Manual Therapy is an excellent method for improving overall health and musculoskeletal efficiency. Manual Therapy has a number of beneficial effects on the body and the mind. Some of these include removal of toxins that can build up in the muscles of the body, increased circulation, and increased flexibility in not only the muscles, but also the connective tissue within the body.
Manual Therapy can also help with muscle spasms as well as soft tissue injuries. Increasing the movement and reducing the overall recovery time by helping the body in the healing process. In addition, consistent Manual Therapy has been known to increase balance.
Adjustments, or manipulation as they’re sometimes referred to is the minor movement of vertebrae in the spine. The objective of this movement is to realign vertebrae that have moved out of place for a number of reasons ranging from normal daily activity to trauma such as a car accident.
When these vertebrae are out of place, it has an overall systemic effect from muscular to the central nervous system. Without proper alignment and flow of all nerves and systems in the body from the brain, we can’t function at our peak.
An adjustment is often a pressure from the chiropractor utilizing the hands or an instrument to move a vertebrae back into place. This happens with a quick movement and is often without discomfort. You may hear a noise that sounds like you’re cracking your knuckles referred to as joint cavitation. It is the release of gases such as oxygen and nitrogen from the joint.
Overall, adjustments are an excellent way to keep the body functioning at its highest level. When the body is in alignment, the body is able to respond and perform as it was designed to.
PARTIAL SIT UP
Partial sit ups are recommended for people with back pain. The same muscle groups are worked out without putting stress on the lower back. You will start just like a regular sit up with your back on the floor, both feet on the floor, and your knees bent. Raise your head, neck, and shoulders off of the floor and hold that position for 5 seconds. This exercise will strengthen your core and is simple to do. Repeat as many times as you can, with a goal of increasing your reps each day.
KNEE TO CHEST
You start this exercise the same way like the partial sit up. Begin the exercise by drawing one of your knees to your chest, using both hands (only one foot is now in the air). Hold to the count of 10, then slowly release it to the rest position. Do 4-5 repetitions, and then repeat with your other leg, then both legs at the same time. This exercise stretches your glutes and back.
Start this exercise flat on your back with your arms extended out to the side. Bend your knees and lift your feet off of the ground. You will now rotate your hips to the side so that your legs become parallel with the floor. Rotate from side to side for 5-10 repetitions. This is another core exercise that strengthens your abdominal muscles.
LOW BACK EXTENSION
Start by laying flat on your stomach with your hands to your side. Lift your head and upper body off of the ground by using the muscles in your lower back. Hold this position for 4-5 seconds and then lower yourself back down. Repeat 10-15 times.
Position yourself on all fours with hands directly beneath your shoulders and knees directly beneath your hips with your back straight. Use your abdominal muscles to push your back towards the ceiling, arching it like a cat. You should notice your head will point down towards the floor. Next, drop your back so that your lower back extends. Your head should raise when doing this. Make sure to keep your elbows straight the entire time, the only movement should be in your spine. Repeat this 12-15 times.
This exercise is best performed with a stability ball. Lay with your stomach on the stability ball with your hands behind your head. Tighten your abdominal muscles and use your lower back muscles by contracting your glutes to lift your shoulders and chest off the ball.
Lie face down with your arms extended above your head. Tighten your abdominal muscles and lift your arms and legs off the ground. It should like you are in a Superman like flying position. Hold this for about 30 seconds and then release. You may be tempted to hold your breath when clenching your abdominal muscles. DON’T! Control your breathing while holding this position.
DOUBLE LEG LIFTS
Using a stability ball, lay face down with your hands on the floor in front of the ball. Raise both legs off of the floor until your body is horizontal and hold the position for about 10 seconds. Lower your legs back down to the floor and repeat 5-10 times.
While seated in a chair, reach one arm across your stomach and grasp the opposite side of the chair. Look over the shoulder while rotating the low- and mid-back. Hold for 15-30 seconds.
EXTERNAL SHOULDER ROTATION
Start by lying on your right side with your right arm folded under your head. Your upper left arm should be parallel to your torso, bent at the elbow so that your forearm is lying across your stomach with your hand on the floor. By rotating your shoulder, raise your forearm so that it is perpendicular to the side of your body. Switch to your other side and repeat. This exercise can also be performed with a dumbbell.
INTERNAL SHOULDER ROTATION
Lay on your right side, like in the external shoulder rotation, but keep your right hand free this time. Keep your right arm next to your body and bend at the elbow. Rotate your shoulder to move your forearm. It will start flat on the floor, and then you will rotate it into your body so that your forearm is flat across your stomach. Repeat this motion 10-15 and use a dumbbell if you prefer.
LATERAL DELTOID RAISE
Start with your arms to the side of your body, palms facing the thighs. Tighten the abdominals, bend the knees slightly, and position the feet about shoulder-width apart. Raise your arms straight out to your side until they are shoulder height. Hold that position briefly, and slowly return your arms to your sides.
