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Maitland Concept of Manual Therapy

The Maitland Approach is a manipulative physiotherapy concept developed by Geoffrey Maitland, focusing on continuous assessment and patient commitment. It involves specific techniques and graded mobilizations to address various conditions such as joint pain and stiffness, with clear indications and contraindications for treatment. The approach emphasizes the importance of clinical reasoning in the application of mobilization techniques to achieve desired therapeutic outcomes.

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204 views9 pages

Maitland Concept of Manual Therapy

The Maitland Approach is a manipulative physiotherapy concept developed by Geoffrey Maitland, focusing on continuous assessment and patient commitment. It involves specific techniques and graded mobilizations to address various conditions such as joint pain and stiffness, with clear indications and contraindications for treatment. The approach emphasizes the importance of clinical reasoning in the application of mobilization techniques to achieve desired therapeutic outcomes.

Uploaded by

vidyalekhak6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

MAITLAND APPROACH

INTRODUCTION
 The Maitland Concept of Manipulative
Physiotherapy, emphasises a specific way of
thinking, continuous evaluation and assessment and
the art of manipulative physiotherapy and a total
commitment to the patient."The application of the
Maitland concept can be on the peripheral or spinal
[Link] concept is named after its pioneer
Geoffrey Maitland
Principle of technique
 The Direction - of the mobilisation needs to be
clinically reasoned by the therapist and needs to be
appropriate for the diagnosis made. Not all
directions will be effective for any dysfunction.• The
Desired Effect - what effect of the mobilisation is the
therapist wanting? Relieve pain or stretch stiffness?
• The Starting Position - of the patient and the
therapist to make the treatment effective and
comfortable. This also involves thinking about how
the forces from the therapists hands will be placed
to have a localised effect.- The Method of
Application - The position, range, amplitude, rhythm
and duration of the technique.- The Expected
Response - Should the patient be pain-free, have an
increased range or have reduced soreness?- How
Might the Technique be Progressed - Duration,
Grades
 The grading scale has been separated into two due
to their clinical indications:
- Lower grades (I + II) are used to reduce pain and
irritability (use VAS + SIN scores).
- Higher grades(III + IV) are used to stretch the joint
capsule and passive tissues which support and
stabilise the joint so increase range of movement.
 The rate of mobilization should be thought of as an
oscillation in a rhythmical fashion at:- 2Hz - 120
movements per minute- For 30 seconds - 1 minute
 Grade I – small amplitude movement at the
beginning of the available range of movement.
 Grade II – large amplitude movement at within the
available range of movement.
 Grade III – large amplitude movement that moves
into stiffness or muscle spasm.
 Grade IV – small amplitude movement stretching
into stiffness or muscle spasm.
 5th grade is possible but further training will be
required to perform safely- In many places, you are
obliged to obtain a written consent from your
patient before applying grade 5 manipulation .
Indications
 Mechanical back pain and stiffness
 Spinal problems
 Joint pain
 Joint stiffness
 Neural problems
 Migraine
 Muscle tightness
 Injuries and chronic pain
Contraindications for Mobilization
 Should not be used haphazardly
 Avoid the following:
 Inflammatory arthritis
 MalignancyTuberculosis
 OsteoporosisLigamentous rupture
 Herniated disks with nerve compression
 Bone disease
 Neurological involvement
 Bone fracture
 Congenital bone deformities
 Vascular disorders
 Joint effusion
 May use I & II mobilizations to relieve pain

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