MUA
Techniques
MUA
techniques under anesthesia may vary from patient to patient as
medical necessity indicates by the involved tissues and existing
relative contraindications and/or possible complications that may
exist. Some of the techniques include:
Soft
tissue procedures - lateral stretching, linear stretching, deep
pressure, traction and/or separation of muscle origin and insertion.
Tissue:
periarticular
Goals:
decrease muscle spasm
and increase tissue mobility
Articulatory
procedures (mobilization without impulse, low velocity techniques) -
placing articulation through full anatomic range of motion. A passive
serial repetitive oscillatory rhythmic springing force in the
direction of restriction.
Tissue:
periarticular and
articular
Goals:
increase quantity of
motion - gradual movement of restrictive barrier to restore range of
motion increase quality of motion - smooth range of movement with
normal elastic and feel
Specific
joint mobilization procedure - mobilization with impulse, high
velocity technique. Extrinsic operator applied thrust overcoming
restrictive articular movement. Engagement of the restrictive barrier
and thrust through the barrier to achieve normal joint movement.
Tissue:
articular and intra
articular
Goals:
increase joint range of
motion reduce joint restrictions reduction of hyper tonicity stretch
shortened fibrosed connective tissues of the articulation under
anesthesia.
Supporting
Studies/Great Results
There
are several research studies about the effectiveness of manipulation
under anesthesia, including:
1.
83% of 600 patients with EMG verified radiculopathies reported
significant improvement - Robert Mensor, MD
2.
Patients that had back pain for a minimum of 10 years reported an
87% recovery rate after MUA - 1987 with Ongly et al
3.
51% of patients with unrelieved symptoms after conservative care
had been exhausted reported good to excellent results three years
post MUA - Donald Chrisman, MD
4.
71% of 723 MUA patients had good results (return to normal
activity relatively symptom free) and 25.3% had fair results (return
to normal activity with slight residuals) and that flexibility,
elasticity and range of motion can be restored following MUA -
Bradford and Siehl
5.
83% of 517 patients treated with MUA responded well - Paul Kuo,
MD professor of Orthopedic Surgery
6.
Krumhansi and Nowacek reported on an MUA study done on 171
patients who experienced constant intractable pain for several months
to 18 years. All of the patients of the study failed other
conservative intervention. The results of the study showed that 25%
of the patients had no pain, 50% were much improved with pain
markedly decreased, 20% were better and could tolerate their pain but
it interfered with work and recreation. Failures comprised 5% where
there was minimal or no pain relief periods.
