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Acute solution, Chronic relief: Don’t Believe Me, Just Watch...Raise Your Expectations for Immediate Clinical Results Robinetta Hudson, MAT, ATC Amy Richmond, MS, ATC Belinda Sanchez, MS, ATC Valerie Stevenson, MS, ATC Russell Baker, DAT, ATC James May, DAT, ATC Athletic Training Programs Diane Stankevitz, ATC Overview • Background & Foundational Principles • Theories of Efficacy • Overview of the Current Literature • Principles of Treatment • Application Guidelines • Patient Outcomes • Clinical Pearls • Questions • Learning Lab Athletic Training Programs Mulligan Concept • Background – Manual therapy technique – Developed by physiotherapist Brian Mulligan – Addresses his joint ‘positional fault’ hypothesis – A sustained passive accessory joint mobilization WITH an active or functional movement (Vicenzino, et al, 2011) Athletic Training Programs Foundational Principles • The Mulligan Concept was influenced by James Cyriax, Fredrick Kaltenborne, Geoffrey Maitland, and Robin McKenzie (Hing, et al, 2015) • Cyriax – passive joint mobilization • Kaltenborn – appreciation of joint mechanics • Maitland – proper treatment application produces a change in pain • McKenzie – patient self-management and repeated movement Athletic Training Programs
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