Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, and occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization, and joint manipulation. It could also be used by Rolfers, massage therapists, athletic trainers, osteopaths, and physicians. Manual therapy has a prolonged history within the profession of physical therapy and physical therapists hold greatly contributed to the current diversity in manual therapy approaches and techniques. Mechanical explanations were historically used to describe the mechanisms by which manual therapy interventions are performed. Contemporary research reveals complex neurophysiologic mechanisms are even at play and the beneficial psychological effects of providing hands-on examination and intervention have been substantiated.
The International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) defines orthopedic manual physical therapy as: “a specialized area of physiotherapy or a Physical Therapy for the management of neuromusculoskeletal (NMS) conditions, based on clinical reasoning, using highly specific treatment approaches consisting manual techniques and therapeutic exercises. Orthopedic Manual Therapy also encompasses, and is driven by, the available scientific or clinical evidence and the biopsychosocial framework of every individual patient.” According to the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) Description of Advanced Specialty Practice (DASP) (2018), orthopedic manual physical therapy (OMPT) is defined as: “an advanced specialty area of physical therapy practice that is based on manual examination and treatment techniques integrated with exercise, patient education, or another physical therapy modalities to address pain, loss of function, and wellness. Early, consistent, and skillful manual physical therapy, combined with exercise and/or patient education, is central to the Orthopedic MPT therapist’s practice. Advanced examination, communication, and decision-making skills are built on the foundations of professional and scientific education to facilitate the provision of effective and efficient care. Practitioners of Ortho MPT provide patient management, consult with other health care providers regarding simple as well as complex neuromusculoskeletal (NMS) conditions, and provide recommendations and interventions in the area of health and wellness.”
- Muscular, Soft tissue Pain clinical approach based on skilled. "Hands-on " therapy to decrease pain and improve the mobility of joint soft tissue and nerves
- Modulate Pain
- Increase Joint mobility to stiff and range of motion.
- Improve tissue repair
- Improving tissue stability an extensibility
- Reduce soft tissue infirmary
- Reduce Muscle tension
- Induce relaxation
- Facilitate movement & experience therapy
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