Manuelterapi, Vücudumuzda hareket sistemi elemanlarından kas, bağ ve eklem bölümlerinin etkilenmesiyle ortaya çıkan ağrı ve fonksiyon kayıplarının özel tekniklerle (mobilizasyon ve manupilasyon teknikleri)  tedavi edilmesi yöntemidir. National Institutes of Health (NIH) manuel terapi yöntemlerini osteopati ve kayropraktik olarak sınıflamakla birlikte hekimler manuel (manus –latince eller- yani eller kullanılarak yapılan tedavi) tedavi uygulamalarını birçok farklı isimde gerçekleştirebilmektedir.

Manuelterapi bu konuda eğitim almış kişiler tarafından yapılan ve özel birtakım teknikleri içeren vücudun biyomekaniklerini kullanan ve insanın doğal hareket etme yeteneğinden referans alan bir uygulamadır. Manuel terapi uygulayıcısı hastanın şikayetlerinden yola çıkarak eklem ve çevresindeki anatomik yapıları birtakım özel testlerle kontrol eder ve eklem ve çevresi dokulardaki ağrı oluşturan mekanizmaları ortaya çıkarır.

Vücudumuz kendi ağırlığından kaynaklanan hem yerçekimini yenme stratejisi hem de güç ortaya çıkaran kasların etkisiyle bazen de günlük yaşam hareketlerini icra ederken fark etmeden aldığımız vücut bütünlüğünü bozan travmaların neticesiyle dejenere olur. Bu dejenerasyon başlangıçta vücut bütünlüğümüzde yapısal değişiklikler yapmazken aynı mekanizmaların uzun süreli tekrarları bazen de değiştirilemeyecek tarzda yapısal bozukluklara neden olur. Manuelterapi uygulayıcısı hem bozulan işleyişi ortaya çıkarmaya hem de eğer mümkünse bozukluğun yeniden düzeltilmesini sağlayacak tedavi yöntemlerini planlayarak kişilerin sağlığını korumaya, düzeltmeye ve onların eskisi gibi ağrısız hareket etmelerini sağlamaya odaklanır.

Manuelterapi dışarıdan uygulanan bir ilaç, cihaz veya elektriksel yöntem kullanmaz. Çünkü sorun zaten vücudumuzun patolojik hareketleri neticesinde açığa çıkan ağrı ile ilgilidir. Bu referansla yola çıkıldığında vücudun ortaya çıkardığı biyomekanik mekanizmalar yoluyla bozukluğu düzelttiğimizde vücudumuz zaten doğal ağrısız hareket etme mekanizmalarını kullanacaktır. Manuelterapi yöntemleri bilimsel metot ve kanıtları kullanır, kısa sürede iyileşme imkanı sağlar, başarı oranı yüksektir ve doğru ellerde yapılan uygulamalarda yan etkisi yoktur.

Bel/boyun hastalıkları, omuz, kalça, diz, dirsek, el bileği, ayak bileği benzeri eklem sorunları, kırık/cerrahi sonrası sorunlar, postür bozuklukları vb birçok konuda manuelterapi etkili ve güvenli olarak uygulanabilmektedir. Manuelterapi yöntemleri ile sorun ortaya konmakta, düzeltilmekte ve kişinin yaşam tarzı da düzenleyerek ağrının tekrarlamaması konusunda hastaya eğitici bir rol üstlenmektedir.

Dr.Sedat Yıldız

 

 

* Kaynak: https://www.nih.gov/, http://www.milliyet.com.tr/manuel-terapi-nedir

 

Manuelterapi ile ilgili özet metin ve literatürler

The psychometric properties of the German version of the new Worker Role Interview (WRI-G 10.0) in people with musculoskeletal disorders.

Cross-frictional therapy and stretching for the treatment of palmar adhesions due to Dupuytren’s contracture: A prospective case study.

Inter-tester reliability of non-invasive technique for measurement of innominate motion.

Mindful awareness in body-oriented therapy as an adjunct to women’s substance use disorder treatment: A pilot feasibility study.

Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation.

Effects of carpal tunnel syndrome on adaptation of multi-digit forces to object weight for whole-hand manipulation.

Rethinking the model of osteoarthritis: a clinical viewpoint.

Attitudes towards massage modify effects of manual therapy in breast cancer survivors: a randomised clinical trial with crossover design.

Effects of Manual Therapy on Craniofacial Pain in Patients With Chronic Rhinosinusitis: A Case Series.

Manual Physical Therapy for Injection-Confirmed Non-Acute Acromioclavicular Joint Pain.

