 07:13:32 +0000

MOBILISATION
Medial glide through thumb pad pressure of side of spinous process

MOVEMENT
Hip flexion in full knee extension

INDICATIONS
Pain with, or restriction of, hip flexion in straight leg position related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam padding for comfort
Perform only three repetitions on day one

G.12. Hip Flexion SMWLM: Prone Lying

patryk — Thu, 17 Aug 2023 07:16:40 +0000

MOBILISATION
Opposing medial glides of spinous processes through thumb pad pressures of sides of spinous processes of adjacent lumbar vertebrae by two practitioners

MOVEMENT
Passive hip flexion with knee extension over side of the bed by third practitioner

INDICATIONS
Pain with, or restriction of, hip flexion in straight leg position related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam padding for comfort
Perform only three repetitions on day one

G.13. Hip Extension SMWLM

patryk — Thu, 17 Aug 2023 07:20:39 +0000

MOBILISATION
Medial glide of spinous process through thumb pad pressure on side of spinous process

MOVEMENT
Passive hip extension with knee flexion

INDICATIONS
Pain with, or restriction of, hip extension in femoral nerve stretch position related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam pad as required for comfort
Perform only three repetitions on day one

G.14. Lion Self-SNAG

patryk — Thu, 17 Aug 2023 07:22:39 +0000

MOBILISATION
Cranial glide though pull of mobilisation belt

MOVEMENT
Lion stretch achieved by sinking buttocks down towards heels

INDICATIONS
Pain with, or restriction of, lumbar flexion

NOTES

Ensure client maintains pressure of spine into belt
Place foam pad between belt and skin to increase friction

G.15. Hip Extension SMWLM prone

patryk — Thu, 17 Aug 2023 07:24:13 +0000

MOBILISATION
Medial glide of spinous process through thumb pad pressure on side of spinous process

MOVEMENT
Passive hip extension with knee flexion

INDICATIONS
Pain with, or restriction of, hip extension in femoral nerve stretch position related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam pad as required for comfort
Perform only three repetitions on day one

G.16-22 Lumbar - Self-Treatment

patryk — Thu, 17 Aug 2023 08:06:49 +0000

Related information

G.16. Lumbar Self-SNAG in Lion Position
G.17. Lumbar Extension Prone Self-Treatment
G.18. Lumbar Extension Self-SNA
G.19. Lumbar Flexion Self-SNAG
G.20. Lumbar flexion Self-SNAG for L5–S1, use of fist
G.21. Self Two Leg Rotation (Gate) technique
G.22. Bent Leg Raise Self-Treatment

G.16. Lumbar Self-SNAG in Lion Position

patryk — Thu, 17 Aug 2023 09:02:34 +0000

Mobilisation
Self-Treatment with two mobilisation belts

Movement
Client on hands and knees sinks buttocks down between feet

Indications
Pain with, or restriction of, (thoraco-) lumbar extension
Pain down the front of the legs, for example groin pain not due to the usual pathologies

Notes
- Ensure NO PAIN, no discomfort
- Ensure client has knees and feet well apart
- Use more or less flexion in hip(s) and knees to get the mobilisation right
- Improve exercise by placing a towel or pillow under the knee on the effected side, to have a rotation component
Extra note
In case client has no mobilisation belts, perform the exercise without belts.

G.17. Lumbar Extension Prone Self-Treatment

patryk — Thu, 17 Aug 2023 09:04:51 +0000

Mobilisation
With or without SNAG and towel or pillow

Movement
Lumbar extension in lying

Indications
Pain with, or restriction of, lumbar extension in lying

Notes
- Ensure NO PAIN, no discomfort
- Place hands initially at shoulder lever
- If client has one-sided pain with this exercise place a towel or pillow under hip on that side

G.18. Lumbar Extension Self-SNA

patryk — Thu, 17 Aug 2023 09:08:05 +0000

Mobilisation
Antero-cranial glide through pull of mobilisation belt or Lumbar Self-SNAG strap

Movement
Lumbar extension

Indications
Self-management of pain with, or restriction of, lumbar extension

Notes
-Ensure NO PAIN, no discomfort
-Ensure pull of mobilisation belt (or Lumbar Self-SNAG strap) is cephalically oriented
-Elbows maximally flexed
-To avoid slippage, use foam pad between belt and spine

G.19. Lumbar Flexion Self-SNAG

patryk — Thu, 17 Aug 2023 09:10:47 +0000

Mobilisation
Antero-cranial glide through pull of mobilisation belt or Lumbar Self-SNAG strap

Movement
Lumbar flexion

Indications
Self-management of pain with, or restriction of, lumbar flexion

Notes
-Ensure NO PAIN, nodiscomfort
-Ensure pull of mobilisation belt (or Lumbar Self-SNAG strap) is cephalically oriented
-Elbows maximally flexed
-To avoid slippage, use foam pad between belt and spine

G.20. Lumbar flexion Self-SNAG for L5–S1, use of fist

patryk — Thu, 17 Aug 2023 09:12:47 +0000

Mobilisation
Antero-cranial glide through upward pressure via right index finger of the fist to apply the glide

Movement
Client moves the spine in the appropriate direction, flexion or extension

Indications
Self-management of pain with, or restriction of, lumbar flexion or extension

Notes
-Ensure NO PAIN, no discomfort
-Ensure push of hand is creating enough force and is cephalically oriented
-Self-SNAGS for all lumbar segments, applicable as a central or unilateral technique
-Special recommended for L5 -S1

G.21. Self Two Leg Rotation (Gate) technique

patryk — Thu, 17 Aug 2023 09:14:45 +0000

Procedure
Self Rotation of legs and pelvis on stabilized thoraco-lumbar spine

Indications
Lumbar pain with, or restriction of, straight leg raise

Notes
- Ensure NO PAIN, no discomfort
- Rotate knees toward side of SLR restriction
- A cushion under the pelvis can be used at home to avoid painful contact with bed frame
- May need to alter hip and lumbar flexion/extension to pass through the gate
- Perform only three repetitions on day one and reassess

G.22. Bent Leg Raise Self-Treatment

patryk — Thu, 17 Aug 2023 09:16:54 +0000

Mobilisation
Antero-cranial glide of femur through flexed knee following isometric hold of hip extensors

Movement
Progressive hip flexion

Indications
Lumbar pain with, or restriction of, straight leg raise

Notes
- Ensure NO PAIN, no discomfort
- Ensure force in popliteal fossa is both anterior as well as cranial
- Progress hip flexion in series of hold-relax steps
- Perform only 3 repetitions on day one. If successful, on subsequent days, 6 repetitions, several times a day if necessary.

G.23 Lumbar Tape

patryk — Fri, 18 Aug 2023 04:33:36 +0000

1 2 3 4 5

Add two pieces of tape crossed on the lower lumbar spine

Purpose
to maintain good posture and support recovery after treatment lower lumbar spine with SNAGS

Indications
Painful lower lumbar spine

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

H.1. Straight Leg Raise With Traction

patryk — Fri, 18 Aug 2023 04:45:21 +0000

MOBILISATION
Longitudinal leg traction

MOVEMENT
Straight leg raise

INDICATIONS

Pain with, or restriction of, straight leg raise
Pain that does not radiate below the knee on SLR

NOTES

Maintain traction force throughout range
Add hip abduction/adduction or internal/external rotation to improve SLR
Perform only three repetitions one day one

H.2. Straight Leg Raise With Compression

patryk — Fri, 18 Aug 2023 04:47:01 +0000

MOBILISATION
Longitudinal leg compression

MOVEMENT
Straight leg raise

INDICATIONS

Lumbar pain with, or restriction of, straight leg raise
Pain that does not radiate below the knee on SLR

NOTES

Maintain compression force throughout range
Add hip abduction/adduction or internal/external rotation to improve SLR
Perform only three repetitions on day one

H.3. Bent Leg Raise

patryk — Fri, 18 Aug 2023 04:48:51 +0000

MOBILISATION
Antero-cranial glide of femur through flexed knee following isometric hold of hip extensors

MOVEMENT
Progressive hip flexion

INDICATIONS
Lumbar pain with, or restriction of, straight leg raise

NOTES

Ensure force in popliteal fossa is both anterior as well as cranial
Progress hip flexion in series of hold-relax steps
Perform only three repetitions on day one

H.4. Gate Technique

patryk — Fri, 18 Aug 2023 04:50:50 +0000

https://vimeo.com/207470142

PROCEDURE
Rotation of legs and pelvis on stabilized thoraco-lumbar spine

INDICATIONS
Lumbar pain with, or restriction of, straight leg raise

NOTES

Rotate knees towards side of SLR restriction
May need to alter hip and lumbar flex/ext to pass through the gate
Perform only three repetitions on day one

Sacro Illiac

patryk — Fri, 18 Aug 2023 05:05:45 +0000

Related information

I.1-4 Sacro Illiac Techniques
I. 5-6 Sacro Illiac Taping

I.1. Anterior Innominate Extension in Lying MWM

patryk — Fri, 18 Aug 2023 05:11:36 +0000

MOBILISATION
Posterior glide +/- rotation of ilium on stabilized sacrum

MOVEMENT
Lumbo-sacral extension in lying

INDICATIONS
Pain with, or restriction of, lumbar extension in lying related to SI dysfunction

NOTES

Ensure the lumbar spine is not the source of the mechanical pain
Ensure mobilisation is a combination of; glide +/- rotation of ilium with opposing forces on sacrum as required

I.2. Posterior Innominate Extension in Lying MWM

patryk — Fri, 18 Aug 2023 05:14:07 +0000

MOBILISATION
Lateral/ventral glide +/- rotation of ilium on stabilized sacrum

MOVEMENT
Lumbo-sacral extension in lying

INDICATIONS
Pain with, or restriction of, lumbar extension in lying related to SIJ dysfunction

NOTES

Ensure the lumbar spine is not the source of the mechanical pain
Ensure mobilisation is a combination of glide +/- rotation of ilium with opposing forces on sacrum as required

I.3. Anterior Innominate Flexion in Standing MWM

patryk — Fri, 18 Aug 2023 05:15:52 +0000

MOBILISATION
Posterior glide +/- rotation of ilium on stabilized sacrum

MOVEMENT
Lumbo-sacral flexion in standing

INDICATIONS
Pain with, or restriction of, lumbo-sacral flexion in standing related to SIJ dysfunction

NOTES

Ensure the lumbar spine is not the source of the mechanical pain
Ensure mobilisation is a combination of glide +/- rotation of ilium with opposing forces on sacrum as required

I.4. Posterior Innominate Side Bending in Standing MWM

patryk — Fri, 18 Aug 2023 05:17:29 +0000

MOBILISATION
Posterior glide +/- rotation of ilium on stabilized sacrum

MOVEMENT
Lumbo-sacral side bending in standing

INDICATIONS
Pain with, or restriction of, lumbo-sacral side bending in standing related to SIJ dysfunction

NOTES

Ensure the lumbar spine is not the source of the mechanical pain
Ensure mobilisation is a combination of glide +/- rotation of ilium with opposing forces on sacrum as required

I.5. Sacro Illiac tape to sustain anterior glide and/or anterior rotation innominate in relation to sacrum after MWM

patryk — Fri, 18 Aug 2023 05:24:21 +0000

1 2 3 4 5

Start the tape on posterior aspect of the iliac crest
End the tape on the midline below the umbilicus

Purpose
to sustain effect of anterior glide and/or anterior rotation of the innominate in relation to the sacrum

Indications
Pain or limitation of trunk, pelvis or hip movement improved by anterior glide or rotation

IMPORTANT information and notes:

An assistant is needed, because the therapist has to apply the glide or rotation, while the other applies the tape
Use two layers of tape, first layer without tension, second layer with tension
The direction of the anterior glide and/or rotation of the innominate in relation to the sacrum can be varied to get the best result
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

I.6. Sacro Illiac tape to sustain posterior glide and/or posterior rotation innominate in relation to sacrum after MWM

patryk — Fri, 18 Aug 2023 05:27:05 +0000

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

J.1. Hip Internal Rotation MWM: Open Kinetic Chain

patryk — Fri, 18 Aug 2023 08:10:54 +0000

MOBILISATION
Lateral glide of femur on stabilized ilium

MOVEMENT
Hip internal rotation at 90 degrees hip flexion

INDICATIONS
Pain with, or restriction of, hip internal rotation

NOTES

Ensure the pelvis is stabilized by the hand closest to the client’s head
Ensure client’s knee is stable and able to flex sufficiently
Avoid moving practitioner’s hips

J.2. Hip Internal Rotation MWM: Closed Kinetic Chain

patryk — Fri, 18 Aug 2023 08:39:40 +0000

MOBILISATION
Lateral glide of femur on stabilized illium

MOVEMENT
Hip internal rotation in closed kinetic chain

INDICATIONS
Pain with, or restriction of, hip internal rotation in weight bearing

NOTES

Ensure the pelvis is stabilized with both hands
Have client stabilize self with hand on bed or chair

J.3. Hip External rotation MWM Faber Position

patryk — Sat, 19 Aug 2023 04:14:11 +0000

MOBILISATION
Lateral glide of femur on stabilized ilium

MOVEMENT
Hip external rotation in FABER position

INDICATIONS
Pain with, or restriction of, hip external rotation

NOTES
Ensure the pelvis is stabilized with the hand closest to client’s head

J.4. Hip Flexion MWM

patryk — Sat, 19 Aug 2023 04:15:58 +0000

MOBILISATION
Lateral glide of femur on stabilized ilium

MOVEMENT
Hip flexion

INDICATIONS
Pain with, or restriction of, hip flexion

NOTES
Ensure the pelvis is stabilized with hand closest to the client’s head

J.5. Hip Flexion/Adduction MWM

patryk — Sat, 19 Aug 2023 04:17:31 +0000

MOBILISATION
Antero-lateral glide of femur on stabilized illium

MOVEMENT
Hip flexion/adduction

INDICATIONS
Pain with, or restriction of, combined hip flexion/adduction

NOTES
May require added anterior vector of mobilisation force

J.6. Hip Extension MWM: Open Kinetic Chain

patryk — Sat, 19 Aug 2023 04:19:38 +0000

MOBILISATION
Lateral glide of femur on stabilized ilium

MOVEMENT
Hip extension through Thomas test manoeuver

INDICATIONS
Pain with, or restriction of, hip extension

NOTES

Ensure the pelvis is stabilized with the hand closest to the client’s head
Ensure the lumbar spine does not extend

J.7. Hip Extension MWM: Closed Kinetic Chain

patryk — Sat, 19 Aug 2023 04:21:17 +0000

MOBILISATION
Lateral glide of femur on stabilized ilium

MOVEMENT
Hip extension as a trunk lunge manoeuver

INDICATIONS
Pain with, or restriction of, hip extension in standing

NOTES

Ensure the pelvis is stabilized with both hands
Ensure the lumbar spine does not extend

J.8. Hip Abduction MWM: Closed Kinetic Chain

patryk — Sat, 19 Aug 2023 04:22:46 +0000

MOBILISATION
Posterior glide of femur on stabilized ilium

MOVEMENT
Hip Abduction

INDICATIONS
Pain with, or restriction of, hip abduction

NOTES

Ensure the pelvis is stabilized with both hands
Have client hold plinth or chair for security

J.9. Hip Flexion/Adduction PRP

patryk — Sat, 19 Aug 2023 04:24:58 +0000

PROCEDURE
Combined hip flexion/adduction with graded axial compression through femur

INDICATIONS
Non-irritable cases of chronic hip pain

NOTES

Graded axial pressure
All pain must be relieved in 20 seconds or less

J.10. Hip External Rotation Faber Position Stretch PRP

patryk — Sat, 19 Aug 2023 04:26:44 +0000

PROCEDURE
Combined hip flexion/abduction and external rotation (FABER position) with pressure at knee on stabilized pelvis

INDICATIONS
Non-irritable cases of chronic hip pain

NOTES

Graded passive pressure on knee
All pain must be relieved in 20 seconds or less

J.11. Hip External Rotation Faber Position Contraction PRP

patryk — Sat, 19 Aug 2023 04:28:20 +0000

PROCEDURE
Combined hip flexion/abduction and external rotation (FABER position) with graded resisted pressure at knee on stabilized pelvis

