Physio Edge 093 Manual therapy - evidence, effects and expectations with Prof Chad Cook by physioedge published on 2019-08-30T07:28:38Z Manual therapy (MT) comes in all shapes and sizes - mobilisation, manipulation, mobilisation with movement, soft tissue massage, instrument assisted massage, muscle energy techniques, pointy elbows pressed into flesh and more. Patients (often) love it, and it's a popular treatment modality with therapists. Debate rages, and myths and misconceptions surround MT. Could the time we spend performing MT be better spent elsewhere? How does MT work? Is it worth using if treatment effects are short lived? Is it just used as revenue raising by therapists, while creating reliance on passive therapies? Is MT evidence-based? Is it worth including in our treatment? Which patients may benefit from MT, and which patients you should steer away from MT? In this podcast, clinical researcher, physical therapist and Professor at Duke University, Dr Chad Cook, we discuss the evidence around MT, myths and misconceptions, how MT works, and using your clinical reasoning to decide when and how to utilise MT. You'll discover: - What are the arguments against manual therapy? - Do the arguments against MT have merit? - Does MT break up scar tissue or adhesions, correct alignment of joints, or put them back into place? - Do we have evidence that MT creates reliance on passive therapies? - Evidence for and against MT - How to use clinical reasoning with MT - How MT works - potential mechanisms - What MT is NOT doing - How to explain MT to your patients - Clinical reasoning - Identifying pain adaptive and non pain adaptive patients - How MT can help identify patients with a better or worse prognosis - How many sessions of MT should patients receive? - How to select MT techniques - Does MT cause harm and patient reliance? - How to identify patient treatment expectations - How to help change patient expectations