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.

What is a Concussion?

According to the American Academy of Neurological Surgeons is an injury to the brain that results in temporary loss of normal brain function. It is usually caused by a blow to the head, or whiplash. In many cases, there are no external signs of head trauma (e.g. bruising). Many people assume that concussions involve a loss of consciousness, but this isn’t true as many concussions are suffered without any loss of consciousness involved.

What Are the Signs and Symptoms of a Concussion?

Symptoms vary from person to person, and not all symptoms need to be present for a concussion to be diagnosed. However, these are the most common symptoms reported in concussion sufferers:

  • Confusion
  • Prolonger headache
  • Vision disturbances
  • Dizziness
  • Nausea and vomiting
  • Impaired balance
  • Memory loss
  • Ringing ears
  • Difficulty concentrating
  • Sensitivity to light
  • Loss of smell or taste

What Should I Do If I Think I Have a Concussion?

If you suspect that you or your child may have a concussion, the first step should be to visit a primary care provider or urgent care facility. At that visit, your healthcare provider will perform an impact test, which will help determine what concussion symptoms are present and how severe they may be. Once assessed, your healthcare provider will offer up a course of treatment, which may involve taking acetaminophen-based painkillers for headaches, plenty of rest, and avoiding any activities (including sports) that may aggravate symptoms.

Can You Get a Concussion From Something Other Than Sports?

Yes — concussions are traumatic brain injuries that can occur any time your head hits a hard surface. Whether it’s hitting your head on the steering wheel or window in a car accident, walking into a wall without looking, or waking quickly from a top bunk and hitting your head on the ceiling, concussions are a real threat.

How Can Physical Therapy Help in Recovering from a Concussion?

Doctors often prescribe physical therapy to aid in recovering from post-concussion syndrome, which occurs when concussion symptoms linger well after the initial trauma takes place. Symptoms of post-concussion syndrome include dizziness, difficulty with balance, neck pain and headache, and poor exercise tolerance. To treat any lingering neck pain, soft tissue manipulation and other manual therapies can often provide relief. Dizziness may be treated with a variety of exercises or manual treatment that would also apply to vertigo patients, as well as balance exercises to improve balance. To help with activity tolerance, a progressive aerobic exercise program specific to each patient’s needs is the best course of action.

We can treat all of these symptoms and many more at Red Canyon Physical Therapy — so if you suspect that your or your child may have suffered a concussion, consult your primary care physician, and ask if physical therapy is a good course of action to treat your specific symptoms.

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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Functional Foods and Inflammation

What are functional foods and how can they help reduce pain? Functional foods are not clearly defined as the qualities they posses and their role in health are constantly evolving. In general a Functional Food is a food that you consume for its bioactive components for health related purposes. These bioactive components are best consumed raw as heat alters the properties of food and may in some cases make the bioactive components, well, less active.

What is Inflammation? Our job as Physical Therapists and Wellness Providers is to help you feel better and move pain free as quickly as possible. When you have an injury your body becomes inflamed at the injury site. Inflammation is a natural immune response designed to promote blood flow to injured areas in an effort to heal the injury site. Imagine you fall and bump your head (injury site). The response of your body is for that area to swell, become warm and hurt (a result of blood flow to the area). This is called the inflammatory response; Pain is a result of this response and as you heal pain should be reduced.

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