INDICATIONS
Non-irritable cases of chronic hip pain

NOTES

Graded resisted pressure on knee
All pain must be relieved in 20 seconds or less

J.12. Hip Flexion SMWLM

patryk — Sat, 19 Aug 2023 04:29:49 +0000

MOBILISATION
Medial glide of spinous process through thumb pad pressure on lamia

MOVEMENT
Hip flexion with knee extension

INDICATIONS
Pain with, or restriction of, hip flexion in straight leg position related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam padding for comfort
Perform only three repetitions on day one

J.13. Hip Extension SMWLM

patryk — Sat, 19 Aug 2023 04:31:25 +0000

MOBILISATION
Medial glide of spinous process through thumb pad pressure on lamia

MOVEMENT
Hip extension with knee flexion

INDICATIONS
Pain with, or restriction of, hip extension in knee flexion related to lumbar dysfunction

NOTES

Firm mobilisation pressure may be required
Use foam padding for comfort
Perform only three repetitions on day one

J.14. Hip Adduction MWM -traction-: Supine lying

patryk — Sat, 19 Aug 2023 04:35:47 +0000

MOBILISATION
Longitudinal traction through pull of mobilisation belt around client's thigh

MOVEMENT
Hip adduction

INDICATIONS
Pain with, or restriction of, hip adduction, tight tensor fascia lata

NOTES

Strap pelvis to bed for stability or use assistant
Place hips in extension with pillow under pelvis

J.15. Hip Abduction MWM: supine lying

patryk — Sat, 19 Aug 2023 04:37:43 +0000

Mobilisation
-Longitudinal traction through pull of mobilisation belt around client's thigh

Movement
Hip abduction

Indications
-tight adductors or chronic adductor strain
-pain with or restriction of hip abduction

Notes
-Ensure client does not rotate pelvis by belting pelvis to bed or using an assistant to stabilize

J.16. Prone Knee Bend in Prone - Hip Extension, Flexion Knee MWM + Traction

patryk — Sat, 19 Aug 2023 04:39:35 +0000

https://vimeo.com/266298025

MOBILISATION
Longitudinal traction through pull of mobilisation belt around client's thigh

MOVEMENT
Hip extension in knee flexion

INDICATIONS
-Pain with, or restriction of, hip extension
-Tight rectus femoris hip flexors or positieve femoral nerve test

NOTES

Ensure lumbar spine does not over extend
Perform only three repetitions on day one

J.17. Straight Leg Raise With Traction

patryk — Sat, 19 Aug 2023 04:41:13 +0000

https://vimeo.com/207470086J.17 = H.1. This technique can be used also for tight hamstrings.

MOBILISATION
Longitudinal leg traction

MOVEMENT
Straight leg raise or tight hamstrings

INDICATIONS

Pain with, or restriction of, straight leg raise
Pain that does not radiate below the knee on SLR

NOTES

Maintain traction force throughout range
Add hip abduction/adduction or internal/external rotation to improve SLR
Perform only three repetitions one day one, but when using this technique for tight hamstrings, more than 3 repetitions on day one are allowed

J.18 Trochanteric Bursistis Tape

patryk — Sat, 19 Aug 2023 05:02:57 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

J.18. Tape for Trochanteric Bursistis

J.18. Tape for Trochanteric Bursistis

patryk — Sat, 19 Aug 2023 05:04:40 +0000

1 2 3 4 5

Tape the tensor fascia lata ventrally to alter the tracking over the great trochanter

Start the tape 3 cm above the trochanter (halfway the buttock)
End the tape at the abdomen.

Purpose
to improve recovery in case treatment reduces the pain not enough

Indications
Painful (and swollen) bursa. Pain local to the trochanter (pain when standing up, sitting down, climbing stairs and sometimes walking)

IMPORTANT information and notes:

If the tape makes it worse, do the reverse, and tape the tensor fascia dorsally
Tell client to remove the tape after an hour if it does not appear to be helpful
Ideally re-tape every day, until the bursa has settled, but never leave the tape more than 48 hours
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

K.1. Knee Flexion MWM: Rotation in Open Chain

patryk — Sat, 19 Aug 2023 05:26:24 +0000

MOBILISATION
Internal rotation of tibia on femur

MOVEMENT
Knee flexion

INDICATIONS
Pain with, or restriction of , knee flexion in open kinetic chain

NOTES
Augment manual mobilisation force with use of mobilisation belt looped around client’s foot to add further tibial internal through client’s asymmetrical pull

K.2. Knee Flexion MWM: Rotation in Closed Chain

patryk — Sat, 19 Aug 2023 05:27:58 +0000

MOBILISATION
Internal rotation of tibia in closed kinetic chain

MOVEMENT
Knee flexion through client's forward trunk lunge

INDICATIONS
Pain with, or restriction of, knee flexion in closed kinetic chain

NOTES

Pad fibula with foam pad for comfort
Progress to full weight bearing as tolerated

K.3. Knee Flexion MWM: Side Glide with Belt Assistance

patryk — Sat, 19 Aug 2023 05:29:31 +0000

MOBILISATION
Lateral or medial glide of tibia through mobilisation belt

MOVEMENT
Knee flexion or extension

INDICATIONS
Pain with, or restriction of, knee flexion

NOTES
Pad belt with foam pad

K.4. Knee Flexion MWM: Posterior Glide

patryk — Sat, 19 Aug 2023 05:31:03 +0000

MOBILISATION
Posterior glide of tibia

MOVEMENT
Knee Flexion

INDICATIONS
Pain with, or restriction of, knee flexion

NOTES

Ankle should passively dorsi-flex with application of correct mobilisation force
Ensure to track with the dynamic treatment plane through the range of flexion

K.5. Knee Flexion MWM: Superior Tib-Fib in Closed Kinetic Chain

patryk — Sat, 19 Aug 2023 05:32:22 +0000

MOBILISATION
Anterior glide of fibula on stabilized tibia

MOVEMENT
Knee flexion in partial weight bearing

INDICATIONS
Pain with, or restriction of, knee flexion in closed kinetic chain

NOTES

Direction of glide is obliquely oriented
Pad posterior fibula with foam pad for comfort

K.6. Knee Extension MWM: Rotation

patryk — Sat, 19 Aug 2023 05:33:52 +0000

MOBILISATION
External / internal rotation of tibia on stabilized femur

MOVEMENT
Knee extension

INDICATIONS
Pain with, or restriction of, knee extension

NOTES
Mobilisation mimics normal screw home mechanism

K.7. Knee Extension MWM: Side Glide in Open Chain

patryk — Sat, 19 Aug 2023 05:35:11 +0000

MOBILISATION
Side glide of tibia on stabilized femur

MOVEMENT
Knee extension or flexion

INDICATIONS
Pain with, or restriction of, knee extension in open kinetic chain

NOTES
Ensure mobilisation force produces a true glide, not a valgus or varus movement

K.8. Knee Extension MWM: Side Glide in Closed Chain

patryk — Sat, 19 Aug 2023 05:36:46 +0000

MOBILISATION
Lateral or medial glide of tibia on stabilized femur

MOVEMENT
Knee extension in partial weight bearing

INDICATIONS
Pain with, or restriction of, knee extension in closed kinetic chain

NOTES

Consider tibial rotation variations through foot placement
Have client hold chair for stability

K.9. Knee Extension MWM: Sup. Tib-Fib in Open Chain

patryk — Sat, 19 Aug 2023 05:38:04 +0000

MOBILISATION
Anterior or posterior glide of fibula on stabilized tibia

MOVEMENT
Knee extension

INDICATIONS
Pain with, or restriction of, knee extension in open kinetic chain

NOTES
Use foam pad for comfort

K.10. Knee Extension MWM: Sup. Tib-Fib in Closed Chain

patryk — Sat, 19 Aug 2023 05:39:27 +0000

MOBILISATION
Anterior or posterior glide of fibula on stabilized tibia

MOVEMENT
Knee extension

INDICATIONS
Pain with, or restriction of, knee extension in closed kinetic chain

NOTES

Use foam pad for comfort
Progress from partial to full weight bearing

K.11. Squeeze for the Knee

patryk — Sat, 19 Aug 2023 05:40:47 +0000

MOBILISATION
Inwards pressure at point of maximum joint line pressure tenderness

MOVEMENT
Knee flexion or extension

INDICATIONS
Pain with, or restriction of, knee flexion due to internal derangement of the knee meniscus

NOTES

Joint line palpation tenderness must be tolerable
Progress from open to closed kinetic chain

K.12. Knee PRP

patryk — Sat, 19 Aug 2023 05:42:15 +0000

https://vimeo.com/207473452

PROCEDURE
Graded axial compression of knee with small range flexion/extension/rotation to point of just eliciting pain

INDICATIONS
Chronic, non-irritable knee pain

NOTES

Ensure all pain is abolished in under 20 seconds
May need to seek out pain reproduction in various combinations of tibial rotation

K.13. Patello Femoral PRP

patryk — Sat, 19 Aug 2023 05:43:42 +0000

PROCEDURE
Posterior compression of patella on femur with small range cranial/caudal or medial/lateral glide

INDICATIONS
Chronic, non-irritable retro-patellar pain

NOTES

Ensure all pain is abolished in under 20 seconds
May need to seek pain reproduction in various combinations of patellar and knee positions

K.14. Knee Flexion Self-MWM Rotation in Closed Chain

patryk — Sun, 20 Aug 2023 05:52:10 +0000

Mobilisation
Internal rotation of tibia in closed kinetic chain

Movement
Knee flexion through client's forward trunk lunge

Indications
Pain with, or restriction of, knee flexion in closed kinetic chain

Notes
-Ensure NO PAIN, no discomfort
-Pad fibula with foam pad for comfort
-Progress to full weight bearing as tolerated

K.15. Knee Flexion Self-MWM Superior Tibia Fibula in Closed Kinetic Chain

patryk — Sun, 20 Aug 2023 05:56:45 +0000

Mobilisation
Anterior glide of fibula on stabilized tibia

Movement
Knee flexion in partial weight bearing

Indications
Pain with, or restriction of, knee flexion in closed kinetic chain

Notes
-Ensure NO PAIN, no discomfort
-Direction of glide is obliquely oriented

K.16. Knee tape to sustain tibial internal rotation after MWM

patryk — Sun, 20 Aug 2023 06:01:16 +0000

1 2 3 4 5

Start the tape on posterior lateral aspect of fibula. The uper edge of the tape lies over patella tendon (2 cm below knee cap)
End the tape on posterolateral femur

Purpose
to sustain effect of tibio internal rotation MWM

Indications
-Painful and/or restricted knee flexion (or extension) movement or patellofemoral pain
-Often helpful after knee replacements

IMPORTANT information and notes:

Apply tape while client stand with foot slightly internal rotated, knee slightly flexed (5-10 degrees) and femur externally rotated, to increase tape tension
Tension needs to be maximal
Use two layers of tape for maximal effect (with equal tension)
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

K.17. Knee tape to sustain tibial external rotation after MWM

patryk — Sun, 20 Aug 2023 06:05:43 +0000

1 2 3 4 5

Start the tape on medial aspect of tibia immediately below medial knee joint line. The uper edge of the tape lies over patella tendon (2 cm below knee cap)
End the tape on anterior-medial side of femur

Purpose
to sustain effect of tibio external rotation MWM

Indications
Painful and/or restricted knee flexion (or extension) movement or patellofemoral pain

IMPORTANT information and notes:

Apply tape while client stand with foot slightly external rotated, knee slightly flexed (5-10 degrees) and femur internally rotated, to increase tape tension
Tension needs to be maximal
Use two layers of tape for maximal effect (with equal tension)
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

K.18. Knee tape to sustain proximal fibula ventrally after MWM

patryk — Sun, 20 Aug 2023 06:09:34 +0000

1 2 3 4 5

Start the tape on posterior aspect of fibula
End the tape just below on the medial proximal tibia

Purpose
to sustain effect of fibular glide ventrally after MWM

Indications
-Lateral knee pain in proximity of the head of fibula during knee flexion or extension

IMPORTANT information and notes:

Use two layers of tape for maximal effect
If you make it worse, do the reverse: tape on anterior aspect of fibula to posterior aspect of tibia
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

K.19. Knee tape to sustain proximal fibula dorsally after MWM

patryk — Sun, 20 Aug 2023 06:12:47 +0000

1 2 3 4 5

Start the tape on anterior aspect of fibula
End the tape just below on posterior aspect of tibia

Purpose
to sustain effect of fibular glide dorsally after MWM

Indications
-Lateral knee pain in proximity of the head of fibula during knee flexion or extension

IMPORTANT information and notes:

Use two layers of tape for maximal effect
If you make it worse, do the reverse: tape on posterior aspect of fibula to anterior aspect of tibia
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

L.1. Ankle Dorsi-Flexion MWM: Open Kinetic Chain

patryk — Sun, 20 Aug 2023 07:44:23 +0000

MOBILISATION
Posterior glide of talus on stabilized tibia/fibula

MOVEMENT
Passive dorsi-flexion through client’s pull of belt on forefoot +/- practitioner’s thigh on sole of foot for over pressure

INDICATION
Pain with, or restriction of, ankle dorsi-flexion

NOTES

Ensure movement is passive not active
Place roll behind client’s knee to relieve gastrocnemius tension

L.2. Ankle Dorsi-Flexion MWM: Closed Kinetic Chain

patryk — Sun, 20 Aug 2023 07:59:00 +0000

MOBILISATION
Anterior glide of tibia on stabilized talus

MOVEMENT
Ankle dorsiflexion through lunge of client

INDICATIONS
Pain with, or restriction of, ankle dorsi-flexion in closed kinetic chain

NOTES

Ensure to track with the dynamic treatment plane through range
Pad the tendo-achilles with folded towel

L.3. Ankle Dorsi-Flexion: Inf. Tib-Fib in Open Chain

patryk — Sun, 20 Aug 2023 08:00:46 +0000

MOBILISATION
Posterior-cranial glide of fibula on stabilized tibia

MOVEMENT
Ankle dorsi-flexion

INDICATIONS
Pain with, or restriction of, ankle dorsi-flexion in open chain related to dysfunction of the inferior tib-fib joint

NOTES

Pad lateral malleolus with foam pad
Client may give overpressure through pull of belt wrapped around foot

L.4. Ankle Dorsi-Flexion: Inf. Tib-Fib in Closed Chain

patryk — Sun, 20 Aug 2023 08:02:29 +0000

MOBILISATION
Postero-cranial glide of fibula on stabilized tibia

MOVEMENT
Ankle dorsi-flexion through client’s forward lunge

INDICATIONS
Pain with, or restriction of, ankle dorsi-flexion in closed kinetic chain related to dysfunction of the inferior Tib-Fib joint

NOTES
Pad lateral malleolus with foam pad for comfort

L.5. Ankle Plantar-Flexion MWM

patryk — Sun, 20 Aug 2023 08:03:59 +0000

MOBILISATION
Posterior glide of tibia on stabilized talus

MOVEMENT
Ankle plantar-flexion

INDICATIONS
Pain with, or restriction of, ankle plantar-flexion

NOTES

Ensure client does not resist plantar-flexion movement
Treatment plane is parallel to postero not postero-caudal
Both the mobilisation and the movement are done passive!

