Doctor of Physical Therapy
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The Blog
APTA Position Statement on Manipulation Position on Thrust Joint Manipulation Provided by Physical Therapists Manipulation Guide to PT Practice‐ Mobilization/Manipulation = “A manual therapy technique comprised of a continuum of skilled passive movements to joints and/or related soft tissues that are applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement” Manipulation Education Committee, June 2003‐ Thrust Joint Manipulation (TJM)‐ high velocity, low amplitude therapeutic movements within or at end range of motion. History of Manipulation • PT evolved from Medicine • Precedes Osteopathy and Chiropractic – In 1887, PTs were given official registration by Sweden’s National Board of Health and Welfare – 1899 Chartered Society of Physiotherapy founded in England Chiropractic Founded 1895 “Chiropractors do not manipulate; they do not use the process of manipulating; they adjust.” -D. D. Palmer (1845 ‐ 1913), founder of Chiropractic. "The Chiropractor's Adjuster," 1910. PT are educated, effective, and Safe at TJM • Non‐PT agencies have investigated PT competence in TJM and have determined that TJM is within PT scope of practice including: – Veterans Hospital Association – US department of Health and Human Services – Virginia board of Medicine • Attempts to limit PTs from using TJM is based on economics‐‐‐not patient safety |