Movement quality
Range, pain, resistance and control in useful movements.
FRManual therapy · Geneva
Manual therapy in Geneva, integrated with rehabilitation
Precise joint and tissue mobilisation intended to improve useful mobility, always preceded by screening and followed by reassessment.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
Manual movement should answer a clinical question
Manual therapy may include joint mobilisation, tissue work, post-isometric relaxation and guided movement techniques. Selection depends on region, phase and tolerance.
The aim is not to force a joint or seek a sound. It is to produce a relevant change in mobility, comfort or control and then check whether that change transfers to activity.
When faster techniques are considered, safety screening and consent are essential. Gentler alternatives remain available.
02 · IMG CLINICAL REASONING
What guides the technique
Dose and direction are selected from findings, not from a routine.
Neurological context
Sensation, strength, reflexes or radiating symptoms when relevant.
Associated tissues
Muscle, fascia and adjacent segments that may influence mobility.
Risk
Trauma, bone fragility, inflammatory disease, vascular signs and other precautions.
03 · CLINICAL PATHWAY
From mobilisation to function
A passive gain becomes useful when it supports real activity.
Test
Define a reference movement.
Mobilise
Apply a controlled and proportionate technique.
Retest
Check the immediate effect on movement or symptoms.
Stabilise
Add control, strength or progressive exposure where needed.
04 · INDICATIONS
Presentations commonly assessed
- Selected neck or thoracic stiffness
- Low-back or lumbopelvic restriction
- Shoulder, hip, knee or ankle limitation
- Recovery after immobilisation, with medical approval when required
05 · FAQ
Manual therapy questions
01Does the joint need to crack?＋
No. A sound is neither necessary nor proof of correction. Progressive mobilisation may be preferred.
02Should the result be immediate?＋
An immediate change can guide reasoning, but durable progress also depends on capacity and activity.
03Can I decline a technique?＋
Yes. Consent is continuous and alternatives can be discussed.
04Does manual therapy replace exercise?＋
Not when reduced strength, endurance or control requires active rehabilitation.
Your next step
Begin with a structured assessment
Contact IMG Clinic directly or complete the Clinical Pathway Engine™ beta to prepare an initial clinician-reviewed pathway.