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​手技療法

手技療法には様々な技術・テクニック・システムがあります。それぞれのアプローチに特徴があり、体・神経への影響が異なります。すべての人に効果的な唯一無二なテクニックはありません。機能神経カイロプラクティックでは、機能を回復・向上のため、あらゆる手技療法を一人一人の体にあった方法で統合的に応用します。

Manual Therapy

There are many techniques, systems and approaches for manual therapy. Each has its own uniqueness and difference mechanism to influence structure and nervous system. There is no approach that is appropriate to everyone. Dr.Ikeda has learned many different approaches and integrated to offer appropriate manual therapy for individualized needs. 

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Chiropractic

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Human spine moves with coupled motion based on appropriate biomechanics. When coupled motion is limited or altered, it may affect not only spinal segmental motions and  fundamental movements but also brain functions. Chiropractic adjustment is performed to restore the coupled motion to improve spinal motion and brain functions. 

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chirpactic

Neuro-mechanics (Impluse)

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Impulse Adjusting Instrument® is patented FDA registered device. It was specifically created to deliver gentle and precise adjustments to the joints to restore function. Impulse is approcimately 100x faster than manual speed. The gentle thrust is faster than the body's tendency to tighten up and resist the adjustment. Impulse has three different force settings for different parts of the body and to treat patient of all ages. The controlled low force thrust of Impulse make treatment comfortable. Impulse is specifically tuned to the natural frequency of the body that joints, muscle and nerves respond to, optimizing results for patients. 

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impluse

Active Release Technique (ART)

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It is soft tissue therapy that is movement based massage technique. It addresses problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly.  (1-5)

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ART

Functional Range Rlease (FRR)

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This is an evidence-based approach to connect tissues. Stretching within functional range to rehabilitate joint mobility and functions is effective for people with sport injuries, chronic pain and to enhance performance quality.

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FRR

Fascial Distortion Model

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Mechanical stress may distort fascia and cause pain. FDM classifies 6 "types of distortion" and perform different manual therapy to correct each fascia distortion. 

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FDT

Peripheral Nerve Release

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Peripheral nerves inflammation and entrapment could be an overlooked source of pain. When peripheral nerves are entrapped and unable to "slide" between tissues, it may result in physiological abnormality and pain. Nerve release technique with Prologel could resolve this problem to restore physiological states. 

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NR

FAKTR

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Soft tissue therapy utilized by a special instrument. (Certified FAKTR provider) 

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FAKTR

Mulligan Concept

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Mulligan Concept is performed, mobilizations with movement (MWMS) in the extremities and sustained natural apophyseal glides (SNAGS) in the spine are the logical continuance of this evolution with the concurrent application of both therapist applied accessory and patient generated active physiological movements.

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Mulligan

Neuromuscular/Joint control

Alpha-motor nuerons, Gamma-motor neurons, muscle spindles, Golgi tendon organs and mechanoreceptor all play vital roles and stimulated differently with different types of muscle contraction and movements. By using these different types of contractions, it's possible to balance muscle tones, flexibility, range of motions and pain in relatively short period of time. (6-7)

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NMR

Low Level Laser

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LLLT is a non-invasive and effective form of a therapeutic modality that uses the innovative power of lasers to penetrate the body’s tissues, allowing them to increase mitochondrial activities, stimulate healing processes, impulse cellular metabolism, improve cell proliferation and stimulate neurogenesis.

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LLLT

Manual Therapy influences nervous system

Manual therapy affects spinal functions and so that it helps restore nervous system. Since joints and muscles send information to brain, restoring optima joint function may help your brain health. This is not just imagination and it has been researched and the recent neuroscience has been indicating this. 

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  • Manual therapy activates brain region to suppress pain based on fMRI. Functional connectivity was influenced by manual therapy(8), and changes on frontal cortex, cerebellum activities was reported (9). It also has been indicated to change cortex metabolism. (10)

  • Manual therapy not only affect local tissues, but also brain's sensorimotor integration(11-13), motor control and task(14-15), and automatic nervous system(16).

