OMT Kaltenborn & Evjenth

OMT KALTENBORN-EVJENTH orthopaedic manual therapy

 

Kaltenborn-Evjenth orthopaedic manual therapy is a specialization focused on manual examination and treatment of patients with the so-called motor organ dysfunctions, i.e. with pain, contracture and instability in the joints of the upper and lower limbs and in the individual segments of the spine. In the Kaltenborn-Evjenth method, the treatment process begins with an examination in which the therapist pays attention to the amount of movement, its quality and the so-called final feeling of movement. This allows him to make a temporary diagnosis and start trial treatment. If the patient's condition improves after this treatment, the diagnosis becomes valid, if not - the examination should not be repeated. 

 

The most important therapeutic goals of the method are:

– analgesic effects: immobilisation, traction, vibrations, oscillations,

– mobility improving agents: if the restriction comes from periarticular tissues (massage, poisometric relaxation, passive stretching of contractures), if the restriction comes from the joint (mobilisation, manipulation - mobilisation with impulse),

– measures to reduce excessive mobility: passive stabilisers, active stabilising exercises,

– exercises supporting and maintaining the range of mobility: strength and coordination exercises, automobilisation, autostabilisation, autostretching, prevention.

 

 

Indications for manual therapy:

• Pain

• Radiating pain to extremities associated with compression of the spinal nerves

• Pain caused by increased muscle tension

• Tingling, numbness, tingling of limbs

• Migraine, spine-related headaches

• Limited mobility of joints - hypomobility (reduced mobility, stiffened joints)

• Excessive mobility of joints - hypermobility (instability of joints)

• Muscle, periarticular and peripheral nerve disorders

• Disturbances in ligament tension (excessive tension, chronic tension)

• Disturbances in muscle attachments (overloading and inflammation of attachments)

• Imbalances in musculoskeletal tension (musculoskeletal disbalance)

• Blocking of spinal and peripheral joints

• Blocking (entrapment) of peripheral tissues

• Respiratory pattern disorders

• Asymmetric posture

• Disturbances in meninges, peripheral nerve casings (neuromobilisations)

• Soft tissue disorders

 

 

 

Contraindications for manual therapy:

 

General:

• Cancer with bone metastases or bone tumours

• Osteoporosis

• Acute, unbearable pain - no possibility to investigate

• Skin problems

• Pregnancy

 

Local:

• Spinal tuberculosis and other bacterial diseases of the spine

• Hernia of the nucleus pulposus with acute painful ailments

• Spinal fractures, spinal joint dislocations and fresh post-traumatic conditions

• Some birth malformations of the spine

• Genuine or suspected spondylolisthesis at the level of the procedure

• Spinal artery failure - for procedures within the cervical spine

• Pain related to the inflammatory process in the acute phase

• Injuries, fractures and dislocations during immobilisation