Manual Therapy vs what else?

[Apollo#1585...]

Not really sure where to start here, but I've seen a lot of talk about manual therapy on here, I can find what that all entails online, but what else is there to compare it to that people seem to be talking up manual therapy so much? I'm not really sure where to start to look for that, if anyone can point me in the right direction that'd be great.

Thanks!

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[NewTestament]

I think it's interesting that physical therapists identify themselves as "manual therapists." Why don't they market themselves as "neuro re-ed therapists", "posture education therapists," or "therex therapists."

Manual therapy is a tool and it continues to be the subject of many studies. You should learn some manual therapy but never identify yourself as a "manual therapist."

Check out some of the literature by Bioloskey. He's done a lot of research on the effects of manual therapy.

 

[DPTinFL]

Not really sure where to start here, but I've seen a lot of talk about manual therapy on here, I can find what that all entails online, but what else is there to compare it to that people seem to be talking up manual therapy so much? I'm not really sure where to start to look for that, if anyone can point me in the right direction that'd be great.

Thanks!

Compare manual therapy to the McKenzie method, aka MDT: mechanical diagnosis and treatment. The focus is on finding a directional preference, repeated movements, home exercises, and trying to get the patient to be independent/responsible/able to manage their dysfunction. It's not a "hands on" approach so kind of opposite to manual therapy but efficient from what I have seen.

 

[noyceguy]

Manual therapy is where you pay $13,000 for a certification so you can ask where it hurts and then push on it.

 

[NewTestament]

I wouldn't be that cynical about manual therapy. I think it's worth learning some manual therapy skills, but too many PT's put way too much emphasis on it. It doesn't solve everything. You need to be versatile. But some of these certifications are a rip off. $750/year to be AYSTM certified? Please.

 

[noyceguy]

I wouldn't be that cynical about manual therapy. I think it's worth learning some manual therapy skills, but too many PT's put way too much emphasis on it. It doesn't solve everything. You need to be versatile. But some of these certifications are a rip off. $750/year to be AYSTM certified? Please.

I know, I actually agree with you. I just have to give "manual therapists" a hard time. They take themselves so very seriously. Lord knows it takes a residency and a fellowship and a bunch of initials to push on joints.

 

[Apollo#1585...]

Thanks for all the responses! I don't think my question was clear though looking back,
My question isnt so much about manual therapy as it is 'what else is out there'? If that makes sense. What other types of therapy is there? Like I said I'm not real sure how to ask this question which probably makes it difficult to answer haha

 

[PTMattI]

What other types of therapy is there

Cranio sacral

 

[AlanWattsBlues]

Thanks for all the responses! I don't think my question was clear though looking back,
My question isnt so much about manual therapy as it is 'what else is out there'? If that makes sense. What other types of therapy is there? Like I said I'm not real sure how to ask this question which probably makes it difficult to answer haha

Not sure if I understand precisely what you're looking for, but here's a shot in the dark (using the language from billing): other than manual therapy a PT intervention might involve therapeutic exercise, therapeutic activity, neuromuscular re-education, gait training, aquatic training, modalities....

 

[DesertPT]

$750/year to be AYSTM certified

Geez...there really are few fields on earth that have as many wallet-emptying opportunities to get "certified" in things as PT does. I've seen a PT replying to emails about getting CEUs and certification in craniosacral therapy. Give me a break...next thing you know we're gonna have John Doe, PT, DPT, CPHP (certified physical homeopathy practitioner)...

 

[engmedpt]

Not really sure where to start here, but I've seen a lot of talk about manual therapy on here, I can find what that all entails online, but what else is there to compare it to that people seem to be talking up manual therapy so much? I'm not really sure where to start to look for that, if anyone can point me in the right direction that'd be great.

Thanks!

http://en.wikipedia.org/wiki/Physical_therapy
Control F specialty areas?

Geez...there really are few fields on earth that have as many wallet-emptying opportunities to get "certified" in things as PT does. I've seen a PT replying to emails about getting CEUs and certification in craniosacral therapy. Give me a break...next thing you know we're gonna have John Doe, PT, DPT, CPHP (certified physical homeopathy practitioner)...

Just for funsies. Note that some of these are super legit....

John Doe, PT, DPT, MPH, FAAOMPT, PhD, OCS, PCS, CSCS, NCS, FACHM, MOMT, SCS, ATC

Did I miss any other possible acronym combinations whether or not they happen to be certs or just DPT commonly hit degree combos?

 

[truthseeker]

There is biomechanics, pain science education, ergonomics, posture, manual therapy, modalities, traction, orthotics etc . . . ALL of them are tools. Use them wisely and based upon the latest science and you will be fine. Any guru that says their way is the only way is cracked.

 

[NewDPT31]

http://en.wikipedia.org/wiki/Physical_therapy
Control F specialty areas?




Just for funsies. Some of these are super legit....

John Doe, PT, DPT, MPH, FAAOMPT, PhD, OCS, PCS, CSCS, NCS, FACHM, MOMT, SCS, ATC

Did I miss any other possible acronym combinations whether or not they happen to be certs or just DPT commonly hit degree combos?

