Dr. Michael L. Mancini

Research-Based Mechanical Examination, Applied Therapy and Functional Rehabilitation

The detailed clinical examination utilizes a systematic progression of applied mechanical forces to produce a pattern of outcomes according to specific pain responses and corresponding mechanical or functional changes. This pattern of outcomes allows for accurate clinical decision-making and is continually compared against anatomical and biomechanical studies. The resulting diagnosis drives the subsequent course of management. Several studies have confirmed that the clinical examination is more effective than diagnostic imaging.

'Treatment can be learned in a day, but to learn to diagnose takes a lifetime.' Dr. J. Cyriax

To date, the most effective treatment strategies emphasize education and active patient involvement in the management of their condition in order to modulate and abolish pain and to restore functional independence. The most current research in anatomy and biomechanics have contributed to ongoing refinements in the delivery and application of advanced manual therapy techniques. When applied skillfully, at the appropriate time, these techniques produce rapid and effective changes in pain so that the patient's ability is restored in successfully managing prescribed skills on their own. This body of hands-on techniques coupled with a tailored rehabilitation program provides the opportunity for an effective, comprehensive and diagnosis-specific management plan for non-operative orthopedic and sports-related injuries.
A progressive approach to conventional conditioning, strengthening, stretching and preventative or prophylactic rehabilitation programs. All of my prescribed programs are based on the three-dimensional biomechanics of human function. The program is individually tailored based on comprehensive functional testing. This involves whole body, functionally integrated biomechanical testing of the painful part as it was designed to work and communicate with the rest of the body. This level of advanced testing allows us to appreciate the true functional status of the injured part and, more importantly, to identify faulty or inefficient biomechanics that may be either a causative or compensatory factor in the resultant pain syndrome. Functional rehabilitation exercises focus on restoration of function by utilizing the current knowledge of three dimensional human movement science. This knowledge is integrated clinically as proprioceptively-driven, whole body reactions that replicate the positions, movements and forces of the patient's lost function in a safe and progressive manner. This progressive approach to rehabilitation has been shown, in several studies, to produce faster changes in symptoms and functional status in a lasting way.




	Research-Based Mechanical Examination, Applied Therapy and Functional Rehabilitation The detailed clinical examination utilizes a systematic progression of applied mechanical forces to produce a pattern of outcomes according to specific pain responses and corresponding mechanical or functional changes. This pattern of outcomes allows for accurate clinical decision-making and is continually compared against anatomical and biomechanical studies. The resulting diagnosis drives the subsequent course of management. Several studies have confirmed that the clinical examination is more effective than diagnostic imaging. 'Treatment can be learned in a day, but to learn to diagnose takes a lifetime.' Dr. J. Cyriax To date, the most effective treatment strategies emphasize education and active patient involvement in the management of their condition in order to modulate and abolish pain and to restore functional independence. The most current research in anatomy and biomechanics have contributed to ongoing refinements in the delivery and application of advanced manual therapy techniques. When applied skillfully, at the appropriate time, these techniques produce rapid and effective changes in pain so that the patient's ability is restored in successfully managing prescribed skills on their own. This body of hands-on techniques coupled with a tailored rehabilitation program provides the opportunity for an effective, comprehensive and diagnosis-specific management plan for non-operative orthopedic and sports-related injuries. A progressive approach to conventional conditioning, strengthening, stretching and preventative or prophylactic rehabilitation programs. All of my prescribed programs are based on the three-dimensional biomechanics of human function. The program is individually tailored based on comprehensive functional testing. This involves whole body, functionally integrated biomechanical testing of the painful part as it was designed to work and communicate with the rest of the body. This level of advanced testing allows us to appreciate the true functional status of the injured part and, more importantly, to identify faulty or inefficient biomechanics that may be either a causative or compensatory factor in the resultant pain syndrome. Functional rehabilitation exercises focus on restoration of function by utilizing the current knowledge of three dimensional human movement science. This knowledge is integrated clinically as proprioceptively-driven, whole body reactions that replicate the positions, movements and forces of the patient's lost function in a safe and progressive manner. This progressive approach to rehabilitation has been shown, in several studies, to produce faster changes in symptoms and functional status in a lasting way.