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Manual therapy techniques are skilled hand movements and skilled passive movements of joints and soft tissue and are intended to improve tissue extensibility; increase range of motion; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; and reduce soft tissue swelling, inflammation, or restriction. Techniques may include manual lymphatic drainage, manual traction, mobilization/manipulation, and passive range of motion. Three paradigms for Manual Therapy therapeutic effects Physiological: positive placebo response Biomechanical and Physical: facilitates repair and tissue modelling Psychological: pain relief via- pain gate mechanism; muscle inhibition; reduction of nocioceptive activity; reduced intraarticular or periarticular pressure Techniques Include Traction Trigger Point Therapy Active Release Techniques Assisted Active Range of Motion (AAROM) Passive Range of Motion Lymph Drainage Stretches (muscle, neural tissue, joints, fascia) Instrument Assisted Soft Tissue Mobilization