Functional Manual Therapy is an integrated evaluation and treatment approach that focuses on promoting optimal human performance. FMT® was developed by Gregory S. Johnson, PT, and Vicky Saliba Johnson, PT. The FMT® approach is based on three pillars: Mechanical, Neuromuscular, and Motor Control. It involves a very detailed assessment of movement and function as well as an evaluation of the soft tissue, joint, neurovascular, and visceral components which limit motion and function.
Mechanical restrictions are also known as the “issues in your tissues.” With manual techniques and functional movement patterns (FMP) you clear the mechanical restrictions.
Once this is achieved you must attend to the neuromuscular aspect which addresses the initiation, strength, and endurance of a muscle and its movement. Proprioceptive Neuromuscular Facilitation or PNF is heavily utilized to get the muscles to initiate with a CoreFirst® response.
Once the patient is mechanically cleared and demonstrates improved neuromuscular response you can begin to address motor control. Motor control or motor learning allows the patient to utilize the efficient mechanical and neuromuscular components to carry out efficient function. This is achieved by working on kinesthetic awareness, postural awareness, and efficient timing of muscles.
In order to maximize patient function and outcomes you need to address not one but all of these components. Although these components are explained separately they are all integrated during evaluation and treatment. Overall, FMT® is a whole body treatment approach which looks at the body as a kinetic chain.
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