L.6. Ankle Plantar-Flexion MWM with Belt Assistance

patryk — Sun, 20 Aug 2023 08:05:37 +0000

MOBILISATION
Anterior glide of talus on stabilized tibia

MOVEMENT
Ankle plantar-flexion

INDICATIONS
Pain with, or restriction of, ankle plantar-flexion for smaller practitioners working on larger clients

NOTES

Place rolled towel in front of distal tibia to avoid hyper extending knee
Ensure plantar-flexion occurs at ankle not mid-tarsal joint

L.7. Sprained Ankle MWM: Inf. Tib-Fib

patryk — Sun, 20 Aug 2023 08:08:39 +0000

MOBILISATION
Postero-cranial glide base of fibula on stabilized tibia

MOVEMENT
Combined plantar-flexion/inversion

INDICATIONS

Pain with, or restriction of, combined plantar/flexion/inversion
“Sprained Ankle”

NOTES

Ensure ankle dorsi-flexes and everts with application of mobilisation force
Have client add end range loading overpressure through mobilisation belt wrapped around fore foot

L.8. Sprained Ankle MWM: Sup. Tib-Fib

patryk — Sun, 20 Aug 2023 08:10:52 +0000

MOBILISATION
Anterior glide base on stabilized tibia

MOVEMENT
Combined plantar-flexion/inversion

INDICATIONS

Pain with, or restriction of, combined plantar-flexion/inversion
“Sprained ankle”

NOTES
Have client add end range loading overpressure through mobilisation belt wrapped around forefoot

L.9. Inversion Sprain tape to sustain or improve fibula posterior/superior glide after MWM

patryk — Sun, 20 Aug 2023 09:39:35 +0000

1 2 3 4 5

Start the tape on the anterior aspect of the fibula
End the tape on the anterior aspect of the tibia (shin)

Purpose
to improve treatment of fibula posterior/superior glide on the tibia

Indications
Painful and/or restricted ankle function (for instance: plantar flexion, inversion, dorsiflecion etc.), after ankle sprain

IMPORTANT information and notes:

Use two layers of tape for maximal effect with equal tension
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30-50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.1. Inter-Metatarsal Inversion MWM

patryk — Sun, 20 Aug 2023 09:46:02 +0000

MOBILISATION
Ventral (or dorsal) glide of 1st metatarsal base on stabilized 2nd metatarsal

MOVEMENT
Forefoot Inversion

INDICATIONS
Pain with, or restriction of, forefoot inversion

NOTES
May benefit from positional correction taping

M.2. Metatarsalgia MWM

patryk — Sun, 20 Aug 2023 09:47:34 +0000

MOBILISATION
Ventral glide of metatarsal head on adjacent metatarsal

MOVEMENT
Toe flexion

INDICATIONS
Pain with, or restriction of, toe flexion

NOTES
May benefit from positional correction taping

M.3. First Metatarsal Cuneiform Inversion MWM

patryk — Sun, 20 Aug 2023 09:49:03 +0000

MOBILISATION
Ventral glide base of first metatarsal on stabilized medial cuneiform

MOVEMENT
Forefoot and ankle inversion

INDICATIONS
Pain with, or restriction of, medial mid-foot inversion

NOTES

Ensure ventral glide is of first metatarsal base not plantar-flexion of first ray
May benefit from positional correction taping

M.4. Medial Cuneiform Navicular Inversion MWM

patryk — Sun, 20 Aug 2023 09:50:33 +0000

MOBILISATION
Ventral glide base of medial cuneiform on stabilized navicular

MOVEMENT
Forefoot inversion

INDICATIONS
Pain with, or restriction of, medial mid-foot inversion

NOTES
Alternatively, may respond to dorsal glide of medial cuneiform

M.5. Fifth Metatarsal Cuboid Inversion MWM

patryk — Sun, 20 Aug 2023 09:51:50 +0000

MOBILISATION
Ventral glide of fifth +/- fourth metatarsal base on stabilized cuboid

MOVEMENT
Forefoot inversion

INDICATIONS
Pain with, or restriction of, lateral mid-foot inversion

NOTES

Ensure ventral glide is of metatarsal base not plantar-flexion of metatarsal
May benefit from post-MWM positional correction taping

M.6. Fifth Metatarsal Cuboid PRP

patryk — Sun, 20 Aug 2023 09:53:01 +0000

MOBILISATION
Graded compression and antero-postero gliding of fourth +/- fifth metatarsal bases on stabilized cuboid

INDICATIONS
Chronic, non-irritable, lateral mid-foot pain

NOTES

All pain must disappear in 20 seconds or less
Use graded compression force only

M.7. Second Metatarsal “Metatarsalgia” Compression PRP

patryk — Sun, 20 Aug 2023 10:06:23 +0000

PROCEDURE
Antero-postero glide of second +/- third toe proximal phalanx base on stabilized metatarsal with graded compression

INDICATIONS

Chronic, non-irritable cases of central foot pain in weight bearing
“Metatarsalgia”

NOTES

All pain must disappear in 20 seconds or less
Use graded compression force only

M.8. Heel Pain Self-Mobilisation

patryk — Sun, 20 Aug 2023 10:07:48 +0000

PROCEDURE
Client instructed to perform heel circles to maintain mobility of sub-talar joint

INDICATIONS

Heel pain on first arising in morning that eases with walking
“Plantar fasciitis”

NOTES

Client should perform exercises in morning before rising from bed
Augment with local sub-talar joint mobilisation, Achilles stretches and shoe wear advice

M.9. First MTP Extension MWM: Open Kinetic Chain

patryk — Sun, 20 Aug 2023 10:09:41 +0000

MOBILISATION
Medial glide of first toe proximal phalanx on stabilized first metatarsal

MOVEMENT
First toe extension

INDICATIONS
Pain with, or restriction of, first toe extension

NOTES

Ensure mobilisation force produces a true glide not a medial tilt (abduction) of phalanx
May require additional rotation component
You might support the effect of the mobilisation with a follow up tape

M.10. First MTP Extension MWM: Closed Kinetic Chain

patryk — Sun, 20 Aug 2023 10:11:05 +0000

MOBILISATION
Lateral glide of first metatarsal on stabilized proximal phalanx

MOVEMENT
First toe extension through client’s plantar-flexion at the ankle

INDICATIONS
Pain with, or restriction of, first toe extension in closed kinetic chain

NOTES

Ensure mobilisation force produces a true glide not a medial tilt (abduction) of phalanx
May require additional rotation component

M.11. First MTP PRP

patryk — Sun, 20 Aug 2023 10:12:50 +0000

PROCEDURE
Combined compression/antero-postero gliding of first MTP joint

INDICATIONS
Chronic non-irritable cases of great toe pain

NOTES

All pain must disappear in 20 seconds or less
Use graded compression force only

M.12. EHL Tenopathy Stretch PRP

patryk — Sun, 20 Aug 2023 10:14:49 +0000

PROCEDURE
Passive flexion of 1st toe MTP and IP joints on stabilized metatarsal

INDICATIONS
Chronic non-irritable cases of pain with EHL stretch

NOTES

All pain must disappear in 20 seconds or less
Progress with more range of toe flexion

M.13. EHL Tenopathy Contraction PRP

patryk — Sun, 20 Aug 2023 11:51:27 +0000

PROCEDURE
Active resisted extension of first toe MTP and IP joints on stabilized metatarsal

INDICATIONS
Chronic non-irritable cases with EHL contraction

NOTES

All pain must disappear in 20 seconds or less
Progress with various positions of toe flexion/extension and/or resistance force

M.14. Sesamoid Compression PRP

patryk — Sun, 20 Aug 2023 11:52:54 +0000

PROCEDURE
Passive flexion – extension of first toe MTP/IP with antero-postero compression of sesamoids

INDICATIONS

Chronic, non-irritable cases on medial forefoot pain with weight bearing
“Sesamoiditis”

NOTES

Take care not to pinch with compression grip
All pain must be abolished in 20 seconds or less

M.15. Sesamoids tape beneath the 1st metatarsophalangeal joint

patryk — Sun, 20 Aug 2023 11:56:39 +0000

1 2 3 4 5

Start the tape just lateral of sesamoid bones and pull tape medial/oblique
End the tape on dorsum of the foot

Purpose
to sustain medial glide of sesamoid bones

Indications
Pain during weight bearing under the base of the big toe

IMPORTANT information and notes:

Metatarsophalangeal joint itself is during examination symptom-free
Taping of the sesamoid bones can be combined with a PRP compression of the sesamoid bones
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (12 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.16. Foot tape to sustain dorsal/plantar glide of medial cuneiform on navicular after MWM – two tapes

patryk — Sun, 20 Aug 2023 12:00:04 +0000

1 2 3 4 5

Start the first tape on the dorsal aspect of navicular
End first the tape on the plantar aspects of the foot

Start the secondtape the plantar aspect of the medial cuneiform
End the second tape on the dorsal aspect of the mid foot

Purpose
to sustain dorsal/plantar glide MWMmedial cuneiform on navicular

Indications
Painful medial foot during mid-foot movement (inversion or eversion)

IMPORTANT information and notes:

Reverse tape technique if necessary
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30-50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.17. Foot tape to sustain dorsal/ventral glide of 5th metatarsal on cuboid after MWM

patryk — Sun, 20 Aug 2023 12:05:21 +0000

1 2 3 4 5

Start the first tape proximal on the plantar or dorsal aspect of the cuboid
End first the tape on the respective aspect of the foot

Start the secondtape distal on the dorsal aspect of 5th metatarsal
End the second tape on the plantar aspect of the mid foot
OR
Start the secondtape distal on the plantar aspect of 5th metatarsal
End the second tape on the dorsal aspect of the mid foot

Purpose
to sustain dorsal/ventral glide MWM 5th metatarsal on cuboid

Indications
Painful lateral foot during inversion or eversion

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30-50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.18. Mid foot tape to sustain dorsal/ventral glide of 5th metatarsal on 4th metatarsal after MWM

patryk — Sun, 20 Aug 2023 12:20:26 +0000

1 2 3 4 5

Start the tape distal on the plantar aspect of the 5th metatarsal
End the tape on the dorsal aspect of the mid foot
OR
Start the tape distal on the dorsal aspect of 5th metatarsal
End the tape on the plantar aspect of the mid foot

Purpose
to sustain dorsal/ventral glide MWM 5th metatarsal on 4th metatarsal

Indications
Painful lateral foot during inversion or eversion

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30-50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.19. Foot tape to sustain medial glide for 1st metatarsophalangeal joint after MWM

patryk — Sun, 20 Aug 2023 12:25:42 +0000

1 2 3 4 5

Start the tape on the lateral aspect of the proximal phalanx big toe
End the tape on the dorsal and plantair aspect of the midfoot

Purpose
to sustain medial glide MWM for 1st metatarsophalangeal joint

Indications
Painful 1st metatarsophalangeal joint with extension or flexion

IMPORTANT information and notes:

Stabilize the 1st metatarsal with your thumbs and, glide with your index fingers the proximal phalanx towards you
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately
Ensure that after taping the provocative movement is less painful and ROM is improved
Ensure NO PAIN, no discomfort

M.20. Foot tape (MTP1) to sustain internal rotation of the proximal phalanx on the 1st metatarsal bone after MWM

patryk — Sun, 20 Aug 2023 12:30:07 +0000

1 2 3 4 5

Start the (rotation) tape on the dorsal aspect of the proximal phalanx of the big toe
End the tape on the dorsal/lateral aspect of the mid foot

Purpose
to sustain internal rotation of proximal phalanx of big toe after MWM

Indications
Painful first metatarsophalangeal joint with extension or flexion

IMPORTANT information and notes:

If you make it worse do the reverse (internal rotation)
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20-25 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

M.21. Heel tape for plantar fasciitis

patryk — Sun, 20 Aug 2023 12:57:00 +0000

1 2 3 4 5

Start the first tape obliquely around the back of the heel, have the calcaneum externally rotated.
End the tape on the lower leg.

Apply the second tape over the first to make the fixation more effective.

Purpose
to alter the position of the calcaneum in relation to the talus

Indications
Painful heel – Plantar Fasciitis

IMPORTANT information and notes:

After taping, client will have difficulty to walk because of the repositioning, but NO PAIN should be felt! After a few minutes of walking tape will stretch and it should feel fine.
Remove tape after 48 hours and check result
Continue taping for a week or two/three. Client can be taught to self-tape.
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

N.1. Shoulder Painful Arc MWM

patryk — Mon, 21 Aug 2023 05:10:20 +0000

MOBILISATION
Postero-lateral glide of humerus on stabilized scapula

MOVEMENT
Shoulder elevation through the range of scaption

INDICATIONS
Painful arc of active shoulder elevation through scaption

NOTES

Ensure scapula is allowed to rotate normally on thorax
May require additional inferiorly directed mobilisation force component in upper third of range of elevation

N.2. Shoulder Painful Arc MWM: Resistance Training

patryk — Mon, 21 Aug 2023 05:13:15 +0000

MOBILISATION
Postero-lateral glide of humerus on stabilized scapula

MOVEMENT
Shoulder elevation through the range of scaption against resistance

INDICATIONS
Progression of forces for painful arc of shoulder elevation through scaption

NOTES

Ensure scapula is allowed to rotate normally on thorax
May require additional inferiorly directed mobilisation force component in upper third of range of elevation

N.3. Shoulder Painful Arc MWM with Belt Assistance

patryk — Mon, 21 Aug 2023 05:15:28 +0000

MOBILISATION
Postero-lateral glide of humerus on stabilized scapula through mobilisation belt

MOVEMENT
Shoulder elevation through the range of scaption

INDICATIONS

Painful arc of active shoulder elevation through scaption
Useful for smaller practitioners working on larger clients

NOTES

Consider effects of adverse neural tension
Ensure scapula is allowed to rotate normally on thorax

N.4. Shoulder elevation Arc MWM: Supine

patryk — Mon, 21 Aug 2023 05:45:23 +0000

MOBILISATION
Postero-lateral glide of humerus on stabilized scapula

MOVEMENT
Shoulder elevation through the range of scaption

INDICATIONS

Pain with, or restriction of, shoulder elevation
Non-Irritable cases

NOTES

Practitioner #1 produces postero-lateral glide
Practitioner #2 produces inferior glide of humerus and passive elevation

N.5. Shoulder Elevation MWM: Standing

patryk — Mon, 21 Aug 2023 05:46:56 +0000

MOBILISATION
Postero-lateral-inferior glide of humerus on stabilized scapula

MOVEMENT
Shoulder elevation through the range of scaption

INDICATIONS
Pain with, or restriction of, shoulder elevation

NOTES

Ensure humerus is in external rotation
Provide end range loading overpressure through practitioner’s shoulder on client’s humerus

N.6. Shoulder Elevation MWM: End Range

patryk — Mon, 21 Aug 2023 05:48:14 +0000

MOBILISATION
Postero-lateral glide of humerus on stabilized scapula

MOVEMENT
Shoulder elevation through hip/lumbar flexion with client’s hand on wall

INDICATIONS
Pain with, or restriction of, end range shoulder elevation

NOTES

Use wall counter-pressure to stabilize practitioner’s elbow and client’s hands
Have client flex at waist to achieve shoulder elevation end range loading overpressure

N.7. Shoulder Internal Rotation MWM

patryk — Mon, 21 Aug 2023 05:49:41 +0000

MOBILISATION
Inferior glide of humerus on stabilized scapula through pressure of practitioner’s thumb in client’s cubital fossa
Adduction of humerus by pressure of practitoner’s abdomen on client’s elbow

MOVEMENT
Auto-assisted hand behind back motion through pull of mobilisation belt

INDICATIONS
Pain with, or restriction of, shoulder internal rotation movement of hand behind back

NOTES

Ensure cubital fossa grip does not block forearm elevation up back
Ensure scapular stabilizing hand force is directed cranio-medially not laterally (do not lever humerus out of glenoid fossa)

N.8. Shoulder Internal Rotation MWM: Belt Assisted

patryk — Mon, 21 Aug 2023 05:51:10 +0000

MOBILISATION
Inferior glide of humerus on stabilized scapula through pull of mobilisation belt in cubital fossa
Adduction of humerus by pressure of practitioner’s abdomen on client’s elbow

MOVEMENT
Auto-assisted hand behind back through pull of mobilisation belt

INDICATIONS

Pain with, or restriction of, shoulder internal rotation hand behind back
Useful for smaller practitioners working with larger clients

NOTES

Place folded mobilisation belt tight into cubital fossa so that it does not block forearm elevation up back
Ensure scapular stabilizing hands force is directed cranio-medially not laterally (do not lever humerus out of glenoid fossa)

N.9. Shoulder Painful Arc Positional SNAG

patryk — Mon, 21 Aug 2023 05:52:31 +0000

MOBILISATION
Bilateral medial pressure to laminae of adjoining vertebrae

MOVEMENT
Active shoulder elevation through the range of scaption

INDICATIONS
Chronic, non-irritable cases of painful arc related to cervical dysfunction

NOTES

Ensure pressure is begun quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

N.10. Shoulder Horizontal Adduction PRP

patryk — Mon, 21 Aug 2023 05:53:46 +0000

PROCEDURE
Graded postero-lateral glide of humerus through axial pressure through olecranon on stabilized scapula

INDICATIONS
Chronic, non-irritable cases of shoulder pain +/- rotator cuff lesions

