The Maitland-Australian Method Explained

The Maitland-Australian method of manual therapy was developed by Geoff Maitland. This method focuses on patient symptoms and specifically how these symptoms change following specific manual therapy techniques, utilizing specific and graded joint mobilizations. These mobilizations are chosen for each individual patient based on their clinical presentation.

Upon evaluation, a thorough patient history is taken, focusing on exacerbating positions/activities and pain-relieving positions, then a movement assessment is completed. The clinician searches for the comparable sign – the movement that reproduces the patients pain most accurately. The therapist will then complete a treatment technique (often a joint mobilization of appropriate grade) and re-test the patient’s motion, looking for a reduction of their comparable sign.
If the patient’s motion is less painful and their comparable sign has been reduced, the clinician continues with this same technique. It’s that simple!

Typical bouts of hands-on techniques last 10-30 minutes based on the patient’s condition. Often, soft tissue mobilization, massage, muscle energy techniques, etc. are used in conjunction with joint mobilization in order to reduce pain and re-establish normal function.

Maitland is the father of graded joint mobilization
Grade I: small amplitude short of tissue resistance
Grade II: large amplitude short of tissue resistance
Grade III: small amplitude into 50% of tissue resistance
Grade IV: small amplitude into 50% of tissue resistance
Grade V: small amplitude, high velocity thrust and end of available range

Grades I and II are non-threatening mobilizations used to help with acute pain, reduce muscle spasms, and slightly improve range of motion, primarily used in pain-dominant patients. Grades III, IV, and V are mobilizations used to improve joint mobility, generally used in stiffness-dominant patients who have lower pain levels

The clinician will consistently re-test the patient’s motion, looking for reduction in pain levels and improved range of motion. Along with joint mobilization, modalities such as moist heat, electric stimulation, and ice (cryotherapy) are used to reduce the patient’s pain. When pain levels are controlled, a transition to non-threatening therapeutic exercise are used to build strength and stability surrounding the joint/joints that were once painful.

Many of Red Canyon therapists employ the Maitland concept and are actively pursuing a formal certification in this treatment technique. If you are interested and feel that the Maitland-Australian method will help relieve your pain, contact us today!

Mulligan Concept of Manual Therapy: An Overview

The Mulligan Concept is a manual therapy technique developed by Brian Mulligan of Wellington, New Zealand. The concept is based on the mobilization with movement (MWM) technique of gliding specific joints at precise angles with a specific amount of pressure while a patient moves through a full active range of motion. When performed correctly, this technique will be pain-free and will show an immediate increase in the patient’s range of motion.

While the spinal joints are glided at parallel angles, the peripheral joints are glided at perpendicular angles. If there is pain or lack of increased motion there are 3 things the clinician needs to consider:

  1. The segment being treated
  2. The angle of the mobilization
  3. The force being applied

The clinician should also be constantly on the lookout for the PILL response (Pain free, Instant result, Long Lasting) to determine the effectiveness of the treatment, while also investigating combinations of parallel or perpendicular glides to find the correct treatment plane.

Once the correct mobilization has been identified, it’s important for the patient to reach their end range of the motion and apply overpressure at the very end. Overpressure (pushing slightly more at the end of the active range) will ensure the positive carryover of the technique while creating stretching, but not pain. The techniques are especially effective because they can be performed by the patient with a specific exercise program on their own. If a patient is performing these exercises correctly on their own at home, they should expect a 50% improvement in their motion by their second therapy visit.

To become a certified Mulligan provider (a CMP), the clinician needs to attend three separate classes and pass both a written and practical exam. If you would like more information about the Mulligan Concept or want to be treated by a CMP, feel free to give Red Canyon Physical Therapy a call and make an appointment with one of our Certified Mulligan Providers today.

How Does Physical Therapy Help in Concussion Recovery?

Now that it’s July, it’s already time to start gearing up for fall sports like football, soccer, volleyball, and others. Unfortunately, anyone playing these sports, as we all know, is at risk for concussion. Head injuries have received a lot of publicity in recent news — so in this month’s blog, we’d like to answer a few questions about concussions and address how various techniques (particularly vestibular physical therapy) can be helpful in the recovery process. Read more

Benefits of Physical Therapy

What’s the Difference Between Dry Needling and Acupuncture?

Red Canyon is proud to offer dry needling therapy to our patients in Frederick and Hagerstown. As a result, a common question we get is, “What’s the difference between acupuncture and dry needling?” Though both techniques involve a practitioner inserting thin needles into parts of the human anatomy, there are a few different goals in mind that spell out the key differences between acupuncture and dry needling.

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Manual Therapy and its Importance in Physical Therapy

What is manual therapy? Why is it an important form of Physical Therapy?

Manual therapy is defined as the skilled passive movement of joints and soft tissues to treat musculoskeletal pain and disability; it most commonly includes kneading and manipulation of muscles, joint mobilization and joint manipulation. Manual therapy is just one type of physical therapy Red Canyon offers from our two offices in Frederick, Maryland.

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Motivate Yourself to Stay Active During or After Physical Therapy

The motivation to exercise often is a big problem for people who are thinking of starting physical therapy or staying active after treatment is completed. This is one topic of conversation we have with our patients here at Red Canyon Physical Therapy at our Frederick, Maryland office.

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Benefits of Physical Therapy

Unexpected Benefits of Physical Therapy

It’s natural to want to lose weight, quit smoking, or start a new hobby, but the team at Red Canyon Physical Therapy in Frederick, Maryland wants to help you commit to a different resolution. It should go without saying, but there are a number of unexpected additional health benefits that come from staying consistent with a physical therapy regimen. Therefore, it’s imperative patients see their physical therapy program through until the end.

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Holiday Gift Ideas

Happy Holidays everyone from Red Canyon Physical Therapy in Frederick, Maryland, and now our newest location in Hagerstown, Maryland. As we approach this holiday season and you’re trying to figure out what to get some of your friends and family members, Red Canyon has some great gift ideas we want to share with you. The best news is they are fairly inexpensive. Check these great items out: Read more

healthy holiday tips

20 Tips to Stay Healthy During the Holidays

Red Canyon Physical Therapy in Frederick, MD wants to wish you and your families a happy and healthy holiday season! With that said, we want to share with you some healthy holiday tips during this time of year. Here are 20 tips to help you stay healthy during the holidays:
1. Know that eating desserts or unhealthy foods in moderation is okay! Don’t get down on yourself for sneaking in one of Santa’s cookies.
2. Stay hydrated.

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Helping Maryland Student Athletes Prepare for the Fall Season

The Fall sport season is right around the corner! Red Canyon Physical Therapy in Frederick, Maryland wants your student athlete feeling great. We also know that with the start of a new school year and a new sports team, the beginning of the season can be tough. Whether your student is lacing up in the black and gold for the Frederick High School Cadets, or any other team in the region, there are many factors that can help student athletes have a great tryout and season.

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