II. Types

  1. Counter Strain Therapy
    1. Passive shortening of a Muscle until its associated Tender Point softens while being palpated
    2. Joints and Muscles are manipulated away from a restrictive barrier (taut Muscle) toward a less restrictive position
    3. Once Trigger Point pain decreases, position is held for 90 seconds, and then returned to a neutral position
  2. Muscle Energy Technique
    1. Stretches tight Muscles and fascia
    2. Examiner applies counter force against a patient's isometric contraction of involved Muscles
    3. Patient holds each contraction for 3-5 seconds and repeats the maneuver 3-5 times
  3. Soft Tissue Therapy
    1. Fascial tissue is lengthened through manual force
  4. Spinal Manipulation
    1. Manual force applied to spinal joint, moving it at it's end range of motion

III. Indications

IV. Precautions

  1. Chiropractic Manipulation is common in infants and children (2.5 Million in 2007)
    1. Has been used for various complaints beyond musculoskeletal, including respiratory conditions, colic, allergies
    2. Evidence of benefit is poor in this population, and it is not generally recommended
    3. Posadzki (2013) Pediatrics 132(1):140-52 [PubMed]

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