NOTES

Use graded pressure only
All pain must be relieve in 20 seconds or less

N.11. A. Shoulder Girdle Flexion MWM: Open Chain

patryk — Mon, 21 Aug 2023 05:55:20 +0000

https://vimeo.com/456459285

MOBILISATION
Compression/inferior/medial glide and internal rotation of scapula on stabilized clavicle/anterior thorax

MOVEMENT
Shoulder elevation through flexion

INDICATIONS
Pain with, or restriction of, shoulder girdle elevation related to shoulder girdle dysfunction

NOTES

Ensure to maintain good contact of scapula to chest wall
Use hand on clavicle to provide counter-pressure

N.11.B. Shoulder Girdle Flexion MWM: Closed Chain

patryk — Mon, 21 Aug 2023 05:57:08 +0000

MOBILISATION
Compression/inferior/medial glide and internal rotation of scapula on stabilized clavicle/anterior thorax

MOVEMENT
Shoulder flexion through client's movement in four point kneeling

INDICATIONS
Progression of pain with, or restriction of, loaded overhead shoulder elevation related to shoulder girdle dysfunction

NOTES

Ensure to maintain good contact of scapula to chest wall
Use hand on clavicle/anterior chest wall to provide counter-pressure

N.12. Acromio-Clavicular Flexion MWM

patryk — Mon, 21 Aug 2023 05:58:38 +0000

MOBILISATION
Caudal glide of lateral aspect of clavicle

MOVEMENT
Shoulder flexion / elevation

INDICATIONS
Non-irritable Acromio-Clavicular joint dysfunction

NOTES
Advise client of potential pain-free crepitus

N.13. Acromio-Clavicular Horizontal Adduction MWM

patryk — Mon, 21 Aug 2023 06:00:13 +0000

MOBILISATION
Caudal glide of lateral aspect of clavicle

MOVEMENT
Horizontal adduction

INDICATIONS
Non-irritable acromio-clavicular joint dysfunction

NOTES
Advise client of potential pain-free crepitus

N.14. Shoulder Self-MWM

patryk — Mon, 21 Aug 2023 13:12:13 +0000

Mobilisation
Postero-lateral and slightly caudal glide of the humerus

Movement
Shoulder elevation through the range of scaption

Indications
Painful arc or active shoulder elevation through scaption

Notes
- Ensure NO PAIN, no discomfort
- May require additional inferiorly directed mobilisation force component in upper third of range of elevation

N.15. Shoulder Self-Treatment

patryk — Mon, 21 Aug 2023 13:15:20 +0000

HOMEWORK exercise to increase the range of movement

Indications
Stiff shoulders (Chronic shoulder problems)

Notes
- Ensure NO PAIN, no discomfort
- Exercise the shoulder while lying on the back
-Keep the shoulder blades on the bed while stretching a pole (broom-stick/golf-club) above the head

N.16. Shoulder Self-MWM with belt

patryk — Mon, 21 Aug 2023 13:17:06 +0000

Mobilisation
Postero-lateral and slightly caudal glide of humerus on stabilized scapula

Movement
Shoulder elevation through the range of scaption

Indications
Painful arc or active shoulder elevation through scaption

Notes
- Ensure NO PAIN, no discomfort
- May require additional inferiorly directed mobilisation force component in upper third of range of elevation
- Use towel or foam pad for extra comfort

N.17. Cervical Self-Mobilisation With Arm Movement

patryk — Mon, 21 Aug 2023 13:18:44 +0000

Mobilisation
Transverse pressure of the spinous process to right at level C2-C7

Movement
Left arm horizontal adduction

Indications
This technique can be used for any other arm movement with segmental/spine type pain, for example, elevation arm etc.

Notes
- Ensure NO PAIN, no discomfort
- Head client in good postural position
- Client pokes finger strongly forward before he pulls across

N.18. Shoulder Tape for extra support MWM

patryk — Mon, 21 Aug 2023 13:23:18 +0000

1 2 3 4 5

Start the tape on anterior aspect of humeral head
End the tape at inferior border of scapula

Purpose
to sustain glide force on humeral head

Indications
Painful limitation of active range of glenohumeral abduction and/or elevation

IMPORTANT information and notes:

Glide the humeral head in posterior direction while applying tape
The tape is crossing the acromion lateral to the A-C joint
Apply two layers of tape for maximal effect
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

O.1. Tennis Elbow MWM

patryk — Tue, 22 Aug 2023 05:00:49 +0000

MOBILISATION
Lateral glide of radius and ulna on stabilized humerus

MOVEMENT
Resisted grip

INDICATIONS
Lateral elbow pain with resisted grip

NOTES

May require cranial orientation to mobilisation force
Ensure to clear through all ranges of elbow flexion and extension

O.2. Tennis Elbow MWM with Belt Assistance

patryk — Tue, 22 Aug 2023 05:02:51 +0000

MOBILISATION
Lateral glide of radius and ulna through mobilisation belt on stabilized humerus

MOVEMENT
Resisted gripping or resisted extension wrist

INDICATIONS
Lateral elbow pain with resisted grip or wrist extension

NOTES

May require cranial orientation to mobilisation force
Ensure to clear through all ranges of elbow flexion and extension

O.3. Tennis Elbow MWM: Posterior Glide

patryk — Tue, 22 Aug 2023 05:04:20 +0000

MOBILISATION
Posterior glide of radius and ulna on stabilized humerus

MOVEMENT
Resisted wrist extension +/- grip

INDICATIONS
Lateral elbow pain with resisted wrist extension and/or grip

NOTES
Pad belt with foam pad for comfort

O.4. Tennis Elbow Positional SNAG

patryk — Tue, 22 Aug 2023 05:05:49 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted wrist extension +/- grip

INDICATIONS

Resistant cases of tennis elbow associated with cervical dysfunction
Non-irritable cases

NOTES

Begin mobilisation quite lateral on cervical spine to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

O.5. Golfer’s Elbow MWM

patryk — Tue, 22 Aug 2023 05:06:56 +0000

MOBILISATION
Medial glide olecranon on stabilized humerus

MOVEMENT
Resisted grip

INDICATIONS
Medial elbow pain with resisted wrist/finger flexion

NOTES

Use cupped hand to apply mobilisation force to olecranon
Clear through all ranges of flexion and extension

O.6. Golfer’s Elbow Positional SNAG (SMWAM)

patryk — Tue, 22 Aug 2023 05:08:36 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted wrist flexion +/- grip

INDICATIONS

Resisted cases of golfer’s elbow associated with cervical dysfunction
Non-irritable cases

NOTES

Begin cervical mobilisation quite laterally to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

O.7. Elbow Flexion MWM: Side Glide

patryk — Tue, 22 Aug 2023 05:10:43 +0000

MOBILISATION
Medial or lateral glide of radius and ulna on stabilized humerus

MOVEMENT
Elbow flexion

INDICATIONS
Pain with, or restriction of, elbow flexion

NOTES

Ensure to change vector of mobilisation force through range to account for carrying angle of elbow
Patient can apply their own overpressure with their free hand

O.8. Elbow Flexion MWM: Rotation

patryk — Tue, 22 Aug 2023 05:12:08 +0000

MOBILISATION
Internal or external rotation of olecranon in trochlea

MOVEMENT
Elbow flexion

INDICATIONS
Pain with, or restriction of, elbow flexion

NOTES
Rotation of olecranon is a form of pronation/supination tilting of olecranon in trochlea

O.9. Elbow Flexion MWM: Radio-Humeral

patryk — Tue, 22 Aug 2023 05:13:36 +0000

MOBILISATION
Anterior glide head of radius on stabilized capitulum of humerus

MOVEMENT
Elbow flexion

INDICATIONS
Pain with, or restriction of, elbow flexion related to radio humeral joint dysfunction

NOTES

Pad head of humerus with foam pad
Vary vector of mobilisation force to track with the dynamic treatment plane through range of movement

O.10. Elbow Extension MWM: Side Glide

patryk — Tue, 22 Aug 2023 05:15:23 +0000

MOBILISATION
Medial or lateral glide olecranon on stabilized humerus

MOVEMENT
Elbow extension

INDICATIONS
Pain with, or restriction of, elbow extension

NOTES
Ensure to change vector of mobilisation force through range to account for carrying angle of elbow

O.11. Elbow Extension MWM: Radio-Humeral Joint

patryk — Tue, 22 Aug 2023 05:16:49 +0000

MOBILISATION
Posterior/lateral glide of head of radius on stabilized humerus/ulna

MOVEMENT
Elbow extension

INDICATIONS
Pain with, or restriction of, elbow extension related to radio humeral and/or superior radio/ulnar joint dysfunction

NOTES

Use foam pad as required for comfort
Ensure glide direction has significant lateral vector of force

O.12. Elbow Extension MWM: Rotation

patryk — Tue, 22 Aug 2023 05:18:17 +0000

MOBILISATION
Internal or external rotation of olecranon in trochlea

MOVEMENT
Elbow extension

INDICATIONS
Pain with, or restriction of, elbow extension

NOTES
Rotation of olecranon is a form of pronation/supination tilting of olecranon in trochlea

O.13. Tennis Elbow PRP

patryk — Tue, 22 Aug 2023 05:19:43 +0000

PROCEDURE
Active resisted contraction of finger/hand extensors

INDICATIONS

Chronic, non-irritable cases of lateral elbow pain with resisted finger extension

NOTES

Ensure resistance force is low grade
All pain must be abolished in 20 seconds or less
May begin moderate elbow flexion and progress to greater degrees of extension as client tolerates

O.14. Golfer’s Elbow PRP

patryk — Tue, 22 Aug 2023 05:21:14 +0000

PROCEDURE
Active resisted contraction of fingers(s) flexors

INDICATIONS

Chronic, non-irritable cases of medial elbow pain with resisted finger flexion
Golfer’s elbow pain

NOTES

Progress from elbow flexion to extension treatment positions
All pain must be relieve in 20 seconds or less

O.15. Tennis Elbow Homework

patryk — Tue, 22 Aug 2023 05:37:41 +0000

Mobilisation
Lateral glide of the radius and ulna through manual mobilisation with hand on (relatively) stabilized humerus. Elbow is not hyper extended.

Movement
Resisted wrist gripping or resisted extension with pronated forearm

Indications
Lateral elbow pain with resisted wrist grip or extension

Notes
- Ensure NO PAIN, no discomfort
- Ensure glide is exactly lateral
- Slowly build up the grip force to a maximum and slowly relax
- 10 repetitions, several times a day

O.16. Elbow tape to sustain lateral glide olecranon after MWM

patryk — Tue, 22 Aug 2023 05:41:11 +0000

1 2 3 4 5

Start the tape medial aspect of olecranon (slightly away from olecranon)
End the tape on medial humerus

Purpose
to sustain effect of lateral glide olecranon

Indications
-Tennis elbow
-limitation of elbow flexion/extension due to pain and/or stiffness

IMPORTANT information and notes:

Apply tape with client’s elbow (30 degrees) flexed and fully supinated
Glide the olecranon lateral, while adding the tape to increase tape tension
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

O.17. Elbow tape to sustain medial glide olecranon after MWM

patryk — Tue, 22 Aug 2023 05:48:44 +0000

1 2 3 4 5

Start the tape lateral aspect of olecranon (slightly away from olecranon)
End the tape on lateral humerus

Purpose
to sustain effect of medial glide olecranon

Indications
-golfer’s elbow
-limitation of elbow flexion/extension due to pain and/or stiffness

IMPORTANT information and notes:

Apply tape with client’s elbow (30 degrees) flexed and fully supinated
Medial glide olecranon, while adding the tape to increase tape tension
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

O.18. Elbow tape for tennis elbow to sustain lateral glide of forearm after MWM

patryk — Tue, 22 Aug 2023 05:52:09 +0000

1 2 3 4 5

Start the tape medially below elbow joint line
End the tape on posterolateral aspect of distal humerus

Purpose
to sustain lateral glide of forearm

Start the tape medially below elbow joint line
End the tape on posterolateral aspect of distal humerus

Purpose
to sustain lateral glide of forearm

Indications
Tennis elbow – lateral elbow pain with resisted extension of wrist / fingers / gripping

IMPORTANT information and notes:

Apply tape with client’s forearm pre-positioned in max supination and the elbow flexed in 30 degrees
Apply two layers of tape for maximal effect
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

O.19. Elbow tape to sustain posterior-anterior glide of radial head after MWM

patryk — Tue, 22 Aug 2023 05:55:11 +0000

1 2 3 4 5

Start the tape posteriorly in midline below radial head
End the tape on medial aspect of ulna

Purpose
to sustain treatment effect of radial head in a postero-anterior glide

Indications
Tennis elbow – lateral elbow pain with resisted flexion of wrist / fingers / gripping

IMPORTANT information and notes:

Apply tape with client’s elbow in full extension and forearm maximally pronated
Apply two layers of tape for maximal effect
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

P.1. Proximal Radio-Ulnar Supination MWM

patryk — Tue, 22 Aug 2023 06:00:55 +0000

MOBILISATION
Anterior glide of radius on stabilized ulna

MOVEMENT
Forearm supination

INDICATIONS
Pain with, or restriction of, forearm supination

NOTES

Ensure mobilisation force is directed obliquely to remain in treatment plane
Ensure supination end range loading overpressure of client is through forearm not wrist

P.2. Distal Radio-Ulnar Supination MWM

patryk — Tue, 22 Aug 2023 06:02:11 +0000

MOBILISATION
Anterior glide of ulna with concurrent posterior glide radius

MOVEMENT
Forearm supination

INDICATIONS
Pain with, or restriction of, forearm supination

NOTES
Ensure supination end range loading overpressure of client is through forearm not wrist

Q.1. Wrist Flexion MWM: Side Glide

patryk — Tue, 22 Aug 2023 08:08:29 +0000

MOBILISATION
Lateral glide of proximal row carpals on stabilized radius

MOVEMENT
Wrist flexion

INDICATIONS
Pain with, or restriction of, wrist flexion

NOTES

Ensure mobilisation is a true lateral glide not radial deviation
May require additional carpal rotation mobilisation component

Q.2. Wrist Flexion MWM: Rotation

patryk — Tue, 22 Aug 2023 08:09:38 +0000

MOBILISATION
Pronation or supination of proximal row carpals on stabilized radius

MOVEMENT
Wrist flexion

INDICATIONS
Pain with, or restriction of, wrist flexion

NOTES
May require additional radial carpal glide mobilisation component

Q.3. Wrist Extension MWM: Side Glide in Open Kinetic Chain

patryk — Tue, 22 Aug 2023 08:10:53 +0000

MOBILISATION
Radial glide of proximal row carpals on stabilized radius

MOVEMENT
Wrist extension

INDICATIONS
Pain with, or restriction of, wrist extension in open kinetic chain

NOTES

Ensure mobilisation is true lateral glide not radial deviation
May require additional carpal rotation mobilisation component

Q.4. Wrist Extension MWM: Side Glide in Closed Kinetic Chain

patryk — Tue, 22 Aug 2023 08:12:29 +0000

MOBILISATION
Pronation or supination of proximal row carpals on stabilized radius

MOVEMENT
Wrist extension

INDICATIONS
Pain with, or restriction of, wrist extension

NOTES
May require additional radial carpal glide mobilisation component

Q.5. Wrist Extension MWM: Rotation

patryk — Tue, 22 Aug 2023 08:13:53 +0000

Q.6. Wrist Extension MWM: Distal Radio-Ulnar

patryk — Tue, 22 Aug 2023 08:15:11 +0000

MOBILISATION
Ventral glide ulna on stabilized radius

MOVEMENT
Wrist extension

INDICATIONS
Pain with, or restriction of, wrist extension due to dysfunction of the distal radio-ulnar joint

NOTES
Have both thumbs on dorsum of ulna both sets of finger tips on volar side radius for contact

Q.8. Wrist Extension MWM: Inter-Carpal

patryk — Tue, 22 Aug 2023 08:17:13 +0000

MOBILISATION
Ventral glide capitate on stabilized lunate

MOVEMENT
Wrist extension

INDICATIONS
Pain with, or restriction of, wrist extension due to dysfunction of the inter-carpal joint

NOTES
Use thumb tip contact to localize force

Q.9. Pisiform PRP

patryk — Tue, 22 Aug 2023 08:19:24 +0000

PROCEDURE
Graded compression oscillations of pisiform on stabilized triquetrum

INDICATIONS
Chronic, non-irritable cases of hypothenar pain on wrist extension +/- compression

NOTES

All pain must be relieved in 20 seconds or less
Explore various combinations of medial/lateral and superior/inferior to find and eliminate joint surface pain

Q.7. Wrist Extension MWM: Scaphoid

patryk — Tue, 22 Aug 2023 08:44:13 +0000

MOBILISATION
Ventral glide scaphoid on stabilized radius

MOVEMENT
Wrist extension

INDICATIONS
Pain with, or restriction of, wrist extension due to dysfunction of the radio-scaphoid joint

NOTES
Use side of thumb of contact hand to localize force

Q.10. Wrist tape to sustain posterior-anterior glide of distal radioulnar joint after MWM

patryk — Tue, 22 Aug 2023 08:48:12 +0000

Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on medial on posterior aspect of distal ulna
End the tape on posterolateral aspect of distal radius

Purpose
to sustain effect of the PA glide technique on the ulna (or radius)

Indications
pain and/or limitation of distal forearm/wrist during movement pronation / supination / flexion / extension etc.

