TY - JOUR
T1 - Reconceptualising manual therapy skills in contemporary practice
AU - Rabey, Martin
AU - Hall, Toby
AU - Hebron, Clair
AU - Palsson, Thorvaldur Skuli
AU - Christensen, Steffan Wittrup
AU - Moloney, Niamh
N1 - © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PY - 2017/3/6
Y1 - 2017/3/6
N2 - Challenges to the use of manual therapy have arisen from evidence of its limited effectiveness as a sole modality, indicated by clinically insignificant effect sizes in some populations (Gross et al. , 2015, Rubinstein et al. , 2011). Further, the reliability and validity of manual assessment findings has also come under question. So, does the evidence base truly support the abandonment of manual therapy? Do these age-old and intensively-acquired skills lack practice? In this manuscript, we consider the balance of evidence around manual assessment and intervention, whilst presenting a contemporary perspective on interpretation of manual examination findings, and how these might inform clinical reasoning.
AB - Challenges to the use of manual therapy have arisen from evidence of its limited effectiveness as a sole modality, indicated by clinically insignificant effect sizes in some populations (Gross et al. , 2015, Rubinstein et al. , 2011). Further, the reliability and validity of manual assessment findings has also come under question. So, does the evidence base truly support the abandonment of manual therapy? Do these age-old and intensively-acquired skills lack practice? In this manuscript, we consider the balance of evidence around manual assessment and intervention, whilst presenting a contemporary perspective on interpretation of manual examination findings, and how these might inform clinical reasoning.
U2 - 10.1016/j.msksp.2017.02.010
DO - 10.1016/j.msksp.2017.02.010
M3 - Article
VL - 29
SP - 28
EP - 32
JO - Musculoskeletal Science and Practice
JF - Musculoskeletal Science and Practice
SN - 2468-7812
ER -
