We will define manual therapy and discuss its proper application and effect on the patient. A current review of the Chiropractic State Practice Act will be presented to facilitate discussion about the coexistence of Chiropractic and Physical Therapy.

Following this, attendees will learn about the development of manual therapy and the different perspectives that exist. This will include a discussion of theories brought forward by Evjenth, Kaltenborn, Paris, McKenzie, and others.

Before effectively applying manual therapy techniques, a solid understanding of anatomy, arthrology, and neurologic pathways is essential. These topics will be reviewed prior to a discussion on common joints that are mobilized.

Finally, the course will include a hands-on session demonstrating specific techniques, with an explanation of which techniques are appropriate for PTs and which are appropriate for PTAs.

Practice Act Comparison: PT vs. PTA – Scope and Permissions

• Understand the legal scope of practice for Physical Therapists (PTs) versus Physical Therapist Assistants (PTAs)

• Clarify what tasks and interventions each professional is authorized to perform according to state practice acts

• Highlight key differences and limitations to ensure compliance with regulations and optimal patient care

Chiropractic: A Legal Discussion

• Overview of chiropractic practice within the context of manual therapy and rehabilitation

• Examination of legal considerations and how chiropractic scope differs from PT and PTA practices

Joint Anatomy

• Detailed review of joint structures, including bones, ligaments, capsules, and cartilage

• Emphasis on anatomical features relevant to manual therapy interventions

Joint Physiology and Neuroanatomy

• Exploration of the physiological functions of joints during movement

• Understanding the neuroanatomical components influencing joint function and pain modulation

Arthrokinematics

• Study of the small accessory motions occurring within joints during normal joint play

• Application of arthrokinematic principles to assess and facilitate proper joint movement

Mobilizations: Different Views and Techniques

• When to mobilize versus when to stabilize joints for optimal therapeutic outcomes

• Overview of various mobilization approaches and their unique philosophies:

  • McKenzie Method

  • Kaltenborn Technique

  • Evjenth Approach

  • Paris Method

  • Maitland Concept

  • Mulligan Concept

Classifications of Mobilization

• Distinguish between grades and types of mobilizations

• Understand indications and goals for each classification to tailor treatments appropriately

Importance of Documentation

• Emphasize thorough, accurate documentation for accountability and legal protection

• Documentation best practices related to manual therapy interventions and progress tracking

Most Common Joints to Receive Mobilizations

• Identify joints frequently targeted in manual therapy (e.g., cervical spine, lumbar spine, shoulder, knee, ankle)

• Discuss typical pathologies and indications for mobilization in these joints

Practical Course Objectives

After attending this course, participants will:

• Gain knowledge of the history and evolution of manual therapy

• Understand differences in Practice Acts governing PTs, PTAs, and Chiropractors

• Clearly define manual therapy and skilled passive range of motion

• Appreciate arthrokinematics and effectively apply evidence-based mobilization techniques to facilitate joint movement

• Differentiate among various classifications of mobilization and their appropriate clinical use

• Recognize the critical importance of detailed and accurate documentation

• Learn about the most common joints treated with mobilizations in clinical practice