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2. Manual Therapy: from theoretical speculations to research. Even today, most Manual Therapy approaches are based on the evaluation of biomechanical factors that may be the cause or consequence of symptoms reported by the patient, with a feeling of pain and reduction in function, either directly at the local and segmental level or indirectly in neighboring regions []. Alternatively, Korr (1978) described manual therapy as the "Application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues, or in skeletal muscles ( Nicholas et al., 1978 )." View chapter Purchase book Extra-spinal disorders Biomechanical Effects. Manual therapy is a complex intervention and it requires further mixed methods research to fully understand its role within the biopsychosocial management of back pain. Callender, A. History of Spinal Manipulation. In: Principles and Practice of Chiropractic. 3 rd Ed. Haldeman S. New York: McGraw-Hill, 1992:5-22 "Traditionally joint targeted manual therapy has been based on a detailed biomechanical assessment of the motion segment (i.e. the joint) where the lack of normal osteokinematics is noted, and becomes the target of intervention to restore "normal" function. Introduction. In order to design an effective and well-fitting orthosis, the practitioner must have a thorough foundation of upper extremity (UE) anatomy, wound healing, and biomechanical principles. More importantly, this requires the ability of the practitioner to apply this knowledge to meet the client's particular needs. A search of the indexed biomechanical and medical literature as well as a hand search of published works was conducted. The criteria for article selection consisted of studies that included measurements of mechanical characteristics of treatment techniques used under the general headings of SMT or manual therapy. Physical Therapy students are expected to: Explain the biomechanical methods by which prosthetic and orthotic devices accomplish their goals. Discuss the biomechanical issues of the interface between the device and the user's anatomy. Discuss the kinematics and kinetics of gait, including internal and external moments during each phase of gait. Manual therapy (MT) is a passive, skilled movement applied by clinicians that directly or indirectly targets a variety of anatomical structures or systems, which is utilized with the intent to Classification of SMT procedures can be made according to quantifiable biomechanical parameters a CPM may be combined with other manual procedures. The resulting load superimposes impulse or mobilization procedures onto the CPM frequency 27, 28, 32, 33, 34, 38, 43, 45, 47, 51. Treatment loads Biomechanics of Manual Therapy Application Thrust Magnitudes, Rates, and 3-Dimensional Directions Delivered in Simulated Lumbar Spine High-Velocity, Low-Amplitude Manipulation. Edward F Owens Jr; Ronald S Hosek; Linda Mullin; Lydia Dever; Stephanie GB Sullivan; Brent S Russell. J Manipulative Physiol Ther. Manual Therapy o