Intoduction To Maitland
Intoduction To Maitland
Intoduction To Maitland
Maitland’s Concept
of
Peripheral Manual
Therapy
Introduction to the Maitland
A tribute to Geoffrey Douglas Maitland
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Introduction to the Maitland Cont…
He has studied the techniques from osteopath, chiropractor, bonesetter books as well as
from medical books such as those of Marlin, Joster, James B. Mennell, John Mc Millan
Mennell, Alan stoddard, Robert Maignee, Edgar Cyriax, James Cyriax, and many others
available
1954, He started teaching manipulative therapy sessions
1961, He was awarded with special scholarship for overseas study tour, he visited James
Cyriax, and Georgy P. Grieve in UK along with others
1962, he wrote an article of “the problems of teaching vertebral manipulation”
1964, first edition of vertebral manipulation (Latest 7 th Edition 2005)
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Fundamental components of the Maitland’s
Concept
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A. The patient centered approach to dealing with movement
disorders
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B. The brick wall approach and the primacy of clinical
evidence
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C. The paradigm of identifying and maximizing movement
potential
(WCPT,1999)
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C. The paradigm of identifying and maximizing
movement potential
AND
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C. The paradigm of identifying and maximizing movement
potential
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D. The science and art of assessment
Science of assessment
Cause of the problem
The structures at fault
Pathobiological mechanisms
Art of Assessment
Repeated assessment and ongoing analytical assessment
Clinical decision making about treatment strategies (selection and
application of the techniques)
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THE MAITLAND’S CONCEPT
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Basic Definitions from
Maitland’s Concept
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Mobilization
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Manipulation
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Passive Movement
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Passive Movements
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Grades of Mobilization
Grading based on amplitude of movement & where within
available ROM the force is applied.
Grade I
Small amplitude rhythmic oscillating movement at the beginning of
range of movement
Manage pain and spasm
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Grades of Mobilization
Grade II
Large amplitude rhythmic oscillating movement within midrange of
movement
Manage pain and spasm
Grades I & II – often used before & after treatment with
grades III & IV
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Grades of Mobilization
Grade III
Large amplitude rhythmic oscillating movement up to
point of limitation (PL) in range of movement
Used to gain motion within the joint
Stretches capsule & CT structures
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Grades of Mobilization
Grade IV
Small amplitude rhythmic oscillating movement at very
end range of movement
Used to gain motion within the joint
Used when resistance limits movement in absence of pain
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Grades of Mobilization
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Example of grades
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