IMPORTANT information and notes:

Apply tape while gliding the ulna in PA direction
For a PA radial glide: reverse the tape direction
Warning: be careful to avoid compressing ulna (or radius)
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (30 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

Q.11. Wrist tape to sustain lateral glide of proximal row of the carpal bones after MWM

patryk — Tue, 22 Aug 2023 08:50:45 +0000

Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Start the tape on the medial aspect of proximal carpal bones
End the tape on the distal aspect of the radius

Purpose
to sustain lateral glide of proximal carpal bones

Indications
Painful and/or restricted wrist joint
to remove pain and swelling from osteo-arthritic wrist

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

Q.12. Wrist tape to sustain medial glide of proximal row of the carpal bones after MWM

patryk — Tue, 22 Aug 2023 10:03:44 +0000

Step 1 Step 2 Step 3 Step 4 Step 5 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Step 5 Start the tape on lateral aspect of proximal row of carpal bones
End tape on medial aspect of ulna

Purpose
to sustain effect of the medial carpal glide

Indications
pain and/or limitation wrist joint flexion or extension

IMPORTANT information and notes:

Apply tension to the tape
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

Q.13. Wrist tape to sustain carpal rotation after MWM

patryk — Tue, 22 Aug 2023 10:08:38 +0000

Step 1 Step 2 Step 3 Step 4 Step 5 Step 1 Step 2 Step 3 Step 4 Step 5 Start the tape on anterior/medial aspect of proximal row of carpal bones
End the tape on distal anterior aspect of forearm

Purpose
to sustain effect of the carpal rotation

Indications
pain and/or limitation flexion or extension movement carpal joints

IMPORTANT information and notes:

While applying the carpal rotation technique, have client applies the tape around the wrist
If you make it worse, do the reverse taping
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.1. Fifth Inter-Metacarpal Fisting MWM

patryk — Tue, 22 Aug 2023 10:16:47 +0000

MOBILISATION
Anterior arcuate swing of fifth and/or fourth metacarpal on stabilized adjacent metacarpal

MOVEMENT
Fist gripping

INDICATIONS
Pain with, or restriction of, fist making and/or grip

NOTES
Ensure mobilisation is an arcuate swinging movement (includes axial spin of metacarpal along with anterior lowering of metacarpal head)

R.2. Thumb Extension MWM: Rotation

patryk — Tue, 22 Aug 2023 10:18:06 +0000

MOBILISATION
Internal or external rotation of first metacarpal on stabilized trapezium

MOVEMENT
Thumb extension

INDICATIONS
Pain with, or restriction of, thumb extension

NOTES

Use pincer style grip on thumg to avoid blocking client’s range of extension
Client must add end range loading overpressure to gain full effect

R.3. Thumb Carpo Metacarpal PRP

patryk — Tue, 22 Aug 2023 10:19:31 +0000

PROCEDURE
Graded compression of first metacarpal on stabilized trapezium

INDICATIONS
Chronic, non-irritable cases of thumb and thenar pain

NOTES

All pain must be relieved in 20 seconds or less
Explore various combinations of medial/lateral and abduction/adduction to find and eliminate joint surface pain

R.4. de Quervain’s Tenosynovitis Stretch PRP

patryk — Tue, 22 Aug 2023 10:21:29 +0000

PROCEDURE
Graded passive ulnar deviation of wrist in Finkelstein’s position

INDICATIONS
Chronic, non-irritable cases of digit extensor tenosynovitis pain

NOTES
All pain must be relieved in 20 seconds or less

R.5. de Quervain’s Tenosynovitis Contraction PRP

patryk — Tue, 22 Aug 2023 10:22:56 +0000

PROCEDURE
Grade resisted extension of thumb PIP or DIP

INDICATIONS
Chronic, non-irritable cases of digit extensor tenosynovitis pain

NOTES
All pain must be relieved in 20 seconds or less

R.6. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)

patryk — Tue, 22 Aug 2023 10:24:21 +0000

MOBILISATION
Bilateral medial pressure to sides of spinous processes of adjoining vertebrae

MOVEMENT
Resisted thumb extension

INDICATIONS
Resistant cases of de Quervain's associated with cervical dysfunction

NOTES

Begin mobilisation quite lateral on cervical spine to avoid pinching skin
Have higher thumb on painful side
Use foam pad for comfort

R.7. Finger IP Flexion MWM: Side Glide

patryk — Tue, 22 Aug 2023 10:25:39 +0000

MOBILISATION
Medial or lateral glide of distal phalanx on stabilized proximal joint partner

MOVEMENT
Finger flexion

INDICATIONS
Pain with, or restriction of, finger flexion

NOTES

Use pincer style grip on finger to avoid blocking client’s range of flexion
May require slight additional rotation component to mobilisation

R.8. Finger IP Flexion MWM: Rotation

patryk — Tue, 22 Aug 2023 10:26:49 +0000

Use pincer style grip on finger to avoid blocking client’s range of flexion
May use in combination with side glide mobilisation

R.9. Finger Extension PRP

patryk — Tue, 22 Aug 2023 10:27:56 +0000

PROCEDURE
Graded resisted extension of PIP or DIP

INDICATIONS
Chronic, non-irritable cases of digit extensor tenopathy pain

NOTES
All pain must be relieved in 20 seconds or less

R.10. Thumb tape to sustain the inwards twisted 1st metacarpal after MWM

patryk — Tue, 22 Aug 2023 10:38:08 +0000

1 2 3 4 5

Start the tape on the proximal/dorsal end of the 1st metacarpal
and tape across the palm of the hand

Purpose
to sustain the inwards twisted correction of the 1st metacarpal

Indications
Painful thumb. The pain is present during and (often) after the thumb activities.

IMPORTANT information and notes:

Apply tape in a lateral glide
If you make it worse, do the reverse taping (twist in the other way)
Re-tape every day for a week or so, until the pain is settled down
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.11. Hand (metacarpus) tape to sustain dorsal/ventral glide of 5th metacarpal on 4th metacarpal after MWM

patryk — Tue, 22 Aug 2023 10:40:58 +0000

1 2 3 4 5

Start the tape distal on the palmar aspect of the 5th metacarpal
End the tape on the dorsal aspect of the metacarpus
OR
Start the tape distal on the dorsal aspect of the 5th metacarpal
End the tape on the palmar aspect of the metacarpus

Purpose
to sustain dorsal/ventral glide of 5th metacarpal on the 4th metacarpal

Indications
Painful lateral metacarpus during movements of gripping

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (20 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

R.12. Finger tape to sustain rotation of PIP joint after MWM

patryk — Tue, 22 Aug 2023 10:45:35 +0000

1 2 3 4 5

Start the (rotation) tape on the dorsal mid shaft of the middle phalanx
End the tape on the dorsal shaft of the proximal phalanx

Purpose
to sustain effect of rotation of PIP joint with flexion or extension

Indications
Painful and/or restricted PIP joint flexion or extension

IMPORTANT information and notes:

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (10 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

S.2. Lower Leg tape for achilles tendonitis

patryk — Tue, 22 Aug 2023 10:53:52 +0000

Step 1 Step 2 Step 3 Step 4 Step 1 Step 2 Step 3 Step 4 Start the tape on the medial side of the achilles tendon
End the tape on the lateral side of the achilles tendon

Purpose
the tape makes the tendon concave medially, alters the way the foot weight bears and alters the muscle tracks. This will improve recovery.

Indications
Pain on medial side of the achilles tendon

IMPORTANT information and notes:

Start the tape in a relaxed position of the tendon
To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

S.1. Leg tape for medial gastrocnemius pain and hamstring lesions

patryk — Tue, 22 Aug 2023 08:57:22 +0000

To avoid skin irritation use a commercial underwrap to protect the skin from friction and chafing.
Use non-stretch sports tape (50 mm) with underwrap (to avoid skin reaction)
Never leave the tape more than 48 hours
If there is any irritation remove the tape immediately.
Ensure that after taping the provocative movement is less painful and ROM is improved.
Ensure NO PAIN, no discomfort

Faq question number 1

patryk — Wed, 23 Aug 2023 07:18:20 +0000

answer answer answer answer answer

Faq question number 2

patryk — Wed, 23 Aug 2023 07:22:37 +0000

answer answer answer answer answer

Faq question number 3

patryk — Wed, 23 Aug 2023 07:23:16 +0000

answer answer answer answer answer

Hallo wereld!

patryk — Sun, 16 Jul 2023 07:45:03 +0000

Welcome to Wisse Paardekooper. This is your first post. Edit or delete it, then start writing!

Benefits of Mobilisation with Movement

patryk — Sat, 05 Aug 2023 03:11:21 +0000

Health Practitioners trained in manual therapy assist individuals to overcome impairments of mobility and function of the neuro-musculo-skeletal (NMSK) system. The MULLIGAN™ Manual Therapy Concept is specifically designed to achieve these goals through the application of pain-free manual mobilisation techniques that in turn allow pain-free therapeutic functional loading of the NMSK system.

Both the clinician and the patient can quickly assess the value of this approach by its ability to immediately abolish painful limitations of function. If the techniques are indicated, an immediate improvement in pain-free mobility and function will be observed during the technique with durable gains maintained following its application. If no immediate improvement is noted, the technique must be modified in direction and/or level of force to achieve pain-free functional gains or it is not indicated at this time.

These points may be summarized by the acronym “PILL”

P – Pain-free

I – Instantaneous

L – Long

L - Lasting

test test test

patryk — Sat, 05 Aug 2023 04:40:42 +0000

Timeline

patryk — Sat, 05 Aug 2023 04:15:26 +0000

Cervical

patryk — Wed, 09 Aug 2023 15:26:28 +0000

Related information

A. 1-20 Cervical Techniques
A. 21-27 Cervical Self-Treatment
B. 1-9 Headache Techniques
B. 10-12 Headache Self-Treatment
C. 1-2 Nausea & Vertigo Techniques

A. 1-20 Cervical Techniques

patryk — Wed, 09 Aug 2023 15:48:23 +0000

Related information

A1. NAGS
A.2. Reverse NAGS
A.3. Cervical Extension SNAG
A.4. Cervical Extension Self-SNAG
A.5. Cervical Flexion SNAG
A.6. Cervical Flexion Positional SNAG
A.7. Cervical Rotation SNAG
A.8. Cervical Positional SNAG
A.9. Cervical Rotation Self-SNAG
A.10. Cervical Side Bend SNAG
A.11. Cervical Quadrant SNAG
A.12. Cervical Quadrant Positional SNAG
A.13. Spinal Mobilisation With Arm Movement (SMWAM)
A.14. Cervical Fist Traction
A.15. Cervical Belt Traction
A.16. Acute Wry Neck Protocol
A.17. Shoulder Painful Arc Positional SNAG (SMWAM)
A.18. Tennis Elbow Positional SNAG (SMWAM)
A.19. Golfer’s Elbow Positional SNAG (SMWAM)
A.20. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)

D.2. Temporal Mandibular Closing MWM

patryk — Wed, 16 Aug 2023 03:48:36 +0000

https://vimeo.com/207469056

MOBILISATION
Antero medial glide of mandible on stabilized temporal bone

MOVEMENT
Jaw closing

INDICATIONS
Pain with, or restriction of, jaw closing

NOTES

Ensure glide pressure is applied close to TMJ not on posterior aspect of mandible
Encourage the left TMJ to spin axially as the right TMJ glides antero-medially or vice versa

D.3. Temporal Mandibular Lateral Deviation MWM

patryk — Wed, 16 Aug 2023 03:50:11 +0000

https://vimeo.com/207469068

MOBILISATION
Antero medial glide of mandible on stabilized temporal bone

MOVEMENT
Jaw lateral deviation

INDICATIONS
Pain with, or restriction of, jaw lateral deviation

NOTES

Ensure glide pressure is applied close to TMJ not on posterior aspect of mandible
Encourage the left TMJ to spin axially as the right TMJ glides antero-medially or vice versa

B. 1-9 Headache Techniques

patryk — Wed, 16 Aug 2023 04:06:10 +0000

Related information

B.1. Headache SNAG
B.2. Headache Self-SNAG
B.3. Reverse Headache SNAG
B.4. Forearm Traction
B.5. Test for C1/2 Rotation
B.6. Cervical 1/2 Rotation SNAG
B.7. Cervical 1/2 Rotation Self-SNAG
B.8. Reverse Headache Self-SNAG
B.9. C1/2 Rotation Positional SNAG (SNAGS 0/C1/C2)

A. 21-27 Cervical Self-Treatment

patryk — Wed, 16 Aug 2023 04:07:34 +0000

Related information

A.21. Cervical Extension Self-SNAG
A.22. Cervical Flexion Self-SNAG
A.23. Cervical Rotation Self-SNAG
A.25. Cervical Side Flexion Self-SNAG
A.26. Cervical Self-Mobilisation With Arm Movement
A.27. Cervical Fist Traction Self-Treatment

B. 10-12 Headache Self-Treatment

patryk — Wed, 16 Aug 2023 04:32:23 +0000

Related information

B.10. Headache Self-SNAG
B.11. Self Reverse Headache SNAG
B.12. Cervical 1/2 Rotation Self-SNAG

C. 1-2 Nausea & Vertigo Techniques

patryk — Wed, 16 Aug 2023 04:37:42 +0000

Related information

C.1. Cervical 2 Extension SNAG for cervicogenic dizziness
C.2. Cervical 1 Rotation SNAG for or Cervicogenic dizziness

Temporal Mandibular Joint Techniques

patryk — Wed, 16 Aug 2023 04:46:09 +0000

Related information

D.1. Temporal Mandibular Opening MWM
D.2. Temporal Mandibular Closing MWM
D.3. Temporal Mandibular Lateral Deviation MWM

Thoracic

patryk — Wed, 16 Aug 2023 05:28:14 +0000

Related information

E. 1-3 Thoracic Techniques
E. 4. Thoracic – Self-Treatment
E. 5. Thoracic - Taping
F. 1-4 Rib Cage Techniques

E. 1-3 Thoracic Techniques

patryk — Wed, 16 Aug 2023 05:30:44 +0000

Related information

E.1. Thoracic Rotation SNAG
E.2. Thoracic Extension SNAG
E.3. Thoracic Belt Traction

E. 5. Thoracic - Taping

patryk — Wed, 16 Aug 2023 06:03:40 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

E.5. Upper Thoracic Spine Tape

F. 1-4 Rib Cage Techniques

patryk — Wed, 16 Aug 2023 08:26:24 +0000

Related information

F.1. Rib Cage Trunk Rotation MWM
F.2. Rib Cage Trunk Side Bend MWM
F.3. Rib Cage Anterior Chest Wall Pain MWM
F.4. Rib Cage First Rib MWM

Lumbar

patryk — Wed, 16 Aug 2023 09:09:19 +0000

Related information

G.1-15 Lumbar Techniques
G.16-22 Lumbar - Self-Treatment
G.23 Lumbar - Taping
H.1-4 Restricted SLR

G.1-15 Lumbar Techniques

patryk — Wed, 16 Aug 2023 09:12:18 +0000

Related information

G.1. Lumbar Flexion SNAG: Sitting
G.2. Lumbar Flexion SNAG: Standing
G.3. Lumbar Flexion Self-SNAG
G.4. Lumbar Extension SNAG: Sitting
G.5. Lumbar Extension SNAG: Prone
G.6. Lumbar Extension Self-SNAG
G.7. Lumbar Side Bending SNAG
G.8. Lumbar Rotation SNAG
G.9. Lion Stretch SNAG
G.10. Slump Position SNAG
G.11. Hip Flexion SMWLM: Side Lying
G.12. Hip Flexion SMWLM: Prone Lying
G.13. Hip Extension SMWLM
G.14. Lion Self-SNAG
G.15. Hip Extension SMWLM prone

The clinical decision making process in the use of mobilisation with movement - A Delphi survey

Emilie — Thu, 05 Oct 2023 12:48:40 +0000

R.Baeske, M.F.Silva, T.Hall

A B S T R A C T

Background: Mobilisation with movement (MWM) is a method of treating musculoskeletal disorders. Although widely used clinically and with increasing research investigation, little is known about the decision making process for its utilization.

