2.3. Description of Manual Therapy Techniques
pain
The proposed manual therapy lasted 90 min and involved a combination of three different techniques: McMennel manipulation, connective tissue massage, and the Pompage mobilization technique [McMennel manipulation is a technique for reducing joint stiffness and reducing pain by stretching the capsuloligo-mental complex. It was used for 40 min. It prevents the development of claw deformity and increases the trophism of the cartilage, resulting in an improvement in hand mobility and the extrinsic strength of the hand muscles, decreasing joint pain and stiffness [Connective tissue massage (lasting 30 min) improves the blood circulation of the skin and plays a muscle-relaxing role, keeping the skin soft [The Pompage mobilization technique lasts 20 min and consists of slow and progressive mobilizations through a rhythmic and regular movement of traction and release, which allows the recovery of the physiological length of the soft tissues [