PART THREE: Manual Therapy

So this is where it starts to get interesting. . . One of the most important parts of manual therapy is the initial assessment. There no use in trying to mobilise an already hyper-mobile joint for example, in fact this is likely to be detrimental. So it is first essential to know what is normal and what is not. This can often been established by comparing one side to another, but also through patient mileage and experience. . . .does it feel normal by comparison to others. . .does it look normal by comparison to others. Once you have established this you can determine what is the right level of mobilisations. Joint mobilisations can be graded into 5 parts. A grade 5 mobilisation is also know

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’The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 56,000 chartered physiotherapists, physiotherapy students and associates’

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