Objectives: To understand the factors experts believe important for utilization of MWM when assessing a patient, predicting responses to its delivery, responsive body areas, and expected outcomes to MWM.

Design: A web-based Delphi study of experts in the use of MWM.

Methods: Round one contained five open-ended questions regarding assessment strategies, prediction of successful and unsuccessful outcomes, body areas most responsive, and common outcome measures observed. Rounds 2 and 3 were quantitative and aimed at establishing consensus.

Results: Thirty-seven experts participated in the study and took part in round 1, thirty-two in round 2, and twenty-eight in round 3. The exclusion of red flags and impairment in range of motion (ROM), obtained the highest level of consensus for the item assessment strategies. Patients presenting with a variety of issues on movement, in addition to mild to moderate levels of severity and immediately responsive to a trial MWM, were believed to respond favourably to MWM. Patients with predominant inflammatory pain, with high levels of psychosocial factors, increased central sensitization and not improving after a trial of MWM, were recognized as non-responders.

Improvement of different aspects of movement (e.g. ROM, less fear) are the most common outcomes observed.

Conclusions: This study provides factors believed to be important in the decision-making process when using

MWM clinically.

June 2020

Musculoskeletal Science and Practice 49:102212

DOI:10.1016/j.msksp.2020.102212

G.23 Lumbar - Taping

patryk — Fri, 18 Aug 2023 04:29:46 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

G.23 Lumbar Tape

H.1-4 Restricted SLR

patryk — Fri, 18 Aug 2023 04:39:19 +0000

Related information

H.1. Straight Leg Raise With Traction
H.2. Straight Leg Raise With Compression
H.3. Bent Leg Raise
H.4. Gate Technique

I.1-4 Sacro Illiac Techniques

patryk — Fri, 18 Aug 2023 05:08:32 +0000

Related information

I.1. Anterior Innominate Extension in Lying MWM
I.2. Posterior Innominate Extension in Lying MWM
I.3. Anterior Innominate Flexion in Standing MWM
I.4. Posterior Innominate Side Bending in Standing MWM

I. 5-6 Sacro Illiac Taping

patryk — Fri, 18 Aug 2023 05:20:34 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

I.5. Sacro Illiac tape to sustain anterior glide and/or anterior rotation innominate in relation to sacrum after MWM
I.6. Sacro Illiac tape to sustain posterior glide and/or posterior rotation innominate in relation to sacrum after MWM

Hip

patryk — Fri, 18 Aug 2023 08:06:38 +0000

Related information

J.1-17 Hip Techniques
J.18 Trochanteric Bursistis Tape

J.1-17 Hip Techniques

patryk — Fri, 18 Aug 2023 08:08:45 +0000

Related information

J.1. Hip Internal Rotation MWM: Open Kinetic Chain
J.2. Hip Internal Rotation MWM: Closed Kinetic Chain
J.3. Hip External rotation MWM Faber Position
J.4. Hip Flexion MWM
J.5. Hip Flexion/Adduction MWM
J.6. Hip Extension MWM: Open Kinetic Chain
J.7. Hip Extension MWM: Closed Kinetic Chain
J.8. Hip Abduction MWM: Closed Kinetic Chain
J.9. Hip Flexion/Adduction PRP
J.10. Hip External Rotation Faber Position Stretch PRP
J.11. Hip External Rotation Faber Position Contraction PRP
J.12. Hip Flexion SMWLM
J.13. Hip Extension SMWLM
J.14. Hip Adduction MWM -traction-: Supine lying
J.15. Hip Abduction MWM: supine lying
J.16. Prone Knee Bend in Prone – Hip Extension, Flexion Knee MWM + Traction
J.17. Straight Leg Raise With Traction

Knee

patryk — Sat, 19 Aug 2023 05:23:39 +0000

Related information

K.1-13 Knee Techniques
K. 14-15 Knee Self-Treatment
K.16-19 Knee Taping

K.1-13 Knee Techniques

patryk — Sat, 19 Aug 2023 05:25:17 +0000

Related information

K.1. Knee Flexion MWM: Rotation in Open Chain
K.2. Knee Flexion MWM: Rotation in Closed Chain
K.3. Knee Flexion MWM: Side Glide with Belt Assistance
K.4. Knee Flexion MWM: Posterior Glide
K.5. Knee Flexion MWM: Superior Tib-Fib in Closed Kinetic Chain
K.6. Knee Extension MWM: Rotation
K.7. Knee Extension MWM: Side Glide in Open Chain
K.8. Knee Extension MWM: Side Glide in Closed Chain
K.9. Knee Extension MWM: Sup. Tib-Fib in Open Chain
K.10. Knee Extension MWM: Sup. Tib-Fib in Closed Chain
K.11. Squeeze for the Knee
K.12. Knee PRP
K.13. Patello Femoral PRP

K. 14-15 Knee Self-Treatment

patryk — Sun, 20 Aug 2023 05:54:46 +0000

Related information

K.14. Knee Flexion Self-MWM Rotation in Closed Chain
K.15. Knee Flexion Self-MWM Superior Tibia Fibula in Closed Kinetic Chain

K.16-19 Knee Taping

patryk — Sun, 20 Aug 2023 06:00:00 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

K.16. Knee tape to sustain tibial internal rotation after MWM
K.17. Knee tape to sustain tibial external rotation after MWM
K.18. Knee tape to sustain proximal fibula ventrally after MWM
K.19. Knee tape to sustain proximal fibula dorsally after MWM

Ankle and Foot

patryk — Sun, 20 Aug 2023 07:38:48 +0000

Related information

L.1-8 Ankle Techniques
L. 9 Inversion Sprain Tape
M.1-14 Foot Techniques
M.15-20 Foot Taping
M.21 Plantar Fasciitis Tape

L.1-8 Ankle Techniques

patryk — Sun, 20 Aug 2023 07:43:18 +0000

Related information

L.1. Ankle Dorsi-Flexion MWM: Open Kinetic Chain
L.2. Ankle Dorsi-Flexion MWM: Closed Kinetic Chain
L.3. Ankle Dorsi-Flexion: Inf. Tib-Fib in Open Chain
L.4. Ankle Dorsi-Flexion: Inf. Tib-Fib in Closed Chain
L.5. Ankle Plantar-Flexion MWM
L.6. Ankle Plantar-Flexion MWM with Belt Assistance
L.7. Sprained Ankle MWM: Inf. Tib-Fib
L.8. Sprained Ankle MWM: Sup. Tib-Fib

L. 9 Inversion Sprain Tape

patryk — Sun, 20 Aug 2023 09:38:20 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

L.9. Inversion Sprain tape to sustain or improve fibula posterior/superior glide after MWM

M.1-14 Foot Techniques

patryk — Sun, 20 Aug 2023 09:44:56 +0000

Related information

M.1. Inter-Metatarsal Inversion MWM
M.2. Metatarsalgia MWM
M.3. First Metatarsal Cuneiform Inversion MWM
M.4. Medial Cuneiform Navicular Inversion MWM
M.5. Fifth Metatarsal Cuboid Inversion MWM
M.6. Fifth Metatarsal Cuboid PRP
M.7. Second Metatarsal “Metatarsalgia” Compression PRP
M.8. Heel Pain Self-Mobilisation
M.9. First MTP Extension MWM: Open Kinetic Chain
M.10. First MTP Extension MWM: Closed Kinetic Chain
M.11. First MTP PRP
M.12. EHL Tenopathy Stretch PRP
M.13. EHL Tenopathy Contraction PRP
M.14. Sesamoid Compression PRP

M.15-20 Foot Taping

patryk — Sun, 20 Aug 2023 11:55:12 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

M.15. Sesamoids tape beneath the 1st metatarsophalangeal joint
M.16. Foot tape to sustain dorsal/plantar glide of medial cuneiform on navicular after MWM – two tapes
M.17. Foot tape to sustain dorsal/ventral glide of 5th metatarsal on cuboid after MWM
M.18. Mid foot tape to sustain dorsal/ventral glide of 5th metatarsal on 4th metatarsal after MWM
M.19. Foot tape to sustain medial glide for 1st metatarsophalangeal joint after MWM
M.20. Foot tape (MTP1) to sustain internal rotation of the proximal phalanx on the 1st metatarsal bone after MWM

M.21 Plantar Fasciitis Tape

patryk — Sun, 20 Aug 2023 12:55:49 +0000

Related information

M.21. Heel tape for plantar fasciitis

Shoulder and AC

patryk — Mon, 21 Aug 2023 05:07:33 +0000

Related information

N.1-13 Shoulder and AC Techniques
N.14-17 Shoulder and AC Self-Treatment
N. 18 Shoulder and AC Taping

N.1-13 Shoulder and AC Techniques

patryk — Mon, 21 Aug 2023 05:12:13 +0000

Related information

N.1. Shoulder Painful Arc MWM
N.2. Shoulder Painful Arc MWM: Resistance Training
N.3. Shoulder Painful Arc MWM with Belt Assistance
N.4. Shoulder elevation Arc MWM: Supine
N.5. Shoulder Elevation MWM: Standing
N.6. Shoulder Elevation MWM: End Range
N.7. Shoulder Internal Rotation MWM
N.8. Shoulder Internal Rotation MWM: Belt Assisted
N.9. Shoulder Painful Arc Positional SNAG
N.10. Shoulder Horizontal Adduction PRP
N.11. A. Shoulder Girdle Flexion MWM: Open Chain
N.11.B. Shoulder Girdle Flexion MWM: Closed Chain
N.12. Acromio-Clavicular Flexion MWM
N.13. Acromio-Clavicular Horizontal Adduction MWM

N.14-17 Shoulder and AC Self-Treatment

patryk — Mon, 21 Aug 2023 13:10:32 +0000

Related information

N.14. Shoulder Self-MWM
N.15. Shoulder Self-Treatment
N.16. Shoulder Self-MWM with belt
N.17. Cervical Self-Mobilisation With Arm Movement

N. 18 Shoulder and AC Taping

patryk — Mon, 21 Aug 2023 13:22:00 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

N.18. Shoulder Tape for extra support MWM

Elbow and Forearm

patryk — Tue, 22 Aug 2023 04:57:29 +0000

Related information

O.1-14 Elbow Techniques
O.15 Elbow Self-Treatment
O.16-19 Elbow - Taping
P.1-2 Forearm

O.1-14 Elbow Techniques

patryk — Tue, 22 Aug 2023 05:00:19 +0000

Related information

O.1. Tennis Elbow MWM
O.2. Tennis Elbow MWM with Belt Assistance
O.3. Tennis Elbow MWM: Posterior Glide
O.4. Tennis Elbow Positional SNAG
O.5. Golfer’s Elbow MWM
O.6. Golfer’s Elbow Positional SNAG (SMWAM)
O.7. Elbow Flexion MWM: Side Glide
O.8. Elbow Flexion MWM: Rotation
O.9. Elbow Flexion MWM: Radio-Humeral
O.10. Elbow Extension MWM: Side Glide
O.11. Elbow Extension MWM: Radio-Humeral Joint
O.12. Elbow Extension MWM: Rotation
O.13. Tennis Elbow PRP
O.14. Golfer’s Elbow PRP

O.15 Elbow Self-Treatment

patryk — Tue, 22 Aug 2023 05:36:33 +0000

Related information

O.15. Tennis Elbow Homework

O.16-19 Elbow - Taping

patryk — Tue, 22 Aug 2023 05:39:41 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

O.16. Elbow tape to sustain lateral glide olecranon after MWM
O.17. Elbow tape to sustain medial glide olecranon after MWM
O.18. Elbow tape for tennis elbow to sustain lateral glide of forearm after MWM
O.19. Elbow tape to sustain posterior-anterior glide of radial head after MWM

P.1-2 Forearm

patryk — Tue, 22 Aug 2023 05:59:50 +0000

Related information

P.1. Proximal Radio-Ulnar Supination MWM
P.2. Distal Radio-Ulnar Supination MWM

Wrist and Hand

patryk — Tue, 22 Aug 2023 08:06:33 +0000

Related information

Q.1-9 Wrist Techniques
Q.10-13 Wrist Taping
R.1-9 Hand Techniques
R.10-12 Hand Taping

Q.1-9 Wrist Techniques

patryk — Tue, 22 Aug 2023 08:07:35 +0000

Related information

Q.1. Wrist Flexion MWM: Side Glide
Q.2. Wrist Flexion MWM: Rotation
Q.3. Wrist Extension MWM: Side Glide in Open Kinetic Chain
Q.4. Wrist Extension MWM: Side Glide in Closed Kinetic Chain
Q.5. Wrist Extension MWM: Rotation
Q.6. Wrist Extension MWM: Distal Radio-Ulnar
Q.7. Wrist Extension MWM: Scaphoid
Q.8. Wrist Extension MWM: Inter-Carpal
Q.9. Pisiform PRP

Q.10-13 Wrist Taping

patryk — Tue, 22 Aug 2023 08:46:52 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

Q.10. Wrist tape to sustain posterior-anterior glide of distal radioulnar joint after MWM
Q.11. Wrist tape to sustain lateral glide of proximal row of the carpal bones after MWM
Q.12. Wrist tape to sustain medial glide of proximal row of the carpal bones after MWM
Q.13. Wrist tape to sustain carpal rotation after MWM

R.1-9 Hand Techniques

patryk — Tue, 22 Aug 2023 10:15:26 +0000

Related information

R.1. Fifth Inter-Metacarpal Fisting MWM
R.2. Thumb Extension MWM: Rotation
R.3. Thumb Carpo Metacarpal PRP
R.4. de Quervain’s Tenosynovitis Stretch PRP
R.5. de Quervain’s Tenosynovitis Contraction PRP
R.6. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)
R.7. Finger IP Flexion MWM: Side Glide
R.8. Finger IP Flexion MWM: Rotation
R.9. Finger Extension PRP

R.10-12 Hand Taping

patryk — Tue, 22 Aug 2023 10:36:25 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

R.10. Thumb tape to sustain the inwards twisted 1st metacarpal after MWM
R.11. Hand (metacarpus) tape to sustain dorsal/ventral glide of 5th metacarpal on 4th metacarpal after MWM
R.12. Finger tape to sustain rotation of PIP joint after MWM

Leg Taping

patryk — Tue, 22 Aug 2023 10:51:13 +0000

Related information

Read the notes carefully. Use an underwrap to avoid skin irritation.

S.2. Lower Leg tape for achilles tendonitis
S.1. Leg tape for medial gastrocnemius pain and hamstring lesions

Test

patryk — Wed, 23 Aug 2023 01:55:14 +0000

FAQ

patryk — Wed, 23 Aug 2023 07:25:06 +0000

Elementor #2970

patryk — Fri, 01 Sep 2023 05:49:43 +0000

The Lumbar Spine (SNAGS & Self-SNAGS)

admin — Tue, 31 Oct 2023 07:00:00 +0000

The Lumbar Spine (SNAGS & Self-SNAGS)

THE RULE OF THREE

Brian Mulligan: “Do not overdo the SNAGS. As soon as an improvement is brought about on day one, stop and see them two days later. As a matter of fact we now teach “the rule of three”. On day one when treating a patient with marked pain and thus distress, we only use our pain free techniques three times as a precaution. This way you cannot exacerbate a patient’s condition. Too much enthusiasm can leave them sore the next day. We are all aware of the latent effects that any manual therapy may have. On subsequent visists you may choose to “SNAG” 7-10 times.”

