Introduction: Maitland method is a technique of manipulation and joint mobilization to reduce pain, recovery of mobility and joint alignment. Objective: Analyze effects of spinal manipulation in Maitland pains of cervical and lumbar spine, considering reducing the exposure time of each maneuver on pain, range of motion and muscle function. Method: 11 patients randomly assigned to two groups: (i) Experimental Conventional (GEC; 06): conventional technical indications, (ii) Experimental Modified (GEM; 05): protocol with the same maneuvers, but reduced application time. All evaluated before (t0) and after (t1) the period of therapeutic sessions with Visual Analogue Scale (VAS) for pain, Flexibility Test Bank with Wells and Surface Electromyography (EMG) for muscle electrical activity of the cervical and lumbar regions . The data were statistically analyzed; p <0.05. Results: In GEM pain decreased significantly (p = 0.047), muscle electrical activity in the cervical region showed a significant trend (p = 0.068). Flexibility in GEC was improved, but not significantly. tended Root Mean Square in the cervical region of the GEM (p = 0.068) to achieve significant value, but this trend was not observed in GEC. In the lumbar region there were no differences in both groups. Conclusion: Volunteers in both groups had positive results even though not statistically significant. The effects of reduced time and time recommended by Maitland (1 minute) the sessions were effective in decreasing symptoms, pain and restricted joint mobility, but we consider important to continue further studies in this knowledge and practice of physical therapy area.

Introduction: Musculoskeletal Disorders (MDEs) are inflammatories and degenerative diseases that are a public health problem. In recent years among registered occupational diseases worldwide are the most prevalent, affecting the quality of life of individuals. Objective: To investigate the occurrence and characteristics of MDEs on physiotherapists who use manual therapy techniques in Recife-Pernambuco. Method: 34 therapists of both genders responded standardized questionnaire (demographic characteristics and complaints of musculoskeletal diseases) in regular time and in the workplace (public and private health services). Data were analyzed by chi-square test ((χ

Introduction: Adhesive capsulitis, also called frozen shoulder, affects about 3-5% of the population, especially in the age group 40 to 60 years, affecting more women and having an insidious onset. Objective: Analyze the isolated effect of joint manipulation by Maitland method in treating patients with adhesive capsulitis of the shoulder, the level of pain, range of motions of the shoulder and functional capacity. Method: It is about a cases studies in which four volunteers underwent protocol Maitland to shoulder for 15 sessions. The evaluation instruments used were the Visual Analog Scale, Goniometer and Shoulder Pain and Disability Index to measure the level of disability of the shoulder. Results: There was  decreased pain from 55.5 to 80.0%, increased all range of motions, especially flexion of the shoulder, with more than 100% gains in the four cases investigated and improved functional capacity between 27.9 – 91.9%. Conclusion: These results suggest that the therapy had improved outcomes assessed, as clinically relevant contribution, but indicate the need to develop more studies to prove the effectiveness of the method isolated.

Introduction: Work-Related Musculoskeletal Disorders (MSDs) affect health professionals by frequent exposure to physical and mental overloads during the workday. Physiotherapy aims to promote functional health of the individual, however ergonomic conditions in their workplace are often precarious and that along with the activities and repetitive movements resisted overload the musculoskeletal system inducing damage to your physical condition. Objective: Identify the occurrence of Musculoskeletal Disorders (DMEs) in physical therapists working in public and private health services in Recife-Pernambuco, recording determinants and establishing relationship with clinical practice and the workload of the tests. Method: Observational study of physiotherapists of both genders. Peres administered questionnaire collected personal information, professional performance and DMEs Results: 41 physiotherapists; 85.4% reported DMEs, females (80.5%); 41.4% between 24-30 years; places of work, hospitals (70.7%) and clinical (63.4%); predominance of lesions in the spine and upper limbs; 65.7% changed work habits due to the occurrence of DMEs. Significant correlation between age and gender prevalence in females; since the occurrence of DMEs was not significantly correlated with time of practice, with workload, with the number of daily visits nor to rest at work. Conclusion: The volunteers showed high percentage of involvement by DMEs, especially in the spine, which seems to be related to the age and gender of the therapist. The study indicates that physical therapists are an exposed to risk for developing occupational musculoskeletal disorders profession, requiring awareness of students and professionals about proper use of the body itself, the risks of the profession in order to prevent future physical limitations.