What is Orthopedic Manual Physical Therapy?

What is Orthopedic Manual Physical Therapy?

Manual Therapy is 'hands-on' treatment provided by an orthopedic physical therapist to decrease pain and improve motion of the targeted structures of your body.

Orthopedic Manual Physical Therapy (OMPT) has been defined as follows:

"Orthopaedic Manual Physical Therapy is a specialised area of physiotherapy / physical therapy for the management of neuro-musculoskeletal conditions, based on clinical reasoning, using highly specific treatment approaches including manual techniques and therapeutic exercises. Orthopaedic Manual Physical Therapy also encompasses, and is driven by, the available scientific and clinical evidence and the biopsychosocial framework of each individual patient." - International Federation of Orthopaedic Manipulative Physical Therapists

"OMPT is any 'hands-on' treatment provided by the physical therapist. Treatment may include moving joints in specific directions and at different speeds to regain movement (joint mobilization and manipulation), muscle stretching, passive movements of the affected body part, or having the patient move the body part against the therapist’s resistance to improve muscle activation and timing. Selected specific soft tissue techniques may also be used to improve the mobility and function of tissue and muscles. Orthopaedic manual physical therapists treat acute and chronic symptomatic conditions in body regions including the head, neck, back, arms and legs. Early, consistent and skillful manual physical therapy, combined with exercise and patient education, is central to the OMPT therapist’s practice." - American Academy of Orthopaedic Manual Physical Therapists

What are some Orthopedic Manual Physical Therapy techniques?

Orthopedic Manual Physical Therapy to joints and soft tissue may be applied at varying speeds and amplitudes and fall into various broad categories:

  • Soft Tissue Mobilization

  • Massage

  • Joint Mobilization

  • Thrust Manipulation

  • Spinal Manipulation

  • Neuromobilization

  • Manual Stretching

  • Muscle Energy (Activation) Technique

  • Mobilization with Movement

  • Instrument-Assisted Soft Tissue Mobilization (such as Dry Needling)

What does "Orthopedic" mean?

The term "Orthopedic" refers to the treatment of the neuromusculoskeletal system: the spine, nerves, muscles, tendons, ligaments, bones, cartilage, and related structures that provide the body with sensation, support, or movement.

What is the difference between a Physical Therapist and an Orthopedic Manual Physical Therapist?

In the United States of America, an Orthopedic Manual Physical Therapist is a Physical Therapist who has received additional training in hands-on techniques beyond the instruction in the entry-level Physical Therapy program, which requires 7 years of education to graduate as a Doctor of Physical Therapy.

Many certificate programs are available that offer a few weekend labs over the course of several months where participants learn new hands-on techniques and then pass an examination (or series of them) to earn a Certification in Orthopedic Manual Physical Therapy.

What are the different types of Orthopedic Manual Physical Therapists?

What are the types of orthopedic manual physical therapists? While most Doctors of Physical Therapy learn the foundational skills in basic orthopedic manual physical therapy techniques, orthopedic manual physical therapists typically fall into two categories: certified orthopedic manual physical therapists and Fellows of the American Academy of Orthopaedic Manual Physical Therapists.

To become a certified orthopedic manual physical therapist, most courses require a series of weekend labs spent learning and practicing techniques before passing a supervised test on the performance of these techniques.

To become a Fellow of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT), a physical therapist must complete 2-3 years of full-time coursework after completing the 7 yrs of a Doctor of Physical Therapy program. Fellowship training includes achieving expertise performing advanced hands-on techniques, synthesis of current research, and demonstration of a scientific, evidence-based approach to patient management. Fellows are the leaders of the physical therapy profession in clinical practice and clinical research and are considered clinician scientists due to the extensive educational requirements of the Fellowship Program.

Should I find a Fellowship-trained Physical Therapist?

Yes, finding a Fellowship-trained physical therapist will likely lead to a more accurate diagnosis and better treatment outcomes. You can find a fellow here.

A study by Rodeghero et al noted that physical therapists trained in a Fellowship Program had demonstrated greater changes in patient function, efficiency of treatment, and patient outcomes than physical therapists not trained in a Fellowship Program.

Therefore, when you choose a physical therapist with Fellowship training, you are likely to experience better results over fewer visits than you would with a physical therapist without this additional education.

Further Information on Orthopedic Manual Physical Therapy

Click on any of the following links for more information:

Dr. Damon Bescia is a fellowship-trained Doctor of Physical Therapy, board certified in orthopedics and sports physical therapy, who specializes in Orthopedic Manual Physical Therapy and serves Naperville and its surrounding communities by way of his Concierge Practice, providing private one-to-one orthopedic manual physical therapy for his clients. For more information, please visit https://www.napervillemanualphysicaltherapy.com.

Rodeghero, Jason, Ying-Chih Wang, Timothy Flynn, Joshua A. Cleland, Robert S. Wainner, and Julie M. Whitman. "The impact of physical therapy residency or fellowship education on clinical outcomes for patients with musculoskeletal conditions." journal of orthopaedic & sports physical therapy45, no. 2 (2015): 86-96.

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