Manual Therapy

Does manual therapy have a place? Manual therapy is one of the more polarizing topics in the movement world, and no doubt you might wonder if this modality is efficacious for improving pain and/or movement. The evidence on manual therapy in isolation is mixed, but perhaps the modality itself is not the problem. Perhaps the problem is not having a model that can explain the utility of manual therapy, when to use it, and why. With a decision-making model, manual therapy is something that can most definitely fit within the interventions you like. Ready to see how manual therapy can be best applied for your supreme clientele? Then check out Movement Debrief Episode 139 below!

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Manual Therapy Musings

When I think About You… Prompted by some mentee questions and blog comments, I wondered where manual therapy fits in the rehab process. To satisfy my curiosity, I calculated how much time I spend performing manual interventions. Looking at last month’s patient numbers to acquire data, I found these numbers based on billing one patient every 45 minutes (subtracting out evals and reassessments): Nonmanual (including exercise and education) = 80% Manual = 20% Modalities = 0%!!!!!!!!!!!! Delving a bit further, here’s my time spent using PRI manual techniques versus my other manual therapy skill-set: PRI manual = 14% Other manual = 6% As you can see, I use manual therapy a ridiculously low amount; skills that I used to employ liberally with decent success.   There’s a reason for the shift I want my patients to independently improve at all cost and as quickly as possible. The learning process is the critical piece needed to create necessary neuroplastic change; and consequently a successful rehab program. Rarely is learning involved in manual therapy.

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Course Notes: Dermoneuromodulation

What? You Mean You Have to Touch Someone???!!?!? My gluttony for punishment continues. This time, I had the pleasure of learning Diane Jacobs’ manual therapy approach called Dermoneuromodulation (DNM). My travels took me to Entropy Physiotherapy and Wellness in the Windy City. These folks were arguably the best course hosts I have ever had. We had lunch!!!! Both days!!!!! That is unheard of, so a big thanks to Sandy and Sarah for putting the course together. I took DNM out of curiosity. I have been lurking around Somasimple on and off for the past couple years, and wanted to learn more about the methods championed there. Believe it or not, I have yet to take a pure manual therapy course, DNM seemed like a great way to get my hands dirty. That darn PRI has lessened the hand representation in my somatosensory homunculus!   One reason I haven’t taken a manual course is due to the explanatory models many classes are presenting. It seems as though few are approaching things with a neurological mindset, but I was pleased to hear Diane’s model. It is the best explanation I have heard yet. I know that I usually list my favorite quotes at the end of the blog, but I wanted to share the best quote of the weekend right off the bat: “I don’t know why.” I heard this phrase so much throughout the course and it was quite refreshing. Diane made few claims about her technique, admitted who she “stole”

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