Mulligan Home Exercise :: Lumbar Self SNAG with Belt :: Ext

Mulligan Concept instructors Rick Crowell and Brian Folk guide clinicians through the instruction of a Mulligan Home Exercise, in this case a lumbar self SNAG (Sustained Natural Apophyseal Glide) into extension using a belt. SNAGs were originated by physiotherapist Brian Mulligan. Visit bmulligan.com for more information on SNAGs and the Mulligan Concept of manual therapy. This clip is one of many released on RxDVD by iTherapies. Enjoy and may your patients get better, faster.

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Education

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• home
• exercise
• spine
• treatment
• mulligan
• snag
• brian
• physical
• physio
• therapy
• itherapies
• rx
• dvd
• physiotherapy
• rehab
• lumbar

[ProPTRehab]

@rhodesdarcy Sounds good to me.

[RuudG1988]

the patient flexes the elbow ... 0:41 AND PROTRACTS CERVICAL REGION .

Notice the guy gets younger respectivly to the number of repetitions she does whith the self SNAG. haha :p

[RuudG1988]

the patient flexes the elbow ... AND PROTRACTS CERVICAL REGION .

Notice the guy gets younger respectivly to the number of repetitions she does whith the self SNAG. haha :p

[WingThaiJ]

Oh, and on occasion if such a procedure which causes laxity does the job and the patient feels better, I'm ok with this too; just not if it is repeated over and over again, especially when someone has no pain. I don't think there is a need to cause a cycle of the feeling that one needs to be manip'd all the time.

[WingThaiJ]

@rhodesdarcy -- OK after all of this typing, I see you think I have a problem w/manips as a risk for causing damage. I don't think I conveyed that; but if I did I'll make a correction. The point behind the Mulligan procedure is to allow for normal movements of spinal joints w/out causing or potentially causing increased laxity. As you said, if it is shown that ligs don't become lax w/the technique you described, than fine; go for it.

[WingThaiJ]

@rhodesdarcy I'm with you on this if you don't cause an artificial loosening of the joint and increase the joint capsule volume.

[WingThaiJ]

@rhodesdarcy I use the ATM2 to theoretically allow for normal neurologic input to spinal cores. Note how I use the term Theoretical, something missing from the vocabulary of most and should be used all of the time.

[WingThaiJ]

I'm also ok with using manips if they help; I'm not dogmatic about premanip testing, it's just that there are ways to achieve the desired results w/out manips. Regardless of which theory is right about what happens with manips, there seems to be enough data to suggest doing this to the T/S with cervical patients; so I'm fine with this, even if we might not agree on what's happening physiologically.

[WingThaiJ]

Despite having had about a dozen pts in 20 yrs in my facility who have suffered from post chiropractic manip herniated discs, in general, I agree in most cases,risk of causing harm is not an issue. I take issue w/using terms which r non-anatomical (adjustment), etc.., or palpating spinous processes which may be naturally asymmetrically developed & assuming they're rotated to 1 side or the other, etc.. I am ok with techniques to work on curves & the ability of jts to move as they are designed

[WingThaiJ]

Cineradiographs have shown separation of joints with manips & of course the manip force takes the path of least resistance; hence, when U try to manip a fixated joint the force moves to the path of least resistance, the ALREADY hypermobile jt which doesn't need manips, but will still cause Type III mechanoreceptor stimulation to modulate pain.Note, the manip did not 'correct a misalignment' it just causes artificial looseness. Point behind Mulligan is to help the joint to what it's suppose to do