Source: Manual Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition.

Ankle joint movement losses

Emilie — Wed, 11 Oct 2023 08:28:59 +0000

Brian Mulligan: “When confronted with a patient with a chronic loss of dorsi flexion or plantar flexion, ask if he has ever sprained his ankle.

You will find that most have had an ankle sprain or fracture. This why I use the following technique as a first choice.”

MWM for loss of dorsiflexion with foot on a chair.

Watch technique L.4.

Test post

patryk — Wed, 11 Oct 2023 01:57:35 +0000

K.12. Knee PRP

patryk

Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta analysis

Emilie — Thu, 12 Oct 2023 15:12:24 +0000

The application of MWM

Conclusion

ABSTRACT

patryk

R.9. Finger Extension PRP

admin — Thu, 05 Oct 2023 13:12:19 +0000

testje

admin — Thu, 05 Oct 2023 13:40:44 +0000

testje2

admin — Thu, 05 Oct 2023 13:54:34 +0000

A.1. NAGS

patryk — Sat, 07 Oct 2023 12:37:38 +0000

A.2. Reverse NAGS

patryk — Sun, 08 Oct 2023 00:23:03 +0000

A.3. Cervical Extension SNAG

patryk — Sun, 08 Oct 2023 00:30:47 +0000

A.4. Cervical Extension Self-SNAG

patryk — Sun, 08 Oct 2023 00:33:34 +0000

A.5. Cervical Flexion SNAG

patryk — Sun, 08 Oct 2023 00:35:55 +0000

A.6. Cervical Flexion Positional SNAG

patryk — Sun, 08 Oct 2023 00:37:56 +0000

A.7. Cervical Rotation SNAG

patryk — Sun, 08 Oct 2023 00:40:29 +0000

A.8. Cervical Positional SNAG

patryk — Sun, 08 Oct 2023 00:42:32 +0000

A.9. Cervical Rotation Self-SNAG

patryk — Sun, 08 Oct 2023 01:03:16 +0000

A.10. Cervical Side Bend SNAG

patryk — Sun, 08 Oct 2023 01:05:15 +0000

A.11. Cervical Quadrant SNAG

patryk — Sun, 08 Oct 2023 01:19:43 +0000

A.12. Cervical Quadrant Positional SNAG

patryk — Sun, 08 Oct 2023 01:23:39 +0000

A.13. Spinal Mobilisation With Arm Movement (SMWAM)

patryk — Sun, 08 Oct 2023 01:24:15 +0000

A.14. Cervical Fist Traction

patryk — Sun, 08 Oct 2023 01:24:19 +0000

A.15. Cervical Belt Traction

patryk — Sun, 08 Oct 2023 01:29:30 +0000

A.16. Acute Wry Neck Protocol

patryk — Sun, 08 Oct 2023 01:30:09 +0000

A.17. Shoulder Painful Arc Positional SNAG (SMWAM)

patryk — Sun, 08 Oct 2023 01:32:28 +0000

A.18. Tennis Elbow Positional SNAG (SMWAM)

patryk — Sun, 08 Oct 2023 01:33:00 +0000

A.19. Golfer’s Elbow Positional SNAG (SMWAM)

patryk — Sun, 08 Oct 2023 01:35:52 +0000

A.20. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)

patryk — Sun, 08 Oct 2023 01:36:09 +0000

B.1. Headache SNAG

patryk — Mon, 09 Oct 2023 11:44:47 +0000

B.2. Headache Self-SNAG

patryk — Mon, 09 Oct 2023 11:47:24 +0000

B.3. Reverse Headache SNAG

patryk — Mon, 09 Oct 2023 11:48:42 +0000

B.4. Forearm Traction

patryk — Mon, 09 Oct 2023 11:49:37 +0000

B.4. Forearm Traction

patryk — Mon, 09 Oct 2023 11:51:26 +0000

B.5. Test for C1/2 Rotation

patryk — Mon, 09 Oct 2023 11:52:28 +0000

B.6. Cervical 1/2 Rotation SNAG

patryk — Mon, 09 Oct 2023 11:53:11 +0000

B.7. Cervical 1/2 Rotation Self-SNAG

patryk — Mon, 09 Oct 2023 11:53:46 +0000

C.1. Cervical 2 Extension SNAG for cervicogenic dizziness

patryk — Mon, 09 Oct 2023 15:01:47 +0000

C.2. Cervical 1 Rotation SNAG for or Cervicogenic dizziness

patryk — Mon, 09 Oct 2023 15:02:32 +0000

D.3. Temporal Mandibular Lateral Deviation MWM

patryk — Mon, 09 Oct 2023 15:05:27 +0000

D.1. Temporal Mandibular Opening MWM

patryk — Mon, 09 Oct 2023 15:03:51 +0000

D.2. Temporal Mandibular Closing MWM

patryk — Mon, 09 Oct 2023 15:04:27 +0000

E.1. Thoracic Rotation SNAG

patryk — Mon, 09 Oct 2023 15:15:38 +0000

E.2. Thoracic Extension SNAG

patryk — Mon, 09 Oct 2023 15:15:50 +0000

E.3. Thoracic Belt Traction

patryk — Mon, 09 Oct 2023 15:16:22 +0000

F.1. Rib Cage Trunk Rotation MWM

patryk — Tue, 10 Oct 2023 04:08:10 +0000

F.2. Rib Cage Trunk Side Bend MWM

patryk — Tue, 10 Oct 2023 04:08:48 +0000

F.3. Rib Cage Anterior Chest Wall Pain MWM

patryk — Tue, 10 Oct 2023 04:09:25 +0000

F.4. Rib Cage First Rib MWM

patryk — Tue, 10 Oct 2023 04:19:27 +0000

G.1. Lumbar Flexion SNAG: Sitting

patryk — Tue, 10 Oct 2023 04:20:25 +0000

G.4. Lumbar Extension SNAG: Sitting

patryk — Tue, 10 Oct 2023 04:27:04 +0000

G.3. Lumbar Flexion Self-SNAG

patryk — Tue, 10 Oct 2023 04:26:14 +0000

G.7. Lumbar Side Bending SNAG

patryk — Tue, 10 Oct 2023 08:35:13 +0000

G.8. Lumbar Rotation SNAG

patryk — Tue, 10 Oct 2023 08:36:17 +0000

Information G.6. Lumbar Extension Self-SNAG

patryk — Tue, 10 Oct 2023 08:35:55 +0000

G.9. Lion Stretch SNAG

patryk — Tue, 10 Oct 2023 08:37:57 +0000

G.10. Slump Position SNAG

patryk — Tue, 10 Oct 2023 08:38:42 +0000

G.12. Hip Flexion SMWLM: Prone Lying

patryk — Tue, 10 Oct 2023 08:41:23 +0000

G.13. Hip Extension SMWLM

patryk — Tue, 10 Oct 2023 08:41:28 +0000

G.11. Hip Flexion SMWLM: Side Lying

patryk — Tue, 10 Oct 2023 08:40:25 +0000

H.1. Straight Leg Raise With Traction

patryk — Tue, 10 Oct 2023 09:32:34 +0000

H.2. Straight Leg Raise With Compression

patryk — Tue, 10 Oct 2023 09:32:48 +0000

H.3. Bent Leg Raise

patryk — Tue, 10 Oct 2023 09:32:50 +0000

H.4. Gate Technique

patryk — Tue, 10 Oct 2023 09:33:27 +0000

I.1. Anterior Innominate Extension in Lying MWM

patryk — Tue, 10 Oct 2023 14:19:15 +0000

I.2. Posterior Innominate Extension in Lying MWM

patryk — Tue, 10 Oct 2023 14:19:23 +0000

I.3. Anterior Innominate Flexion in Standing MWM

patryk — Tue, 10 Oct 2023 14:19:25 +0000

I.4. Posterior Innominate Side Bending in Standing MWM

patryk — Tue, 10 Oct 2023 14:19:28 +0000

J.1. Hip Internal Rotation MWM: Open Kinetic Chain

patryk — Tue, 10 Oct 2023 14:31:00 +0000

J.2. Hip Internal Rotation MWM: Closed Kinetic Chain

patryk — Tue, 10 Oct 2023 14:31:34 +0000

J.3. Hip External rotation MWM Faber Position

patryk — Tue, 10 Oct 2023 14:32:11 +0000

J.4. Hip Flexion MWM

patryk — Tue, 10 Oct 2023 14:32:08 +0000

J.5. Hip Flexion/Adduction MWM

patryk — Tue, 10 Oct 2023 14:33:11 +0000

J.5. Hip Flexion/Adduction MWM

patryk — Tue, 10 Oct 2023 14:37:38 +0000

J.9. Hip Flexion/Adduction PRP

patryk — Tue, 10 Oct 2023 14:36:15 +0000

J.6. Hip Extension MWM: Open Kinetic Chain

patryk — Tue, 10 Oct 2023 14:37:15 +0000

J.7. Hip Extension MWM: Closed Kinetic Chain

patryk — Tue, 10 Oct 2023 14:36:59 +0000

J.8. Hip Abduction MWM: Closed Kinetic Chain

patryk — Tue, 10 Oct 2023 14:36:12 +0000

J.10. Hip External Rotation Faber Position Stretch PRP

patryk — Wed, 11 Oct 2023 01:06:48 +0000

J.11. Hip External Rotation Faber Position Contraction PRP

patryk — Wed, 11 Oct 2023 01:07:09 +0000

J.12. Hip Flexion SMWLM

patryk — Wed, 11 Oct 2023 01:07:19 +0000

J.13. Hip Extension SMWLM

patryk — Wed, 11 Oct 2023 01:07:46 +0000

K.1. Knee Flexion MWM: Rotation in Open Chain

patryk — Thu, 12 Oct 2023 04:57:16 +0000

K.2. Knee Flexion MWM: Rotation in Closed Chain

patryk — Thu, 12 Oct 2023 04:57:53 +0000

K.4. Knee Flexion MWM: Posterior Glide

patryk — Thu, 12 Oct 2023 05:01:10 +0000

K.5. Knee Flexion MWM: Superior Tib-Fib in Closed Kinetic Chain

patryk — Thu, 12 Oct 2023 05:00:54 +0000

K.3. Knee Flexion MWM: Side Glide with Belt Assistance

patryk — Thu, 12 Oct 2023 05:01:16 +0000

K.6. Knee Extension MWM: Rotation

patryk — Thu, 12 Oct 2023 05:03:44 +0000

K.7. Knee Extension MWM: Side Glide in Open Chain

patryk — Thu, 12 Oct 2023 05:03:38 +0000

K.8. Knee Extension MWM: Side Glide in Closed Chain

patryk — Thu, 12 Oct 2023 05:03:27 +0000

K.9. Knee Extension MWM: Sup. Tib-Fib in Open Chain

patryk — Thu, 12 Oct 2023 05:05:45 +0000

K.10. Knee Extension MWM: Sup. Tib-Fib in Closed Chain

patryk — Thu, 12 Oct 2023 05:05:57 +0000

K.11. Squeeze for the Knee

patryk — Thu, 12 Oct 2023 05:06:01 +0000

K.13. Patello Femoral PRP

patryk — Thu, 12 Oct 2023 05:07:48 +0000

L.1. Ankle Dorsi-Flexion MWM: Open Kinetic Chain

patryk — Thu, 12 Oct 2023 05:19:03 +0000

L.2. Ankle Dorsi-Flexion MWM: Closed Kinetic Chain

patryk — Thu, 12 Oct 2023 05:19:14 +0000

L.3. Ankle Dorsi-Flexion: Inf. Tib-Fib in Open Chain

patryk — Thu, 12 Oct 2023 05:19:18 +0000

L.4. Ankle Dorsi-Flexion: Inf. Tib-Fib in Closed Chain

patryk — Thu, 12 Oct 2023 05:22:30 +0000

L.5. Ankle Plantar-Flexion MWM

patryk — Thu, 12 Oct 2023 05:22:53 +0000

L.6. Ankle Plantar-Flexion MWM with Belt Assistance

patryk — Thu, 12 Oct 2023 05:23:04 +0000

L.7. Sprained Ankle MWM: Inf. Tib-Fib

patryk — Thu, 12 Oct 2023 05:24:22 +0000

L.8. Sprained Ankle MWM: Sup. Tib-Fib

patryk — Thu, 12 Oct 2023 05:24:32 +0000

M.1. Inter-Metatarsal Inversion MWM

patryk — Thu, 12 Oct 2023 05:37:31 +0000

M.2. Metatarsalgia MWM

patryk — Thu, 12 Oct 2023 05:37:05 +0000

M.3. First Metatarsal Cuneiform Inversion MWM

patryk — Thu, 12 Oct 2023 05:36:38 +0000

M.4. Medial Cuneiform Navicular Inversion MWM

patryk — Thu, 12 Oct 2023 05:36:57 +0000

M.5. Fifth Metatarsal Cuboid Inversion MWM

patryk — Thu, 12 Oct 2023 05:39:14 +0000

M.6. Fifth Metatarsal Cuboid PRP

patryk — Thu, 12 Oct 2023 05:39:06 +0000

M.7. Second Metatarsal “Metatarsalgia” Compression PRP

patryk — Thu, 12 Oct 2023 05:39:20 +0000

M.9. First MTP Extension MWM: Open Kinetic Chain

patryk — Thu, 12 Oct 2023 05:41:18 +0000

M.8. Heel Pain Self-Mobilisation

patryk — Thu, 12 Oct 2023 05:42:08 +0000

M.10. First MTP Extension MWM: Closed Kinetic Chain

patryk — Thu, 12 Oct 2023 05:41:24 +0000

M.11. First MTP PRP

patryk — Thu, 12 Oct 2023 05:44:04 +0000

M.12. EHL Tenopathy Stretch PRP

patryk — Thu, 12 Oct 2023 05:44:08 +0000

M.13. EHL Tenopathy Contraction PRP

patryk — Thu, 12 Oct 2023 05:44:33 +0000

M.14. Sesamoid Compression PRP

patryk — Thu, 12 Oct 2023 05:44:48 +0000

N.1. Shoulder Painful Arc MWM

patryk — Thu, 12 Oct 2023 06:37:48 +0000

N.2. Shoulder Painful Arc MWM: Resistance Training

patryk — Thu, 12 Oct 2023 06:37:54 +0000

N.3. Shoulder Painful Arc MWM with Belt Assistance

patryk — Thu, 12 Oct 2023 06:38:16 +0000

N.4. Shoulder elevation Arc MWM: Supine

patryk — Thu, 12 Oct 2023 06:39:42 +0000

N.5. Shoulder Elevation MWM: Standing

patryk — Thu, 12 Oct 2023 06:40:00 +0000

N.6. Shoulder Elevation MWM: End Range

patryk — Thu, 12 Oct 2023 06:40:04 +0000

N.7. Shoulder Internal Rotation MWM

patryk — Thu, 12 Oct 2023 06:42:13 +0000

N.8. Shoulder Internal Rotation MWM: Belt Assisted

patryk — Thu, 12 Oct 2023 06:42:27 +0000

N.9. Shoulder Painful Arc Positional SNAG

patryk — Thu, 12 Oct 2023 06:42:33 +0000

Information N.10. Shoulder Horizontal Adduction PRP

patryk — Thu, 12 Oct 2023 06:42:37 +0000

N.12. Acromio-Clavicular Flexion MWM

patryk — Thu, 12 Oct 2023 06:52:18 +0000

N.13. Acromio-Clavicular Horizontal Adduction MWM

patryk — Thu, 12 Oct 2023 06:52:12 +0000

O.1. Tennis Elbow MWM

patryk — Thu, 12 Oct 2023 06:58:25 +0000

O.2. Tennis Elbow MWM with Belt Assistance

patryk — Thu, 12 Oct 2023 06:58:22 +0000

O.3. Tennis Elbow MWM: Posterior Glide

patryk — Thu, 12 Oct 2023 06:58:16 +0000

O.4. Tennis Elbow Positional SNAG

patryk — Thu, 12 Oct 2023 06:58:01 +0000

O.5. Golfer’s Elbow MWM

patryk — Thu, 12 Oct 2023 06:57:25 +0000

O.6. Golfer’s Elbow Positional SNAG (SMWAM)

