The Mulligan Concept of Manual Therapy

525 Pages·2009·44.97 MB·English

by  Wayne Hing et al.

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Wayne Hing
Toby Hall
Darren Rivett |

Bill Vicenzino
Brian Mulligan y \
The .
Mulligan

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manual therapy
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The .
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Wayne Hing Toby Hall Darren Rivett
Bill Vicenzino Brian Mulligan

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Contents

Foreword vi
Preface vil
Authors, x
Contributors xi
Reviewers xiv
Acknowledgments. [7
Abbreviations for use in Mulligan Concept annotations avi
Mulligan Concept annotations xvii
Introduction 1
Chapter 1 Gervicagenic headache %
Chapter 2 Gervicagenic dizziness 3%
Chapter 3 Cervical spine 55
Chapter 4 Temporamandibular joint a
Chapter S Shoulder complex 107
Chapter 6 Elbow region 14
Chapter 7 — Wrist and hand 189
Chapter 8 Thoracic spine and rib cage 243
Chapter 9 Sacroiliag joint 275
Chapter 10 Lumbar spine 307
Chapter 11. Hip region 349
Chapter 12 knee 375
Chapter 13 Ankle and foot a7
Chapter 14 Pain release phenomenon an
Index 489
Foreword

12011, Thad rhe prilege torte afew He
4 new textbook cn my concepls authored by Bil
Yicenzrse, Wayne Hing. Daren Rivet and Toby
Hall, This vas tively. exellent poicaion enti-
Uled Mofitiauion Wa Mowermeu: Tee Aes ante
Seieave

‘My oxen mammal mp anceps nasi ts th
alien, badly needed 10 be updated to include
rote detail and an Improved fora, Th ask as
bees ancecaken and le by Wayne Hing ith all
the above avers again Being invoked, 2 has
taken cor tsa yeas to complete this ask. These
erudite appr also hac the stern 10 invae
many af ny Mulllgan’ Concept inernatinoal
teachers, They have cantibtet bp selting much
the tex, cach bing allocated dierent regions
the beady and deren zechnigues,T mst here
particulary acknoseledge and thane meal eagnes
‘Mark Olwer aad Tran Gargano forthe ne. tech
niques and material they have conrTbuted

belleve chat che cates In thls Book. in its
nee Somat, ar priceless. all wn cel with nmg-
caloskeletal_conditians and practise mammal
therapy should havea copy

‘Writ males ove concepts $0 spec tha aT
he Mobusetion Win Movement techniques
described within chls book are only to be used
sehen they produce na pain an appslcatian and
becavse they should be immediately eftestve it
indicaed T know at no echer rear therapy pro-
tenures Ibe the enite Dey, which fallow these
uielines, What Is eeal'y special about them Is
{ha it ony takes about reo minates ta decide

a indicated. Noc te beable toe our con

nay be denying patients thelr best reat ment
oplian. Tnove have many 201s of wien showiog
Ue efficacy of anF conceals, personlly este
palientsio stage In many lifes in America bere
ry peers Theale wa have witness these
ceasions are let rs no daub asf the efiacy oF
these cechnigues hecmse ot the regs"ar positive
sau Instant paln thee omcomes

hut concepts have came a lang ay Fine 1889
shen, by chance, Thad am pnespeciedinsan,

palm free success wich a traumatised finger lng,
‘what are new kngwn a3 “Mobilisaions. Wich
‘Movement: The patient, rho wasa yong woman
dn her early twenules, presented wlth 2 swollen
Innerpatangea! int tush wa pa ance
rote, Tacioned the Jol several mes hich
ccamplsed nothing, Tehen applle Int (glide
‘Wanslationsin rhe recommenced biomechaniclly
appropriate direction tor fevign, Like the tac

ons tse glides wevealso Ineffective poli
Then wed “edad srnsktionaccessery move

meat bleh wis unacceptable Ie she paten,

because of paln, Wit-out mach enchpsiasm T then
gently tried a Wteral translation which prompted
ihe patient we say “sees not tue Something
Prompted me to sustain this ansatlon and ale
Tree she could Mes hee ager, To my asienesh

