The Mulligan Concept of Manual Therapy: Textbook of Techniques (2015)

The most comprehensive technique textbook for the Mulligan Concept to date has been released.

Overview

The Mulligan Concept of Manual Therapy: Textbook of Techniques (2015) by Brian Mulligan and his esteemed coauthors Wayne Hing, Toby Hall, Darren Rivett and Bill Vicenzino is a fully comprehensive and updated resource to this tried-and-true treatment system.

This textbook contains over 160 techniques, in addition to new home exercises and taping techniques. It spans over 14 chapters: 1) Cervicogenic Headache, 2) Cervicogenic Dizziness, 3) Cervical Spine, 4) TMJ, 5) Shoulder Complex, 6) Elbow, 7) Wrist and Hand, 8) Thoracic Spine and Ribcage, 9) SIJ, 10) Lumbar Spine, 11) Hip, 12) Knee, 13) Ankle and Foot, and 14) Pain Release Phenomenon. Unlike the authors’ first textbook Mobilization with Movement: the Art and the Science (2011), which focuses more on the science behind the concepts and clinical applications, this new textbook continues the work of the preceding landmark book series Mulligan’s Manual Therapy: NAGs, SNAGs, and MWMs.

The Mulligan Concept of Manual Therapy contains a great introduction, providing a brief history of the Mulligan concept, its core principals, MWM application, clinical reasoning, and the proposed mechanisms behind MWM. The proceeding chapters have their own introduction describing the orthopaedic condition to be addressed and the possible mechanism(s) behind each condition as proposed by current literature.

This textbook incorporates new clinical, home program, and taping techniques that have been added to the Mulligan treatment system, each clearly explained and illustrated, with techniques that now also incorporate neuromobility.

Strengths:

  • Clear abbreviations/annotations section at the start of the book.
  • Strong textbook and chapter introductions that enhance understanding and help ensure proper clinical application.
  • Well organized tables describing each technique – tables include images, technique description, indications, patient/therapist positioning, application guidelines, helpful comments, technique alternatives/adjustments, and annotations for charting purposes.
  • Clinical, home program, and taping techniques.

Weaknesses:

  • Lack of access to an online video database to supplement the technique images in the tables. The Mulligan Practitioner DVD from 2005 contains a lot of these, but since new techniques have been added, updated videos would be a great addition.
  • Some technique images are confusing and should be clearer at first glance.

Summary

Because of its thoroughness, this textbook is ideal for all manual therapists, from novice to experienced, as well as researchers, teachers, and students. It is an excellent book that is well worth the money, and if you have Mobilization with Movement: the Art and the Science (2011), it makes the perfect companion.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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