patryk — Thu, 12 Oct 2023 07:01:31 +0000

O.7. Elbow Flexion MWM: Side Glide

patryk — Thu, 12 Oct 2023 07:00:39 +0000

O.8. Elbow Flexion MWM: Rotation

patryk — Thu, 12 Oct 2023 07:00:42 +0000

O.9. Elbow Flexion MWM: Radio-Humeral

patryk — Thu, 12 Oct 2023 07:02:15 +0000

O.10. Elbow Extension MWM: Side Glide

patryk — Thu, 12 Oct 2023 07:02:24 +0000

O.11. Elbow Extension MWM: Radio-Humeral Joint

patryk — Thu, 12 Oct 2023 07:03:46 +0000

O.12. Elbow Extension MWM: Rotation

patryk — Thu, 12 Oct 2023 07:05:09 +0000

O.13. Tennis Elbow PRP

patryk — Thu, 12 Oct 2023 07:05:01 +0000

O.14. Golfer’s Elbow PRP

patryk — Thu, 12 Oct 2023 07:06:09 +0000

P.1. Proximal Radio-Ulnar Supination MWM

patryk — Thu, 12 Oct 2023 07:19:45 +0000

P.2. Distal Radio-Ulnar Supination MWM

patryk — Thu, 12 Oct 2023 07:20:00 +0000

Q.1. Wrist Flexion MWM: Side Glide

patryk — Thu, 12 Oct 2023 10:21:11 +0000

Q.2. Wrist Flexion MWM: Rotation

patryk — Thu, 12 Oct 2023 10:21:20 +0000

Q.3. Wrist Extension MWM: Side Glide in Open Kinetic Chain

patryk — Thu, 12 Oct 2023 10:21:28 +0000

Q.5. Wrist Extension MWM: Rotation

patryk — Thu, 12 Oct 2023 10:24:16 +0000

Q.6. Wrist Extension MWM: Distal Radio-Ulnar

patryk — Thu, 12 Oct 2023 10:23:37 +0000

Q.4. Wrist Extension MWM: Side Glide in Closed Kinetic Chain

patryk — Thu, 12 Oct 2023 10:24:24 +0000

Q.7. Wrist Extension MWM: Scaphoid

patryk — Thu, 12 Oct 2023 10:27:03 +0000

Q.8. Wrist Extension MWM: Inter-Carpal

patryk — Thu, 12 Oct 2023 10:27:01 +0000

Q.9. Pisiform PRP

patryk — Thu, 12 Oct 2023 10:26:47 +0000

R.1. Fifth Inter-Metacarpal Fisting MWM

patryk — Thu, 12 Oct 2023 10:28:47 +0000

R.2. Thumb Extension MWM: Rotation

patryk — Thu, 12 Oct 2023 10:28:56 +0000

R.3. Thumb Carpo Metacarpal PRP

patryk — Thu, 12 Oct 2023 10:29:00 +0000

R.4. de Quervain’s Tenosynovitis Stretch PRP

patryk — Thu, 12 Oct 2023 10:30:58 +0000

R.5. de Quervain’s Tenosynovitis Contraction PRP

patryk — Thu, 12 Oct 2023 10:31:05 +0000

R.6. de Quervain’s Tenosynovitis Positional SNAG (SMWAM)

patryk — Thu, 12 Oct 2023 10:32:10 +0000

R.7. Finger IP Flexion MWM: Side Glide

patryk — Thu, 12 Oct 2023 10:33:12 +0000

R.8. Finger IP Flexion MWM: Rotation

patryk — Thu, 12 Oct 2023 10:33:20 +0000

R.9. Finger Extension PRP

patryk — Thu, 12 Oct 2023 10:33:39 +0000

A.21. Cervical Extension Self-SNAG

patryk — Tue, 31 Oct 2023 14:48:53 +0000

A.22. Cervical Flexion Self-SNAG

patryk — Wed, 01 Nov 2023 00:51:26 +0000

A.23. Cervical Rotation Self-SNAG

patryk — Wed, 01 Nov 2023 00:53:59 +0000

A.25. Cervical Side Flexion Self-SNAG

patryk — Wed, 01 Nov 2023 00:57:05 +0000

A.26. Cervical Self-Mobilisation With Arm Movement

patryk — Wed, 01 Nov 2023 01:00:10 +0000

A.27.

patryk — Wed, 01 Nov 2023 01:03:22 +0000

B.10. Headache Self-SNAG

patryk — Wed, 01 Nov 2023 01:07:51 +0000

B.11. Self Reverse Headache SNAG

patryk — Wed, 01 Nov 2023 01:07:57 +0000

E.4. Thoracic Self-Traction for Spine

patryk — Wed, 01 Nov 2023 01:12:18 +0000

G.16. Lumbar Self-SNAG in Lion Position

patryk — Wed, 01 Nov 2023 01:18:16 +0000

G.17. Lumbar Extension Prone Self-Treatment

patryk — Wed, 01 Nov 2023 01:18:25 +0000

G.18. Lumbar Extension Self-SNA

patryk — Wed, 01 Nov 2023 01:22:23 +0000

G.19. Lumbar Flexion Self-SNAG

patryk — Wed, 01 Nov 2023 01:22:13 +0000

G.20. Lumbar flexion Self-SNAG for L5–S1, use of fist

patryk — Wed, 01 Nov 2023 01:25:52 +0000

G.21. Self Two Leg Rotation (Gate) technique

patryk — Wed, 01 Nov 2023 01:26:06 +0000

G.22. Bent Leg Raise Self-Treatment

patryk — Wed, 01 Nov 2023 01:29:05 +0000

K.15. Knee Flexion Self-MWM Superior Tibia Fibula in Closed Kinetic Chain

patryk — Wed, 01 Nov 2023 01:31:34 +0000

N.14. Shoulder Self-MWM

patryk — Wed, 01 Nov 2023 01:37:31 +0000

N.15. Shoulder Self-Treatment

patryk — Wed, 01 Nov 2023 01:37:24 +0000

N.16. Shoulder Self-MWM with belt

patryk — Wed, 01 Nov 2023 01:36:52 +0000

O.15. Tennis Elbow Homework

patryk — Wed, 01 Nov 2023 01:40:30 +0000

B.9. C1/2 Rotation Positional SNAG (SNAGS 0/C1/C2)

patryk — Wed, 01 Nov 2023 02:07:14 +0000

G.2. Lumbar Flexion SNAG: Standing

patryk — Wed, 01 Nov 2023 02:10:17 +0000

G.5. Lumbar Extension SNAG: Prone

patryk — Wed, 01 Nov 2023 02:57:46 +0000

Contact Pads

patryk — Fri, 04 Aug 2023 03:44:33 +0000

We sell contact foam pads in a package of 6. These contact pads are used to avoid slipping. Details: Material: foam Measures: 15 cm x 15 cm The shown price includes VAT & excludes shipping. Amount of packages (6 pads per package) 1 = € 21.- 6 3.50 per stuk 2 = € 39.- 12 3.25 per stuk 3 = € 54.- 18 3.00 per stuk

Package 6 – 4 Lumbar Straps

patryk — Fri, 04 Aug 2023 03:55:19 +0000

Lumbar strap The lumbar strap can be used effectively for self-mobilisation to restore pain-free range in all directions for lumbar movements. Patients have to be taught how to use these belts. This is very effective when used in the MULLIGAN™home treatment programme for maintaining the effectiveness of the intervention of the therapist. Details:

Easy grip handles
Enables self-treatment of lumbar pain
Measures: adjustable to ± 95 cm (functional length) x 2.5 cm (width)
color may be different than shown on the photos

The shown price includes VAT & excludes shipping.

Package 5 – 5 Cervical Straps

patryk — Fri, 04 Aug 2023 03:56:49 +0000

5 x Cervical Strap The cervical strap can be used effectively for self-mobilisation to restore pain-free range in all directions for cervical movements. Patients have to be taught how to use these belts. This is very effective when used in the MULLIGAN™ home treatment program for maintaining the effectiveness of the intervention of the therapist. A clinical trail has demonstrated the effectiveness of the straps in the management of C1/2 dysfunction in cervicogenic headache. Details:

Easy grip handles
Enables self-treatment of neck pain and headaches
Measures: ± 82 cm (functional length) x 1.5 cm (width)
color may be different than shown on the photos

The shown price includes VAT & excludes shipping.

Package 4 – 2 MULLIGAN™ Mobilisation Belts + 2 Cervical Straps

patryk — Fri, 04 Aug 2023 03:58:36 +0000

2 x Mobilisation Belt We sell the official mobilisation MULLIGAN™ belt. This mobilisation belt is a very useful tool to mobilize or stabilize patient during manual therapy techniques. Details:

Colour blue with the MULLIGAN™ logo on it – color may be different than shown on the photos
High quality nylon belt
Measures: 250 cm (length) x 5 cm (width)

2 x Cervical Strap The cervical strap can be used effectively for self-mobilisation to restore pain-free range in all directions for cervical movements. Patients have to be taught how to use these belts. This is very effective when used in the MULLIGAN™ home treatment program for maintaining the effectiveness of the intervention of the therapist. A clinical trail has demonstrated the effectiveness of the straps in the management of C1/2 dysfunction in cervicogenic headache. Details:

Easy grip handles
Enables self-treatment of neck pain and headaches
Measures: ± 82 cm (functional length) x 1.5 cm (width)
color may be different than shown on the photos

The shown price includes VAT & excludes shipping.

Package 3 – Book Self Treatment+ 2 Lumbar Straps + 2 Cervical Straps

patryk — Fri, 04 Aug 2023 04:00:30 +0000

Book: Self Treatments for Back, Neck and Limbs – A new approach In this book Brian Mulligan describes his Self Treatment program. These Self Treatment techniques are very useful for maintaining the effectiveness of the intervention of the therapist. 3th Edition Author: Brian R. Mulligan 120 pages 2 x Lumbar Strap – color may be different than shown on the photos The lumbar strap can be used effectively for self-mobilisation to restore pain-free range in all directions for lumbar movements. Patients have to be taught how to use these belts. This is very effective when used in the MULLIGAN™ home treatment program for maintaining the effectiveness of the intervention of the therapist. Details:

Easy grip handles
Enables self-treatment of lumbar pain
Measures: adjustable to ± 95 cm (functional length) x 2.5 cm (width)

Easy grip handles
Enables self-treatment of neck pain and headaches
Measures: ± 82 cm (functional length) x 1.5 cm (width)

The shown price includes VAT & excludes shipping.

patryk — Thu, 05 Oct 2023 13:46:08 +0000

A.21. Cervical Extension Self-SNAG

patryk — Mon, 09 Oct 2023 01:32:47 +0000

A.22. Cervical Flexion Self-SNAG

patryk — Mon, 09 Oct 2023 01:39:05 +0000

A.23. Cervical Rotation Self-SNAG

patryk — Mon, 09 Oct 2023 01:45:59 +0000

A.25. Cervical Side Flexion Self-SNAG

patryk — Mon, 09 Oct 2023 01:53:12 +0000

G.15. Hip Extension SMWLM prone

patryk — Wed, 01 Nov 2023 03:40:54 +0000

G.16. Lumbar Self-SNAG in Lion Position

patryk — Wed, 01 Nov 2023 03:41:54 +0000

J.14. Hip Adduction MWM -traction-: Supine lying

patryk — Wed, 01 Nov 2023 03:46:17 +0000

K.14. Knee Flexion Self-MWM Rotation in Closed Chain

patryk — Wed, 01 Nov 2023 03:51:40 +0000

N.11.B. Shoulder Girdle Flexion MWM: Closed Chain

patryk — Wed, 01 Nov 2023 03:55:39 +0000

O.6. Golfer’s Elbow Positional SNAG (SMWAM)

patryk — Wed, 01 Nov 2023 03:59:43 +0000

J.15. Hip Abduction MWM: supine lying

patryk — Wed, 01 Nov 2023 04:08:22 +0000

B.8. Reverse Headache Self-SNAG

patryk — Fri, 03 Nov 2023 02:00:10 +0000

G.14. Lion Self-SNAG

patryk — Fri, 03 Nov 2023 02:02:35 +0000

N.17. Cervical Self-Mobilisation With Arm Movement

patryk — Fri, 03 Nov 2023 02:06:13 +0000

Contact Pads - 6 PADS

patryk — Fri, 04 Aug 2023 03:42:30 +0000

Contact Pads - 12 PADS

patryk — Fri, 04 Aug 2023 03:42:30 +0000

Contact Pads - 18 PADS

patryk — Fri, 04 Aug 2023 03:42:30 +0000

PACKAGE 2 – 2 MULLIGAN™ MOBILISATION BELTS + BOOK MANUAL THERAPY 7TH EDITION

patryk — Fri, 04 Aug 2023 04:01:58 +0000

2 x Mobilisation belt We sell the official mobilisation MULLIGAN™ belt. This mobilisation belt is a very useful tool to mobilize or stabilize patient during manual therapy techniques. Details:

Colour blue with the MULLIGAN™ logo on it
High quality nylon belt
Measures: 250 cm (length) x 5 cm (width)

1 x Book: Manual Therapy, NAGS, SNAGS, MWMS etc. “A must-have” for every physical therapist with interest in the field of manual therapy! 7^th Edition, 2018 Author: Brian R. Mulligan 131 pages The shown price includes VAT & excludes shipping.

Package 1 – 1 MULLIGAN™ Mobilisation Belt + Book Manual Therapy 7th edition + book Self Treatment

patryk — Fri, 04 Aug 2023 04:04:54 +0000

1 x MULLIGAN™ Mobilisation Belt Details:

Colour blue with the MULLIGAN™ logo on it
High quality nylon belt
Measures: 250 cm (length) x 5 cm (width)

1 x book: Manuel Therapy, NAGS, SNAGS, MWMS etc. by Brian R Mulligan, 7th edition “A must-have” for every physical therapist with interest in the field of manual therapy! 7^th Edition, 2018 Author: Brian R. Mulligan 131 pages 1 x book: Self Treatments for Back, Neck and Limbs, by Brian Mulligan In this book Brian Mulligan describes his Self Treatment program. These Self Treatment techniques are very useful for maintaining the effectiveness of the intervention of the therapist. 3th Edition Author: Brian R. Mulligan 120 pages The shown price includes VAT & excludes shipping.

MULLIGAN™ Mobilisation Belts

patryk — Fri, 04 Aug 2023 04:08:32 +0000

MULLIGAN™ Mobilisation belts We sell the official mobilisation MULLIGAN™ belt. This mobilisation belt is a very useful tool to mobilize or stabilize patient during manual therapy techniques. Details:

Colour blue with the MULLIGAN™ logo on it
High quality nylon belt
Measures: 250 cm (length) x 5 cm (width)

The shown price includes VAT & excludes shipping.

MULLIGAN™ Mobilisation Belts

patryk — Fri, 04 Aug 2023 04:07:51 +0000

MULLIGAN™ Mobilisation Belts

patryk — Fri, 04 Aug 2023 04:07:51 +0000

MULLIGAN™ Mobilisation Belts

patryk — Fri, 04 Aug 2023 04:07:51 +0000

MULLIGAN Concept App Subscription

admin — Tue, 22 Aug 2023 19:40:11 +0000

Monthly subscription: the first-month FREE access only €0.10 for verification €2.45 per month (= +/- $2.95) Annual subscription: a discount of 2 months per year! €24.50 per year (= +/- $29.50) Your subscription may be cancelled at any time via the link (stop-my-subscription) on the my-account page.

MULLIGAN Concept App Subscription - Monthly

admin — Tue, 22 Aug 2023 19:50:24 +0000

MULLIGAN Concept App Subscription - Yearly

admin — Tue, 22 Aug 2023 19:50:24 +0000

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admin — Mon, 18 Sep 2023 21:00:43 +0000

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Subscription – Sep 19, 2023 @ 09:24 AM

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Order – October 20, 2023 @ 05:47 AM

admin — Fri, 20 Oct 2023 03:47:22 +0000

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admin — Wed, 06 Dec 2023 09:03:34 +0000

Main menu

patryk — Fri, 04 Aug 2023 13:32:27 +0000