ment and her alight the finger Meved thou

pan! She the sll sorething like You have zed
re! OF course’ T replied, She sill hea a smal lass
of eon range duet sone “sida selling bu

she depacted ty eooans wlth asia,

"Tee young woman releaed ia days hue! an
hor Fnger had complelely recovered. Why, T asked
rngself? The only explanation T could come up
with for mp chance success 895 that as result of
dee unuena there was a uiaute positional fll of
Ie loin peevenng Weslon movement Whes this
posit ill wos corteted it enabled a full
recovery 0 ake pce, Iwasa simp'e hypothesis
and because oF thi Tbagan to look dterency az
ailjoins tha 1 ueated ai expectant to see if
T could achieve simula esis by repositioning
cobber bint stufaces. Y began having unbecerable
suuvesses Inthe clink, & "miracle day” T called
them, Touts Pasteut ance sid hal chance cy
feos the prepared milnd When T. by chance,
Jed my Gist maiade wah the young wornaa aad
Doe painlully litle imerplnngeat iota, Td
Luddeed have a peepaced mind
Today she concepts that have grown Com thls
haaoe finding have came a lang way dad gute
Tings ate aoe in place tor thelr siccestl siaical
use; hese ane Ly described witha Lhe txtbes
‘To optinlly succeed wilh our vanceyts, vow med
advanced dewal reasoning ant excellent ran
‘ling els, The dete desulpulons in Us book,
‘ai help st mmensely an both these sapects
Tdeally a couse. the veiter shoul attend the
‘courses that age available auouad Le woe by
accheitet Mulligan Concept teachers. leachers
fund couses ace Hele at we mls nc
While on the topic of sachets, T always
scknosledge and thank my mentor Freddy
{elleubora Erddy sate un tines Lora nope
a lea ia faraway New Zealand, Le ght se
how to miaipulite every ial inthe spine aad
toile the extiesny points. Ts able eachngs
five te acellent haulng sis, Tealsoinceeased
my knowledge and the tupoilance he placed on
Une dink games of este yl Fe ae
tw stevssfilly develop Mobiisalions Wid Move
real I you do sol know each joins treaamen

Plane sou will never be able te successfully mange
tate or effectively apply Une Suligan concepts

1 npusl sles Ul he ech. ques culaiped i
this book are aot se im sl, Ley ane all base
fon repositioning :oint surfaces, of museles aa
tbe lealons, 10 See iE oue can aleve pst Lee
esolulin of musculeskeleta! problem, ‘be
lechmaques described inthe book ave thase we In
Ie Mulligan Convert eaciers Assoviation hese
line sound 1 be elective Af ay inka
pplying them, whe have the requisite buwcledge
‘ud hauling sl, can peeve upon these fest
lques then this wauld be most welcome. Is
Inpped they wuld share their signficant syoeIh
while improvements wit: uller elitism and
tenuhass,

1 eel very humble le ave the suppoet of sch
scliolcs as Wayne, Toby, Til and Darren, and
lank them and Cleve siaceely for this won
erful publication.

rina Aigo
Preface

‘Thishonkcncted The Madigan Cwceptof manual
therapy teria af wetipucs presents ever 16)
‘Mf igan Concept techniques and incates theni-
Dist techniques a¢ well ag heme exercises and
Taping trehniques, Tee bonk is aime! aici a
amprchensive and easy-to law resonrce tar
the novice and experianced clinician, as well at
reseatchers. The ook has been seriten for the
linisian, teacher ana stadent interested in fe
ther thelr famitigny ro the wide array oF tech-
niques onder the Malligon Gancept mba
Mulgan Cmcepe techmiqhes are effcrive and
fe soho applied én accordance wich easy-to
folleve guidelines av learly ied andering
principles.

