6 Myths of Manual Therapy Examined – a thread 🧵
👉🏻 Inspired by Steven Collins
👉🏻 Inspired by Steven Collins
1️⃣ “Patients don’t report better experiences with manual therapy”. The answer isn’t black or white here. It is rather a mix of meeting patient expectations, which positively impacts patient experience, without equating good patient experience with good outcomes.
2️⃣ “Manual therapy provides only short term changes”. This myth seems to be false, particularly with spinal related pain. It seems that those who have really positive within-session changes in pain after manual therapy are 3-4x more likely to have a good outcome.
3️⃣ “Manual therapy doesn’t fit within value based care”. The treatment path you follow is filtered down from a big pool of possible interventions. Always ask yourself 5 questions, outlined by the choosing wisely campaign. If manual therapy is still an option, then it does fit.
4️⃣ “It decreases patient self-efficacy”. Patients come with their own beliefs & expectations. Our therapy should be a dynamic and evolving dance to accommodate this. (Dis)using manual therapy regardless of the clinical context, makes the decision about us and not our patient.
5️⃣ “Manual therapy builds patient reliance”. If manual therapy is a viable choice and is agreed upon with fully informed consent, then it can’t be seen as robbing the patient of self-efficacy. Withholding or pushing treatment options to serve your bias is a no go.
6️⃣ “Manual therapy is based on made up philosophies that clinicians can’t divorce themselves from”. Therapists these days use techniques because they believe they work through a certain mechanism. However, the believed mechanism isn’t always responsible for the treatment outcome.
That’s a wrap!
Follow @PhysioNetwork for more clinically relevant threads.
This one was based off Steven Collins’ blog, that you can read here:
physio-network.com
Follow @PhysioNetwork for more clinically relevant threads.
This one was based off Steven Collins’ blog, that you can read here:
physio-network.com
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