FRONT DELTOID RAISE
Start with your arms in front of your body, palms facing the thighs. Tighten the abdominals, bend the knees slightly, and position the feet about shoulder-width apart. Raise your arms straight out in front of you until they are shoulder height. Hold that position briefly, and slowly lower your arms.
SINGLE-ARM LAT PULLDOWN
Begin with both hands overhead holding an elastic resistance band. Engage the abdominals, bend the knees slightly, and position the feet about shoulder-width apart.
Pull downward to the side with one arm, adducting at the shoulder until the upper arm is next to the torso. Pause, then return slowly to the starting position. Keeps your arms slightly in front of the face to protect the back and shoulders.
STABILITY BALL PUSH-UPS
Start with the ball under your stomach and your hands on the floor in front of you. Roll forward slowly until your shins are balancing on the stability ball. Now perform pushups as your normally would by bending at the elbow.
SIDE LUMBAR BRIDGE
Lie on one side with your legs straight. Support the upper body by keeping the elbow directly beneath the shoulder. Being careful not to let the top hip rotate forward, engage the abdominals and use the torso to lift the hips. Hold this position for 10 to 15 seconds, maintaining a neutral neck and spine position.
SINGLE-LEG REVERSE CURL
Lie on your back with one knee flexed and foot flat on the floor and the other leg straight out slightly raised off the ground. Extend arms flat along body and maintain neutral alignment in the cervical spine.
Lift the working knee and leg in an upward diagonal direction over the belly button. Pause, then slowly lower the leg to the starting position. Repeat with other leg.
CRUNCH W/ STABILITY BALL
Lay down with your back on the stability ball and your hands behind your head or folded across your chest. Maintain a backwards-pelvic tilt and raise shoulder blades off the ball, return to the starting position, and repeat.
Stand facing the wall and hold the stability ball at forehead height. Use your neck muscles to push your forehead into the stability ball. Relax and repeat.
Stand facing away from the wall and hold the stability ball behind your head. Push back of head into the ball.
Stand sideways to the wall. Hold the stability ball above your shoulder at the side of your head. Push side of heads laterally into the ball.
- Bring your ear to your shoulder
- Let your neck to sit in that position for 5 to 7 seconds 3.Force your ear toward your shoulder.
- Feel the stretch of your neck muscle on the opposite side.
Same principle as the exercise before
- Bring head back as if you are looking toward the ceiling.
- Feel the stretch in the muscles located on the front part of your neck.
- If this exercise causes dizziness, fainting or loss of balance… STOP THE EXERCISE AND CONTACT YOUR PHYSICIAN.
- Rotate your head toward your (R or L) shoulder and then 2.Nod your head down and you will feel a stretch on the opposite side of which you are looking. Just hold for a few seconds and repeat. Neck exercises for strength 1.Put your hand on your forehead and force your forehead against your hand to provide resistance. You can do this in several sets of 6, 8, or 10 repetitions.
- Place your hands on the back of your neck and force your head back while providing resistance with your hands.
Do these exercises in several sets of 6, 8, or 10 several times a day and you will be surprised at the amount of flexibility that returns in a couple of months.
Electrical Muscle Stimulation is an exceptional way to help the body in the healing process. This is accomplished by sending a very small electrical current into the affected soft tissue injury or muscle spasm. The therapy utilizes this current in an effort to help reduce swelling and release trigger points that may have the muscle locked up. It does this by helping the body to release natural relievers of pain often referred to as endorphins.
This is a great therapy if there is a spasm in a back or neck muscle. It works well in relaxing the muscle and allowing it to return to its normal state rather quickly. Short therapy sessions are excellent at facilitating healing from acute and chronic pain.
PNF stretching, or proprioceptive neuromuscular facilitation stretching, are stretching techniques commonly used in clinical environments to enhance both active and passive range of motion with the ultimate goal being to optimize motor performance and rehabilitation. The literature regarding PNF has made the technique the optimal stretching method when the aim is to increase range of motion, especially in short-term changes. Generally an active PNF stretch involves a shortening contraction of the opposing muscle to place the target muscle on stretch. This is followed by an isometric contraction of the target muscle.
There are three primary benefits to ultrasound. The first is the speeding up of the healing process from the increase in blood flow in the treated area. The second is the decrease in pain from the reduction of swelling and edema. The third is the gentle manual therapy of muscles tendons and or ligaments in the treated area because no strain is added and any scar tissue is softened.
Core stability is a misunderstood term. Typically, the core is associated with the abdominal muscles groups and stability is associated with isometric or static strength. However in actuality, the core consists of the abdominal muscles groups (transverse abdominis, internal obliques, external obliques and rectus abdominis), hip abductors/ adductors, hip flexors, and lumbar spine. In addition, it is lumbar spine that is primarily responsible for posture and stability providing the strength needed for stability especially Injuries suffered from auto accidents.