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The International Federation of Manipulative Orthopedic Physiotherapists (IFOMPT) defines orthopedic manual therapy as: “a specialized area of ​​physiotherapy for the management of neuro-musculoskeletal conditions, based on clinical reasoning, using very specific treatment approaches, including manual and instrumental techniques. It consists of the use of manually applied movement techniques to assess and treat dysfunctions of the neuro-musculoskeletal system. Orthopedic manual therapy also encompasses the vision of the body as a whole, to identify possible somatic dysfunctions, characterized by a disturbance in the harmony of movement, induced by structural modifications.

Manual therapy techniques include :

Trigger point therapy.
Muscle spasms.
Active Release Techniques: A practitioner determines where the adhesions are via palpation, then couples a patient’s active movement with his induced force vector.
Passive capsule-ligament gain for improvement of joint amplitude (ROM, range of motion).
Movement active gain.
Lymphatic drainage.
Tissue stretching (muscle, neural tissue, joints, fascia).
Instrument assisted soft tissue mobilization.
Joint manipulation: Induction of passive, high-velocity, low-amplitude motion applied to a joint complex within its anatomical limit, with the aim of restoring optimal motion and function and/or reducing pain by jostling/shaking the joint complex.
Joint Mobilization: A manual therapy technique comprising a continuum of skillful passive movements to the joint complex that are applied at varying speeds and amplitudes, which may include low amplitude/high speed therapeutic movement (manipulation) with the intention of restore optimal movement, function and/or to reduce pain.