Integrative Manual Therapy
Developed by Sharon Giammatteo PT, PhD I.M.T,C Integrative Manual Therapy (IMT) is a unique compilation of diagnostic and treatment methodologies that assess and treat pain, dysfunction, disease and disability.
Developed by French Osteopath and Physical Therapist Jean-Pierre Barral, the Barral Methods offer a number treatment approaches for visceral neural, vascular and articular manipulation .
Muscle Energy Techniques
Muscle Energy Techniques (METs) are a broad classification of Manual Therapy Techniques directed at improving musculoskeletal function, and improving pain. METs are commonly used by Manual Therapists, Osteopaths, Physical Therapists, Chiropractors, Athletic Trainers, Osteopathic Physicians, and Massage Therapists. Historically, the concept emerged as a form of osteopathic manipulative diagnosis and treatment in which the patient's muscles are actively used on request, from a precisely controlled position, in a specific direction, and against a distinctly executed physician counterforce. It was first described in 1948 by Fred Mitchell, Sr, D.O. Muscle energy techniques are used to treat somatic dysfunction, especially decreased range of motion, muscular hypertonicity, and pain.
Spinal manipulation is a therapeutic intervention performed on spinal articulations which are synovial joints. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransvers and costovertebral joints. National guidelines come to different conclusions with respect to spinal manipulation. Some not recommending it, some describing manipulation as optional, and others recommending a short course for those who do not improve with other treatments.
Neuromuscular retraining represents a number of therapeutic approaches that allow the patient to retrain aberrant movement or mobility patterns.
EMG biofeedback is a modality that assists with retraining aberrant movement by providing the brain with additional sensory information.