Physical therapists have made significant contributions to the current diversity in manual therapy approaches and procedures. Manual therapy has a lengthy history within the physical therapy profession. In the past, mechanical justifications were employed to describe how manual therapy techniques functioned. According to recent studies, complex neurophysiologic systems are also at work, and offering hands-on assessment and management has been shown to have positive psychological impacts.
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," according to the International Federation of Orthopaedic Manipulative Physical Therapists. Orthopaedic manual therapy takes into account, and is motivated by, the biopsychosocial framework of the patient as well as the current scientific and clinical data.
The core of an OMPT therapist's approach is early, regular, skilled manual physical therapy mixed with exercise and patient education. The provision of effective and efficient care is made possible by advanced examination, communication, and decision-making abilities that are founded on the foundations of professional and scientific education.
Physiological: It is possible to elicit a favourable reaction.
Physical and biomechanical: Manual treatment makes tissue modelling and healing easier.
Psychological: Manual therapy can lessen discomfort, which enhances a person's mental health. The pain-gate mechanism is stimulated, muscles are inhibited, nociceptive activity is decreased, and intraarticular or periarticular pressure is decreased to achieve this pain reduction.
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