  • There are many clinical reports and experiences about effect of manual therapy to reduce pain. The mechanism of such suppressing pain by manual therapy has been started to revealed.(17-20)

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Considering the connection between nervous system and joints/muscles, it does make sense that joint and muscle statues affect brain health. Therefore, maintaining joint/muscle functions are vital for your brain health. 

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M-brain

References

  1. Robb, A., & Pajaczkowski, J. (2011). Immediate effect on pain thresholds using active release technique on adductor strains: Pilot study. Journal of Bodywork and Movement Therapies, 15(1), 57–62. doi:10.1016/j.jbmt.2010.04.004

  2. George, J. W., Tunstall, A. C., Tepe, R. E., & Skaggs, C. D. (2006). The Effects of Active Release Technique on Hamstring Flexibility: A Pilot Study. Journal of Manipulative and Physiological Therapeutics, 29(3), 224–227. doi:10.1016/j.jmpt.2006.01.008

  3. George, J. W., Tepe, R., Busold, D., Keuss, S., Prather, H., & Skaggs, C. D. (2006). The effects of active release technique on carpal tunnel patients: A pilot study. Journal of Chiropractic Medicine, 5(4), 119–122. doi:10.1016/S0899-3467(07)60143-8

  4. Drover, J. M., Forand, D. R., & Herzog, W. (2004). Influence of active release technique on quadriceps inhibition and strength: A pilot study. Journal of Manipulative and Physiological Therapeutics, 27(6), 408–413. doi:10.1016/j.jmpt.2004.05.006

  5. Kim, J. H., Lee, H. S., & Park, S. W. (2015). Effects of the active release technique on pain and range of motion of patients with chronic neck pain. Journal of Physical Therapy Science, 27(8), 2461–4. doi:10.1589/jpts.27.2461

  6. Czaprowski, D., Leszczewska, J., Kolwicz, A., Pawłowska, P., Kedra, A., Janusz, P., & Kotwicki, T. (2013). The Comparison of the Effects of Three Physiotherapy Techniques on Hamstring Flexibility in Children: A Prospective, Randomized, Single-Blind Study. PLoS ONE, 8(8), 1–8. doi:10.1371/journal.pone.0072026

  7. Aleksiev, A. R. (2013). A Novel Physical Therapy Method of Treating Myofascial Pain Due to Muscle Spasm and Shortening. Folia Medica, 55(2), 43–50. doi:10.2478/folmed-2013-0016

  8. Gay, C. W., Robinson, M. E., George, S. Z., Perlstein, W. M., & Bishop, M. D. (2014). Immediate Changes After Manual Therapy in Resting-State Functional Connectivity as Measured by Functional Magnetic Resonance Imaging in Participants With Induced Low Back Pain. Journal of Manipulative and Physiological Therapeutics, 37(9), 614–627. doi:10.1016/j.jmpt.2014.09.001

  9. YUAN Wei-an, SHEN Zhi-bi, XUE Li, TAN Wen-li, CHENG Ying-wu, ZHAN Song-hua, ZHAN Hong-sheng. Effect of spinal manipulation on brain functional activity in patients with lumbar disc herniation[J]. Journal of Zhejiang University(Medical Sciences), 2015, 44(2): 124-130

  10. Ogura,T. et al. Cerebral Metabolic Changes in Men After ChiropracticSpinal Manipulation for Neck Pain. (2011), 17(6), 12–18.)

  11. Taylor, H. H., & Murphy, B. (2008). Altered Sensorimotor Integration With Cervical Spine Manipulation. Journal of Manipulative and Physiological Therapeutics, 31(2), 115–126. doi:10.1016/j.jmpt.2007.12.011

  12. Haavik, H., & Murphy, B. (2011). Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. Journal of Manipulative and Physiological Therapeutics, 34(2), 88–97. doi:10.1016/j.jmpt.2010.12.009

  13. Haavik, H., & Murphy, B. (2012). The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology, 22(5), 768–776. doi:10.1016/j.jelekin.2012.02.012

  14. Smith, D. L., Dainoff, M. J., & Smith, J. P. (2006). The Effect of Chiropractic Adjustments on Movement Time: A Pilot Study Using Fitts Law. Journal of Manipulative and Physiological Therapeutics, 29(4), 257–266. doi:10.1016/j.jmpt.2006.03.009

