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Manual orthopedic physical therapy.
Two different approaches to clinical research have been widely discussed in the literature. The use of a prescriptive treatment paradigm aims to maximize internal validity and minimize the potential for cofounding variables [ 6—8,10,11,13 ]. Although the latter potentially creates additional confounding factors and may challenge the internal validity of the study, it enhances the external validity and generalizability of the study findings. This newer approach allows the clinician to pragmatically choose the intervention and progression on each treatment session, which is more representative of daily clinical practice.
Regardless of the approach selected, researchers cannot forget that OMPT is made up of passive interventions provided by the therapist and must be combined with the neuromuscular re - education of functional movement patterns in order to restore efficient, pain-free movement.
Those of us involved in OMPT know that these techniques and our skills are effective in producing positive results for our patients and lead to improved pain-free functional skills. A focus beyond differential diagnosis, with an explicit clinical reasoning process for the application and sequencing of OMPT techniques, allows PTs to address the complexities of the entire movement system and its interrelationships.
When we consider the entirety of the movement system and allow an individualized approach to patient care to inform our practice, we not only treat the whole patient; we also incrementally improve clinical practice and research. J Man Manip Ther. Published online Jul Cristiana K. Author information Copyright and License information Disclaimer. References [1] American board of physical therapy residency and fellowship education ; [cited Jan 17 ]. Rehabilitation using manual mobilization for thoracic kyphosis in elderly postmenopausal patients with osteoporosis.
J Rehabil Med. Feb ; 42 2 — The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man Ther. Aug ; 14 4 — Effectiveness of manual physical therapy for painful shoulder conditions: a systematic review. Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education.
Phys Ther. Jan ; 87 1 :9— Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: A multi-center randomized clinical trial.
BMC Musculoskeletal Dis. Feb 6, ; 17 1 Thoracic spine manipulation for the management of patients with neck pain: A randomized clinical trial. J Orthop Sports Phys Ther. A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain.
Arch Phys Med Rehabil. Sep ; 91 9 — Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Management of lumbar spinal stenosis through the use of a translatoric manipulation and lumbar flexion exercises. A case series. Physiother Theory Pract. Feb ; 29 2 — Neck pain: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopedic section of the american physical therapy association.
Low back pain. Apr ; 42 4 :A1—A Preliminary examination of a proposed treatment-based classification system for patients receiving physical therapy interventions for neck pain. May ; 87 5 — Does adherence to the guideline recommendation for active treatments improve the quality of care for patients with acute low back pain delivered by physical therapists?
Med Care. Oct ; 45 10 — Subgrouping patients with low back pain: evolution of a classification approach to physical therapy. Jun ; 37 6 — Is there a subgroup of patients with low back pain likely to benefit from mechanical traction?
Results of a randomized clinical trial and subgrouping analysis. Our highly specialized and unique training involves the most current evidence-based practice and evidence-based manual and exercise techniques. We are highly trained in translatoric spinal manipulation, functional massage and advanced orthopedic and therapeutic exercise concepts.
This additional training makes our practitioners uniquely qualified to deliver techniques reserved for more highly educated therapists with advanced knowledge of anatomy, biomechanics and the musculoskeletal system. The treatment philosophy of an OMPT is a continuum of the evaluation process, dictating the treatment. We perform a treatment consistent with the impairment findings from the examination.
The precise line of testing gives an impression about specific structures and characteristics of the structural deficits.
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