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OMT Nordic System

The Kaltenborn Method of Joint Examination and Treatment

1. Biomechanical Approach to treatment and diagnosis

2. Combination of Techniques

3. Trial treatment and Clinical Reasoning

4. Ergonomic principles for the Physical Therapist

Special Features of OMT Nordic System

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Biomechanical Approach1. Long lever rotation techniques (1900)2. Short lever rotation techniques (1952)3. Translatoric bone movement (1954)

1. 2. 3.

Special features of OMT Nordic System

Translatoric bone movement for treatment with; linear translatoric traction and, gliding in relation to a treatment plane.

Evaluation of translatoric joint play movement by; feeling the amount of slack in the movement and sensing the end-feel.

Use of grades of movement to rate the amount ofjoint play movement.

1. Biomechanical Approach to Treatment and Diagnosis

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Three-dimensional joint positioning; Movement in Actual Resting Position and at the point of

restriction. Convex-Concave Rule;

Indirect determination of the direction of decreased jointgliding (hypomobility).

Evaluation and treatment; by all combinations ofmovements, coupled and non-coupled.

Specific evaluation & treatment including special tests to; localize symptomatic structures, Treat hypermobility in addition to hypomobility.

1. Biomechanical Approach to Treatment and Diagnosis (cont..)

Convex-Concave Rule

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Multiple treatment techniques in one treatment session; Joint Mobilization combined with Pain Relief and Soft Tissue

Mobilization (functional massage, stretching)

Self-treatment instructions; Auto Mobilization, Autostreching, Autotraction,

Strengthening, Stabilization, and Coordination Exercises.

Instructions in body mechanics and ergonomics; Maintenance of Improvement gained in therapy session and

Prevent Recurrence.

2. Combination of Techniques

Confirmation of initial physical diagnosis with a Low RiskTrial Treatment.

Use of Treatment Procedures as Additional EvaluationProcedures.

Patients Response to each treatment is used in context of InitialDiagnostic Hypothesis.

3. Trial Treatment and clinical reasoning

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The OMT Nordic System emphasizes Good Therapist BodyMechanics.

In the 1950s the First Pneumatic High-low AdjustableTreatment Table was designed by kaltenborn for ManualTherapists.

Treatment techniques and tools were developed for efficiencyand safety, including; Fixation Belts Wedges, and Articulating Tables.

4. Ergonomic principles for the Therapist

Questions ??

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