  15. Daligadu, J., Haavik, H., Yielder, P. C., Baarbe, J., & Murphy, B. (2013). Alterations in cortical and cerebellar motor processing in subclinical neck pain patients following spinal manipulation. Journal of Manipulative and Physiological Therapeutics, 36(8), 527–537. doi:10.1016/j.jmpt.2013.08.003

  16. Kovanur Sampath, K., Mani, R., Cotter, J. D., & Tumilty, S. (2015). Measureable changes in the neuro-endocrinal mechanism following spinal manipulation. Medical Hypotheses, 85(6), 819–824. doi:10.1016/j.mehy.2015.10.003

  17. Gillette RG. A speculative argument for the co-activation of diverse somatic receptor populations by forceful chiropractic adjustments. Man Med 1987;3:1-14. 26.

  18. Gillette RG. Spinal cord mechanisms of referred pain and related neuro-plasticity. In: Gatterman MI, editor. Founda- tions of chiropractic subluxation. St. Louis: Mosby; 1995. p. 279-301. 27.

  19. Terrett ACJ, Vernon HT. Manipulation and pain tolerance: a controlled study of the effect of spinal manipulation on para- spinal cutaneous pain tolerance levels. Am J Phys Med 1984;63:217-25. 28.

  20. Wyke BD. Articular neurobiology and manipulative therapy. In: Idczak RM, editor. Aspects of manipulative therapy. 2nd ed.

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reference1

Research of Low Level Lasers

  • Low back pain ；2016,meta-analysis: by looking into total of 1039 people in 15 research, LLLT to chronic low back pain was effective to reduce pain in short period of time. (Glazov, G., Yelland, M., & Emery, J. (2016). Low-level laser therapy for chronic non-specific low back pain: a meta-analysis of randomised controlled trials. Acupuncture in Medicine, acupmed-2015-011036. http://doi.org/10.1136/acupmed-2015-011036)

  • Shoulder pain；2010,Systematic review: 18 Randomized Control Trials for shoulder problems such as shoulder capsulitis showed "strong evidence" of LLLT efficiency. (Favejee, M. M., Huisstede, B. M. a, & Koes, B. W. (2011). Frozen shoulder: the effectiveness of conservative and surgical interventions--systematic review. British Journal of Sports Medicine, 45(1), 49–56. http://doi.org/10.1136/bjsm.2010.071431)

  • Myofascial Pain Syndrome；2010, The International Association for the Study of Pain released the statement that LLLT has "strong evidence" of treatment for myofascial pain syndrome. (http://www.thorlaser.com/downloads/IASP/LLLT-Myofascial-Pain-Syndrome-lASP.pdf)

  • Tennis elbow；2011, Systematic review: 80 research and literatures showed LLLt is a safe and effective therapy for tennis elbwo. (Bisset, L., Coombes, B., & Vicenzino, B. (2011). Tennis elbow. Clinical Evidence, (November 2009), 1–35.)

  • Achilles tendonitis: 2010, American Physiotherapy Association stated that LLLT is a effective therapy for Achilles tendonitis. (http://www.thorlaser.com/downloads/APTA-September2010-Clinical_Guidelines-2.pdf)

  • Neck pain; 2009,Systematic review: by analyzing 16 Randomized Control Trials, in total of 820 people, LLLT showed instant effects to reduce pain with acute neck pain. It was effective for chronic neck pain within 1-22 weeks.  (Chow, R. T., Johnson, M. I., Lopes-Martins, R. A. B., & Bjordal, J. M. (2009). Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet, 374(9705), 1897–908. http://doi.org/10.1016/S0140-6736(09)61522-1)

  • Diabetic neuropathy; 2015, clinical report: 19 patients with pain due to type II diabetic neuropathy improved significantly after 10 days of LLLT treatments. (Shashi Kumar, C. G., Maiya, A. G., Manjunath Hande, H., Vidyasagar, S., Rao, K., & Rajagopal, K. V. (2015). Efficacy of low level laser therapy on painful diabetic peripheral neuropathy. Laser Therapy, 24(3), 195–200. http://doi.org/10.5978/islsm.15-OR-12)​

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reference2
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