Neuro considerations
Neurological Impairments & Manual Therapy
Is there anything to be cautious of with manual therapy if I have a spinal cord injury, brain injury or other decreased level of sensation?
With any neurological disorder, the biggest caution is the amount of pressure used, because decreased or lost sensation, or difficulty communicating, can make it hard to tell when pressure is too deep.
The therapist should use caution with using too deep of pressure to ensure no bruising takes place so as not to cause more harm than good.
However, individuals with spinal cord injuries, brain injuries or other neurological disorders can benefit greatly from manual therapy since it can:
- Improve fluid dynamics in the body which will encourage blood return from the lower body
- Decrease swelling in immobile areas
- Address overused muscles
- Can be an effective way to monitor the skin to promote skin health and limit any skin breakdowns
- Decrease risk of contractures
- Reduce spasticity