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JLS_PT_OCS -> Re: Mobilization Techniques (February 7, 2005 4:59:00 AM)
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Tim-
Excellent post, thoroughly agree.
All-
I think as a group we may be getting sidelined again with being overly concerned with why something works and what it is doing physiologically; less concerned with what outcomes it can achieve.
I use mobs all the time for lots of joints. After a study of thoughts posted here and research elsewhere, I am quite certain that I haven't the faintest idea exactly what is going on. I am sure there are lots of tissues involved and even quite likely a neurological basis for the improvement as well.
I'm also quite certain that I don't care why it works. My only mission is to find the fastest way to acheive the best outcome with the patient sitting in front of me. Right now, mobilizations (in conjunction with exercise) have more evidence supporting their use than almost any other treatment available, for a wide variety of problems.
What could any possible rationale be for not using something proven effective?
Others have made interesting points about tissues affected and other mechanisms to explain the improvement. That's cool for future research directions, as well as discussions over frosty beverages, but just does not pass the common sense test as far as day-to-day treatment goes.
Who knows, maybe in 20 years we will all be laughing about how we used mobilizations and manipulations on our client's joints all the time, because newer methods work better.
But until such methods arrive, proven by outcome measures, I will just keep movin it, and movin' on...
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