It uses self treatment techniques by the patient, therapist assisted movements and mobilizations to bring about good results in the shortest amount of time. It aims at abolishing pain, relieving stiffness, achieving full functional range of motion (ROM), and attaining a desired level of stabilization.
Mechanical diagnosis and therapy also known as MDT, founded by New Zealand physical therapist Robin Mckenzie , works mainly on the principle of self treatment by the patient, thus making the patient independent. The therapist assists in mobilization only when the patient generated forces are not adequate to bring about any relief from symptoms.
This school of thought was founded by Brian Mulligan, a New Zealand based physiotherapist. These techniques help rectify any positional faults in the joints, using passive mobilization techniques added to active movements. These help in relieving pain and improve any stiffness in joint range of motion.
Geoffrey Maitland, an Australian physiotherapist, developed this concept of manual therapy. With proper manual assessment and treatments techniques, this technique helps the patients achieve great results.
Exercise Based Therapy
RESISTANCE BAND EXERCISES
These are basically large elastic Bands used for resistance training. It helps in rehabilitation post injury, and also helps in stabilization exercises. It’s a light weight form of strengthening equipment used to help tone up the muscles.
CORE STABILITY EXERCISES
Core stability revolves around building the corset of muscles around your spine. The term ‘core’ stands not just for your abdominals, but also the other muscles like back extensors and pelvic stabilizers. Achieving a fine balance between all these muscles will lead to a stable spine.
SWISS BALL EXERCISES
The gym ball or the swiss ball is the term given to an air filled large ball, which is used for strengthening of the core muscles. The benefit of exercising on the ball is that, its instability causes all the muscles to react more efficiently, thus achieving a better overall strengthening.
CUFF WEIGHT AND FREE-WEIGHT EXERCISES
Free-weight exercises are basically exercises done with the help of dumbbells and cuff weights, to help build stabilization and strength. Cuff weights are portable weights which can be used to strengthen the muscles of both the upper and lower limbs, and also the stabilizers.
WEIGHT BEARING EXERCISES
These exercises mainly help build up the bone density and muscles due to their impact on the musculoskeletal system. In this, the weight of the patient is used as the resistance. These help mainly in cases of osteoporosis.
Those patients affected by balance inadequacies, are trained with proprioceptive strategies, to improve their sense of balance. The balance can be challenged by using free exercises and using equipments like balance boards. It used mainly for elderly people, neurological cases, and lower limb instability cases.
These exercises can be active or passive, static or dynamic. These are used to stretch out the muscles which are tight, and thus rectify any muscle imbalances.
Electrotherapy is a mode of treatment which uses machines to provide the desired relief to the patient. Some of its effects are mentioned below
- Nerve stimulation by electrical pulses
- Electrical stimulation of innervated muscle
- Stimulation of denervated muscle
- Muscle strengthening
- Maintenance or increase of range of joint motion
- Effects on muscle metabolism and blood flow
- Control of pain
- Reduction of oedema
The machines used in Dr.Bangera’s clinic are
- Shortwave Diathermy
- Faradic and Galvanic Multi Stimulators
The use of machines is purely subjective, given as indicated, after ruling out any contraindications, only if patient doesn’t respond to any exercise based treatment.