‘Whew 3rign Mrlligan st described Mobilsa-
Fon with Stovements (THEM) in TRA ha sated
his techniques thrmgh his eniginal nae ented
Mulligan’: Masuat Therapy: NAGS, SNAGS ord
MUG of which therelave heen so editions orer
the pase 30 years, This book has heen sriten to
expand qn and fully describe ina standardised
formar all the techniqnes mentioned in Brian
‘Mulgan’ afrementiona ovighal tots. a sl
aslince neve cecqpes that were not included
in chose earlier landmark eitans, This book is
also intended as an accompanient 70 our Arak
book entitled Mtssacion seth Mowomton: dhe art
‘an eae which was pblished in 2011

‘Or Rist honk preseed the aience mndrin-
ning MWM and ala described aspect athe art
inherent in is saceessilimplementian Tr chat
hook the basic principles of MWWMs sere out
Tined, erential mecharagms gnderpinnving the
success application af MEM ere canst,
and inedepth aspects of ite clinical application
‘aztecrliqued including geideties on dosage and
traubeshaoting, Over al ot the Hae tee? pre-
sented the application of MWR ina serigg oF cate
reparss. Tse cae studies focnsed gn che clinical

reasoning undertying che app tatlon tthe Mal
ligan Concept including consceration of she ev:

dence hase. "The cast smd tollowed the
‘agpication of the \flligan concept fom the rs
Session ta discha’ge,shansing haw the techniqnes
svete sleced. applied and progressed cer the
‘reatment program. However, che prpose af has
fist back was not to provide a detailed deserts

tign of all the techniques ander the. Mlligan
oncept umbrella, which is the scape of this
srrent nok ae if enntnues the work a he pe

seilngbaimark Muligans Manual Thecpy
NAGS. SNAGS anit MEMS book

"There ws 4 Teal nee Fora comprehensie pre
sentation of the wide array ef techniques cinder
the umbrella of t°¢ “Mulligan Concepe, Teese
techniques inchade MWD and ocher Mulligan
Iechniques stich as poin tease pheromenon
PRP), Fach technique has been described in a
onsistent at Ingical tormat filly explaining the
Indications, application and_moditcations tor
zach technique, Ta adlition, se save detailed the
ureenl avila evutence tar each technique and
provided Cliaical Reasoning, Gems, the aim of
‘whichis lusttate pertinent Information regard
ing clinical reasoning restr to sechniques re
sented in each cage,

"Tee bool is civ i 14 egione” chapeers,
covering the whale bods, and encompassing the
shale range of musceskae,al disries tha,
presen: co clinical practice Inching apparens
nant savers sch a8 lateralgpicandyag,
"Tee ist chapters foevs a” MWS, exercise and
taping techniques tor the npper geadvant thas
Include the cervical speaethveugh 1a Ue vhs,
"Teese chapleis Include ervicagantic headache and
cervicagemic lines, te temporarcandlblar
Inint shoulder comple, eto forearm, wrist and
hand. The subseqiene chapters cover the lower
quadrant, isdhuding the lumbar spine, saccolae
jn, hap, knee. ankle afoot, The fina chaptes
‘overs cammanty vsed 2RPS, which are dans,
‘ee BOWE bur can Be very helpibl in the eighy
linia presentation, usually lee the condition
being lened have oven eesstaa wo athe: MUL
ligan Concept techniques.

The techniques in this text ace deawa {rom
‘hose presened om the Meligan vancapl courses
laugh worse ao 36 suc form the cure
lum of the dierent leve's of these Mulligan
Convey courses. also presented isa tetionaes of
snot ions 101 the techniques desorbed, along

‘sill an xplamation ofthe fotionale undereing
the system ot annotations,

Profesor Wayne Ming
Aviad, New Zealand, 2018
Aibunt associate Bufo Ly Ll
Perth, usual, 2014

efisor ail ViewzANe

irisbare, Aust, 2004

Projeser Darran A, ditt
ANewvastis usuaka, 2014