Need for speed

race

Having heard that the Rio Olympics have just ended and the prime minster of Japan has already showed up in a Mario outfit to announce the 2020 Olympics made me think about how therapist might need to have fast modalities so as to be able to help in the recovery or just for a basic advertisement as fast treatment methods have a lot of impact for personal advertisement. As such I have come up with 5 of the fastest modalities that I have heard of or have access to. As such scoot over hot packs, tens, ultrasound and stretching we will be talking about some of the biggest guns in rehabilitation.

As a basic disclaimer this article is based on my opinion alone as such you may or may not agree with any of the modalities in the list. Also the list only covers the immediate effects of the modalities as such the side effects will not be taken into consideration as far as this article is concerned. The list will not include the assessment time taken by the therapist since these factors vary a lot based on the therapist skills.

The list itself is written in a way that I will be presenting the therapeutic modalities from slowest to fastest. The five modalities in question are Proprioceptive Neuro-muscular Facilitation (PNF), Dynamic Neuromuscular Stabilization, Ken Yamamoto Technique (KYT), Neuro-dynamics, Mulligan Concept Therapy. Each of these techniques are able to address the client’s concern within 30 minutes or less.

The fifth treatment modality in the list is the Proprioceptive Neuro-muscular facilitation. This modality when used properly can address the clients concern in 30 minutes tops as it takes into consideration what the client would want to achieve in this session. It takes into consideration what is functionally important and significant for the client at that certain time. One of the good things when using this modality is that client satisfaction is pretty high since they typically achieve their goal or at least some of their goal within just one session and be able to do part of the activity at home with normally just moderate to minimal assistance as long as the modality is used properly. One of the main key points in using this modality if the ability of the therapist to instruct the client on the amount of force used , proper positioning and the action needed during the session. The better the therapist ability to explain the movements the better the outcome. This makes good use of the therapist personal relationship skills aside from just establishing good client relations and having no effect whatsoever.

The fourth modality in the list is the Dynamic Neuromuscular Stabilization. This modality when used properly can be used to treat the primary problem of the client within around 30 minutes. The primary limitation with this modality is that it is usually accompanied with a bucket of sweat. The good thing with this modality is that the treatment is also the home exercise as such with proper instructions the effect can be properly maintained not just for the short duration. One of the key things in this modality is the ability of the therapist to demonstrate the required actions as usually the actions are quite difficult to explain verbally.

The third modality in the list is the Ken Yamamoto Technique. I have not personally seen or have any physical contact with this modality but based on firsthand accounts the system can treat the main cause of low back pain or any other spine related problems in 15 minutes or less. The system is an integration of a lot of treatment systems notable, fascial lines, myofascial like techniques and movement based treatments. The only limitation with this modality is the therapist stamina as the treatment modality takes a lot out of the therapist. It is one of the systems in which much is expected as such a lot should be given or at least that is what I got from the firsthand accounts.

The second to the last modality in the list is the neuro-dynamics or neural mobilization. The system itself is a pretty effective system as I have usually been able to get the main problems usually in under 15 minutes. This usually leads to a lot of chatting time with the clients or just home instructions as to what can be done at home. This basically is a system which demands quite a decent amount of skill from the therapist so as to determine which nerves should be moved and which ones should be left alone. The system would partly be based on how well you instruct the client and the proper contact points in which these nerves can be mobilized in. This system while quite mentally tasking saves a lot of time.

The fastest modality in the list is the Mulligan Concept therapy. The system is properly called the Mulligan CONCEPT therapy and NOT a technique. Mulligan by itself is more of a set of if this works continue if it does not move on and change. The system when used properly can treat pain within 5 minutes or less. Also yes the system is based on pain as the system cannot be used in the absence of pain. The modality itself is pretty much based on having the client move once the joints are in proper working order.

These are the fastest treatment modalities that I have encountered or have heard off so far.

 

For more information regarding the systems written above here are the links

Proprioceptive Neuro-muscular Facilitation: http://www.ipnfa.org/

Dynamic Neuro-muscular Facilitation: https://www.rehabps.com/REHABILITATION/Home.htm

Ken Yamamoto Technique: for more information contact Bert Cinco @ bertcincoosteopath@gmail.com

Neuro-dynamics: http://www.neurodynamicsolutions.com/

Mulligan Concept Therapy: http://bmulligan.com

 

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