Actually one of the best classes I took was on the knee with Dr. Davies. His post name line of certs is pretty awesome...
George Davies, PT, DPT, M.Ed., SS, ATC, LAT, CSCS, PES, FAPTA

 

[engmedpt]

Actually one of the best classes I took was on the knee with Dr. Davies. His post name line of certs is pretty awesome...
George Davies, PT, DPT, M.Ed., SS, ATC, LAT, CSCS, PES, FAPTA

LOL.

This is as awesome as it is ridiculous.

 

[riseboi]

What is SS?

 

[DesertPT]

^^If practicing PTs don't know what one of your initials stands for, maybe you don't really need it behind your name that badly.

I don't think these ridiculous alphabet soups help our cause much when people are accusing us of trying to "play doctor". If you have an ABPTS board certification or are a CHT, or you have an additional degree or professional licensure, or you are a FAPTA, then by all means those things should be behind your name. But these huge strings of rinky dink certifications that people pick up from going to con ed classes just seem like PTs are trying to puff out their chest to me. The common and relatively rigorous ones like CSCS are one thing, but all these obscure ones that half or more of your colleagues probably haven't even heard of?? When do you see a physician, pharmacist or dentist stringing these things that look like Klingon love poems behind their names? I'm not saying at all that our goal as PTs should necessarily be to mimic other professionals, but sometimes it makes it seem like PTs feel like they need these big old word scrambles in order to somehow validate their legitimacy as a competent healthcare provider. I hope that as time goes on the DPT and the major certifications begin to speak for themselves a bit more.

 

[NewDPT31]

^^If practicing PTs don't know what one of your initials stands for, maybe you don't really need it behind your name that badly.

I don't think these ridiculous alphabet soups help our cause much when people are accusing us of trying to "play doctor". If you have an ABPTS board certification or are a CHT, or you have an additional degree or professional licensure, or you are a FAPTA, then by all means those things should be behind your name. But these huge strings of rinky dink certifications that people pick up from going to con ed classes just seem like PTs are trying to puff out their chest to me. The common and relatively rigorous ones like CSCS are one thing, but all these obscure ones that half or more of your colleagues probably haven't even heard of?? When do you see a physician, pharmacist or dentist stringing these things that look like Klingon love poems behind their names? I'm not saying at all that our goal as PTs should necessarily be to mimic other professionals, but sometimes it makes it seem like PTs feel like they need these big old word scrambles in order to somehow validate their legitimacy as a competent healthcare provider. I hope that as time goes on the DPT and the major certifications begin to speak for themselves a bit more.

Since when did CSCS become known for its rigor?

 

[DesertPT]

Since when did CSCS become known for its rigor?

👍

lol...relatively was supposed to be the key word...I was assuming CSCS might mean more to people than "SS" or these other things we've never heard of.

 

[engmedpt]

^^If practicing PTs don't know what one of your initials stands for, maybe you don't really need it behind your name that badly.

When do you see a physician, pharmacist or dentist stringing these things that look like Klingon love poems behind their names? I'm not saying at all that our goal as PTs should necessarily be to mimic other professionals, but sometimes it makes it seem like PTs feel like they need these big old word scrambles in order to somehow validate their legitimacy as a competent healthcare provider. I hope that as time goes on the DPT and the major certifications begin to speak for themselves a bit more.

 

[NewTestament]

Since when did CSCS become known for its rigor?

I'm not sure either. In fact, some students come into PT school with a CSCS. It's worthless by itself. I've heard the ACSM is more rigorous anyway.

 

[engmedpt]

I'm not sure either. In fact, some students come into PT school with a CSCS. It's worthless by itself. I've heard the ACSM is more rigorous anyway.

I have a job alert setup just in case I get to a weekend shift rehab aide job before school starts. A PT position just came up and "CSCS certification strongly preferred" was in the description.



...🙄

 

[engmedpt]

nvm

 

[Apollo#1585...]

What is SS?

Member of the Third Reich's elite police and military units. lol

 

[Sheldon]

I know, I actually agree with you. I just have to give "manual therapists" a hard time. They take themselves so very seriously. Lord knows it takes a residency and a fellowship and a bunch of initials to push on joints.

Residency and fellowship training is not about "pushing on joints." In both my residency and fellowship training, the main emphasis has been on the process, clinical reasoning, and critical thinking. The psychomotor skills, or "pushing on joints," come with the process BUT by no means ARE the process. Additionally, the mentorship, both indirect and direct, have been priceless. Also, both residency and fellowship training have included so much more than "pushing on joints-" therapeutic exercise (FMS, SFMA, ACSM), neurology/neuroscience (Butler, Moselely, Elvey, Wager, etc), educational theory and patient education and opportunity to lab-assist, physiology & anatomy of systems and how pathological processes come to bear on the NMSK complaints of the patient in front of you.

 

[noyceguy]

Residency and fellowship training is not about "pushing on joints." In both my residency and fellowship training, the main emphasis has been on the process, clinical reasoning, and critical thinking. The psychomotor skills, or "pushing on joints," come with the process BUT by no means ARE the process. Additionally, the mentorship, both indirect and direct, have been priceless. Also, both residency and fellowship training have included so much more than "pushing on joints-" therapeutic exercise (FMS, SFMA, ACSM), neurology/neuroscience (Butler, Moselely, Elvey, Wager, etc), educational theory and patient education and opportunity to lab-assist, physiology & anatomy of systems and how pathological processes come to bear on the NMSK complaints of the patient in front of you.

Cool