A manual physical therapy approach versus subacromial corticosteroid injection for treatment of shoulder impingement syndrome: a protocol for a randomised clinical trial.

Economic evaluation within a factorial-design randomised controlled trial of exercise, manual therapy, or both interventions for osteoarthritis of the hip or knee: study protocol.

Manual therapy associated with upper limb exercises vs. exercises alone for shoulder rehabilitation in postoperative breast cancer.

Structural integration, an alternative method of manual therapy and sensorimotor education.

Retraction: a descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention.

Manual palpation of lumbo-pelvic landmarks: A validity study.

Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review.

Retraction: The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial.

Effect of therapeutic exercise versus manual therapy on athletes with chronic low back pain.

Manual therapy and home exercise for chronic rotator cuff disease.

The ability of a sustained within-session finding of pain reduction during traction to dictate improved outcomes from a manual therapy approach on patients with osteoarthritis of the hip.

Complementary and alternative medicine in the treatment of pain in fibromyalgia: a systematic review of randomized controlled trials.

A randomized controlled trial of the effects of muscle stretching, manual therapy and steroid injections in addition to ‘stay active’ care on health-related quality of life in acute or subacute low back pain.

Case report of a patient with chemotherapy-induced peripheral neuropathy treated with manual therapy (massage).

The effectiveness of manual therapy in supraspinatus tendinopathy.

Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention.

Summaries for patients. A comparison of massage therapy and usual medical care for chronic low back pain.

The role and position of passive intervertebral motion assessment within clinical reasoning and decision-making in manual physical therapy: a qualitative interview study.

Application of a classification system and description of a combined manual therapy intervention: a case with low back related leg pain.

Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.

Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review.

Combined treatment with corticosteroid injection plus exercise and manual therapy was similar to exercise and manual therapy alone for shoulder pain at 12 weeks.

Novel use of a manual therapy technique and management of a patient with peroneal tendinopathy: A case report.

Non-surgical treatment of hip osteoarthritis. Hip school, with or without the addition of manual therapy, in comparison to a minimal control intervention: protocol for a three-armed randomized clinical trial.

Spinal manipulations for the treatment of migraine: a systematic review of randomized clinical trials.

The use of RCT’s in manual therapy–are we trying to fit a round peg into a square hole?

Advances in manual therapy for children.

Manual therapy and ear pain: a report of four cases.

Usefulness of manual therapy in the rehabilitation of patients with chronic rotator cuff injuries. Preliminary report.

Defining adverse events in manual therapy: an exploratory qualitative analysis of the patient perspective.

Towards preventing thumb pain from application of cervical manual therapy: A point of view.

Manual therapy of the mandibular accessory ligaments for the management of temporomandibular joint disorders.

Is behavioral graded activity cost-effective in comparison with manual therapy for patients with subacute neck pain? An economic evaluation alongside a randomized clinical trial.

The dangers of inactivity; exercise and inactivity physiology for the manual therapist.

Spinal manipulative therapy for chronic low-back pain.

Manual therapies for migraine: a systematic review.

Heel pain: hands-on physical therapy and stretching prove effective for treating heel pain.

Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: a randomized controlled trial.

The impact of Masters education in manual and manipulative therapy and the ‘knowledge acquisition model’.

Manual and manipulative therapy compared to night splint for symptomatic hallux abducto valgus: an exploratory randomised clinical trial.

Evaluating the relationship among cavitation, zygapophyseal joint gapping, and spinal manipulation: an exploratory case series.

Manual therapy in infantile torticollis: a randomized, controlled pilot study.

A critical appraisal of the clinical trial on spinal manipulative therapy (SMT) and pediatric cervicogenic headache.

Dynamic fascial release and the role of mechanical/vibrational assist devices in manual therapies.

Manual therapy for osteoarthritis of the hip or knee – a systematic review.

A systematic review of manipulative therapy for the treatment of shoulder pain.

Editorial for the special issue of manual therapy based on the Third International Conference on Movement Dysfunction.

Manual therapy assessment findings in patients diagnosed with Eagle’s Syndrome: a case series.

Trigger point therapy and plantar heel pain: A case report.

Comparative use of complementary medicine, allied health, and manual therapies by middle-aged and older Australian women.

Ankle manual therapy for individuals with post-acute ankle sprains: description of a randomized, placebo-controlled clinical trial.

Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial.

NASS Contemporary Concepts in Spine Care: spinal manipulation therapy for acute low back pain.

 

Manual therapy literature for years 2010-2011