Advanced Techniques and Certifications

The McKenzie Method

The McKenzie Method is an approach that was developed by Robin McKenzie, a New Zealand Physiotherapist.  Central to the method is the concept that mechanical pain triggers can be identified through the evaluation of a patient's response to active movment.  The McKenzie trained physical therapist is able to interpret the results of Repeated Movement Testing to guide the treatment in the correct direction to restore pain free movement.  Originally applied only to the spine, McKenzie's concepts are now used to evaluate and treat painful conditions of the extremities as well.  At Zaffarese Physical Therapy, several of our therapists have taken McKenzie courses.  Both Chitra Salgame, PT, Cert. MDT and Sandra Neumann, PT, Cert. MDT  are McKenzie Certified Physical Therapists. 

The Mulligan Method

Mobilization with Movement (MWM) manual therapy techniques were discovered and developed by a physical therapist from New Zealand named Brian Mulligan F.N.Z.S.P. (Hon), Dip MT. He is considered to be one of the greatest contributors to manual therapy. The Mulligan Concept is a simple yet effective manual approach which addresses musculoskeletal disorders by manual joint "repositioning" techniqes. These techniques are used to improve range of motion of a joint and reduce pain.


Common Indications for this approach:

-     Pain of a non-inflammatory nature

-     Acute pain from injury

-     Loss of motion due to arthritic conditions

-     Headaches and dizziness due to neck problems

-     Jaw or TMJ pain and movement restrictions

-     Acute to chronic ankle sprains

-     "Tennis elbow" or lateral elbow pain 


At Zaffarese Physical Therapy, several of our therapists have had the opportunity to take courses from Brian Mulligan.  We are proud to say that our own Chitra Salgame, PT, Cert. MDT is a Certified Mulligan Practitioner (CMP).

Craniosacral Therapy

CST is a light touch manual therapy technique that helps to release restrictions in the meningeal system that surrounds the brain and spinal cord. CST can assist to decrease associated osseous, bony, neural and myofascial restrictions. CST also helps the body to decrease systemic muscle tension and tone and promotes an increased relaxation response in the body.


Zaffarese Physical Therapy is fortunate enough to have a CST specialst on staff. Julie Real is a techniques certified Craniosacral Therapist and a certified Teaching Assistant through the Upledger Institute.

Taping Techniques


Have you seen athletes and Olympians wearing Kinesiotape? It's a great adjunct to therapy and may be indicated in your course of treatment. It was developed by Kenzo Kase, DC, 25 years ago and is used here at Zafferese Physical Therapy in addition to therapy.


Kinesiotape can be used as a part of your treatment to help:

-     Decrease pain

-     Decrease swelling

-     Improve blood flow to an area

-     Correct joint position

-     Facilitate muscle activation

-     Inhibit a muscle that is in spasm




The Selective Functional Movement Assessment (SFMA) is a series of 7 full-body movement tests designed to assess fundamental patterns of movement such as bending and squatting in those with known musculoskeletal pain. When the clinical assessment is initiated from the perspective of the movement pattern, the clinician has the opportunity to identify meaningful impairments that may be seemingly unrelated to the main musculoskeletal complaint, but contribute to the associated disability.  The assessment guides the clinician to the most dysfunctional non-painful movement pattern, which is then assessed in detail. This approach is designed to complement the existing exam and serve as a model to efficiently integrate the concepts of posture, muscle balance and the fundamental patterns of movement into musculoskeletal practice. We are proud to have Michelle Onion, PT on our staff who has studied the Selective Functional Movement Assessment and incorporates this testing into her evaluation and treatment to address the patient's underlying dysfunction.

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