Selected methods and techniques in manual therapy
Module: Physiotherapy
Contact hours – lectures: 20
Contact hours – seminar:  
Contact hours – clinical exercises:  
Contact hours – clinical practice: 50
Holder of subject: Dr Blanka Koščak Tivadar, Senior Lecturer
Year of study: First
Selected methods and techniques in manual therapy

Contact hours – lectures: 20
Contact hours – seminar:  
Contact hours – clinical exercises:  
Contact hours – clinical practice: 50 
Holder of subject: Dr Blanka Koščak Tivadar, Senior Lecturer
Education providers:
  • Dr Blanka Koščak Tivadar, Senior Lecturer
Level of study: First Bologna cycle professional education study program
Semester: Winter
Language: Slovene/English
Subject-specific competences:
Precise physiotherapy assessment and documentation of functions of the locomotor system within healthy population and patients with developmental abnormalities, disorders, orthopaedic or rheumatic illnesses and injuries.
  • Joint mobilization; terminology, effects, implementation, application.
  • Myofascial trigger points; terminology, effects, implementation, application.
  • Fascial manipulation; terminology, effects, implementation, application.
  • The effects of manual techniques (mechanical, physiological, and psychological reflex) and their empirical justification.
  • Implementation and application of various manual techniques depending on the pressure, direction, pace and speed approaches.
  • The use of appropriate techniques of manual and physiotherapy techniques, programming the intensity and frequency of implementation regarding indications, contraindications, limits, taking into account the patients' rights for selestion.
Objectives and competences:
The aim of the course is the precise ability of systematic manual therapy of soft tissues (skin, subcutaneous tissue, muscles, tendons, ligaments) and joints of the axial and appendicular skeleton, using the knowledge and understanding of functional anatomy, physiology and pathology of the musculoskeletal system, skin, blood and lymphatic circulation, and nervous system.
Knowledge and understanding:
  • Appropriate identification of normal and pathological processes and effects on the motor system (local, functional).
  • Pathological and pathophysiological changes in the organs, morphological changes in the tissues of the locomotor system in developmental disorders, diseases and injuries and their treatment and reparation.
  • Autonomous identification of the main symptoms and signs of defective or damaged structures of the locomotor system.
  • Assessment of the functional level of the locomotor system: handicapped, defective, limited threatened or weakened by congenital abnormalities, illness, injury, surgery.
  • Proper implementation of manual techniques, according to the principles of research-based clinical practice and understanding of the physiological foundations of therapeutic effect.
  • Knowledge of and compliance with the indications, contraindications and limitations.
  • Selection, justification and planning of the intensity, evaluation and documentation of the effects of specific manual techniques, methods or approaches in reasonably designed physiotherapy program.
Mandatory references:
  • Gaber, G., 1994. Klasična terapevtska masaža. Ljubljana: samozaložba.
  • Beard, G. & Wood, E.C., 1965. Massage. London: Saunders.
  • Cyriax, J. & Russell, G., 1992. Textbook of orthopaedic medicine. Zv. 2. Treatment by manipulation, massage and injection. 10. izd. London: Bailliere Tindall.
  • Jull, G., Moore, A., Fallam D., Lewis, J., McCarthy, C. & Streling, M., 2015. Grieve's Modern Musculoskeletal Physiotherapy, 4th ed.Edinburgh: Elsevier.
  • Stecco, L., 2004. Fascial manipulation for Musculoskeletal pain. Padova: Piccin Nuova Libraria S.p.A., pp. 23-45. 
  • Schiffter, R. & Harms, E., 2009. Connective tissue massage. Suttgart: Thieme.
  • Olson, K., 2016. Manual physical therapy of the spine. 2nd ed.Missouri: Elsevier.
Recommended references:  
Study obligations: 50% obligatory attendance at lectures
100% obligatory attendance at seminars
submitted and presented seminar work
Assessment methods:
  • Practical exam (100%)