
Current trends in musculoskeletal therapy (that traditionally relied primarily on mobilisation, manipulation and other hands-on modalities), are moving away from passive techniques to a more active approach which includes greater participation by the patient.
Drawing on research and clinical experience, the author has developed a more dynamic manual therapy technique that utilises a combination of isometric exercise (resisted muscle contraction), active physiological oscillatory mobilisation, and end-of-range passive stretching.
Passive accessory movements (vertebral and peripheral) still play a role in the management of neuromusculoskeletal disorders, but are implemented following the active component of the technique. This method thus introduces a modified multimodal treatment approach with more active components than that found in traditional manual therapy models.
Therapeutic patient education including psychosocial input and exercise therapy are adjusted in line with the patient's individual needs. All components of this method combine to produce an analgesic effect and may also help to boost the neuroimmune system.