The evolution of manual therapy education: what are we waiting for?

Kolb, William H; McDevitt, Amy W.; Young, Jodi L.; Shamus, Eric

doi:10.1080/10669817.2020.1703315

Cited by 10 publications

(4 citation statements)

References 26 publications

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“…In some editorials, the credibility of manual therapy has been questioned, pondering whether it will remain a usable technique for pain relief in the future or become an old-fashioned approach. To enhance the manual therapy concept, different models and approaches have been integrated into the concept for the enhancement of manual therapy use [31]. A multimodal approach involving manual therapy and patient education leads to better outcomes as compared to other manual therapy alone.…”

Section: Discussionmentioning

confidence: 99%

Clinical Leadership Perspectives: Advancements in Manual Physical Therapy Practice with the Pakistani Context

Sarfraz,

Shakil ur Rehman,

Ikram

et al. 2023

IHR

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Physical therapy is a healthcare discipline that is dedicated to help individuals and patients in maintaining their health while optimizing their strength, function, and movements. Pakistan being a developing country, experiences a slower pace in the establishment of advancements in the medical professions. Whereas physical therapy is significantly improving day by day in Pakistan; additionally, this study aims to discuss the advances, in manual therapy concerning the physical therapy profession in Pakistan. This study aimed to evaluate the perception of clinical leadership and its recent advancements concerning the manual physical therapy practice in Pakistan for the preceding year. For this purpose, semi-structured interviews were conducted with 10 physical therapists from 5 different cities in Pakistan. Physical therapists with at least 10 years of clinical practice were included in the data collection. The interviews were audio/video recorded, data verbatim transcribed, and analyzed manually by open coding and in-vivo coding. Furthermore, thematic analysis was done to identify different elements of recent advancements concerning manual physical therapy by finding the appropriate patterns in the gathered data. The results showed that advancements occurred in the last decade, such as international certifications, workshops, hands-on practice and master programs. There is lack of awareness, gender barriers, and financial constraints in adopting new advancements. The focus was shifted more toward muscle energy technique and myofascial release. Modalities were preferred in the past for pain relief; however, in the recent decade, they have been replaced by manual therapy techniques. Pain management and prognosis are better with manual therapy. These advancements will be cost-effective for the patient. This study concluded that manual therapy in Pakistan has undergone a significant transformation during the last preceding years. There is still great potential for more advancement in manual therapy techniques in Pakistan.

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Section: Discussionmentioning

confidence: 99%

Clinical Leadership Perspectives: Advancements in Manual Physical Therapy Practice with the Pakistani Context

Sarfraz,

Shakil ur Rehman,

Ikram

et al. 2023

IHR

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“…Kolb et al [18] address the issue head-on, calling for wholesale changes to teaching manual therapy. Seeing the historical biomechanical model of touch-based interventions continuing to be taught, they called on educators to begin including broader mechanisms, including the effects of contextual factors and the fundamentals of the patient-provider dynamics, and to better convey the bottom-up perspective, where peripheral structures act as signalers to higher centers, instead of being the primary vessels of change.…”

Section: A Broader Viewmentioning

confidence: 99%

The mechanism of action for laryngeal manual therapies: the need for an update

Fritz

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review To propose a pathway for expanding the understanding of potential mechanisms of action with laryngeal-based manual therapy (LMT) for muscle tension dysphonia (MTD). This review may help determine if current LMT literature has kept up with advances in the more general manual therapy (MT) findings. Recent findings Studies over the past thirty years, including recently published articles, have confirmed the efficacy of various manual therapy interventions in treating MTD. However, gaps exist between current LMT literature and that being presented in the more general MT field. Instead of viewing peripheral manipulation's influences as a local cause/effect process, the MT literature paints a richer tapestry of centrally mediated impacts. Summary Evidence from outside the LMT field has introduced a broad tapestry of factors that may contribute to the efficacy of MT, extending beyond the local effects reported in LMT literature. To better understand the effect and mechanism of action touch-based interventions have on a patient's voice and to potentially improve outcomes, it is necessary to broaden investigations to include a broader range of perspectives.

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“…Mechanisms research outlines similar effects with all forms of manual therapy techniques [2]. OMT techniques vary per post-graduate training philosophy; however, frequently the operator targets specific joints, respects biomechanical concepts, and targets the forcebased manipulation to the region of dysfunction [3]. Given the focus on specificity, the training time required to gain "mastery" can be significant.…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…This new found information highlights the need to investigate whether a modification of a traditional advanced training paradigm for OMT is needed. Whereas customary training strategies such as (1) handling competency and (2) understanding risk of harm will never be outdated, additional training elements such as (3) communication of what to expect with the technique, and (4) recognition of when a technique appears to be beneficial versus not, are skills that deserve consideration.…”

Section: Introduction Backgroundmentioning

confidence: 99%

Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study

Damian¹,

Griswold

Learman

et al. 2023

J Educ Eval Health Prof

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Purpose: Orthopedic manual therapy (OMT) education demonstrates significant variability between philosophies and while literature has offered a more comprehensive understanding of the contextual, patient specific, and technique factors which interact to influence outcome, most OMT training paradigms continue to emphasize the mechanical basis for OMT application. The purpose of this study was to establish consensus on modifications & adaptions to training paradigms which need to occur within OMT education to align with current evidence.Methods: A 3-round Delphi survey instrument designed to identify foundational knowledge to include and omit from OMT education was completed by 28 educators working within high level manual therapy education programs internationally. Round 1 consisted of open-ended questions to identify content in each area. Round 2 and Round 3 allowed participants to rank the themes identified in Round 1.Results: Consensus was reached on 25 content areas to include within OMT education, 1 content area to omit from OMT education, and 34 knowledge components which should be present in those providing OMT. Support was seen for education promoting understanding the complex psychological, neurophysiological, and biomechanical systems as they relate to both evaluation and treatment effect. While some concepts were more consistently supported there was significant variability in responses which is largely expected to be related to previous training.Conclusion: The results of this study indicate manual therapy educators understanding of evidence-based practice as support for all 3 tiers of evidence were represented. The results of this study should guide OMT training program development and modification.

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The evolution of manual therapy education: what are we waiting for?

Cited by 10 publications

References 26 publications

Clinical Leadership Perspectives: Advancements in Manual Physical Therapy Practice with the Pakistani Context

Clinical Leadership Perspectives: Advancements in Manual Physical Therapy Practice with the Pakistani Context

The mechanism of action for laryngeal manual therapies: the need for an update

Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study

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