I've had many healthcare encounters, but none as great as Dynamic Physical Therapy. It feels like family here, and I'm a little sad to graduate, but I feel great!

Dr. Krystal K Johnston, MD, Pediatrics

Adding Spinal Thrust Manipulation to Entry-Level Canadian Physical Therapy Curricula: Why and How?

Few would argue that manual therapy has been used by physical therapists (PTs) since the beginning of the profession. Traditionally, manual therapy training for PTs has begun in entry-level professional programs with courses specifically directed at manual therapy and related foundational courses. Therapists with an interest in manual therapy can then choose to pursue post-professional educational opportunities in the form of continuing education seminars, clinical residency and fellowship training, postgraduate academic and diploma programs, clinical mentorship and manual therapy certification programs.1,2 Both at national and international levels, documents have been developed to standardize entry-level and post-professional manual therapy curricular content.3-5 Arguments to include manual therapy interventions within the PT scope of practice are based on the profession’s educational preparation, history, contributions to technique and concept development, development of clinical practice guidelines, research, and a superior safety record in the clinical application of manual therapy

Until recently, manual therapy education in the United States was similar to that described above. Research has shown increasing emphasis on incorporating manual therapy into U.S. entry-level curricula, including both thrust and non-thrust techniques. With the publication of its manipulation education manual , 6 the American Physical Therapy Association (APTA) has shown its commitment and intent to standardize manual therapy entry-level curricular content and include thrust and non-thrust techniques for spinal and extremity joints. In contrast, the Canadian Physiotherapy Association’s entry-level manual therapy curriculum guidelines state that the introduction of spinal and peripheral manipulation techniques should be at the discretion of individual physical therapy educational programs.3 We contacted all English-speaking physical therapy schools in Canada by e-mail and followed up with schools that did not respond with two reminder telephone calls. Ten of the 11 physical therapy schools responded, and of these, three stated that they included spinal thrust manipulation in their curriculum. These survey results may explain the low use rates for thrust manipulation in the management of patients with low back pain (LBP) among Ontario PTs, as reported by Li and Bombardier.7

Undoubtedly, political motives have influenced the APTA decision to emphasize thrust technique instruction in its accredited entry-level programs: For years, our U.S. colleagues have been involved in an ongoing struggle to defend the inclusion of manual therapy and, more specifically, thrust techniques in the PT’s scope of practice against a nationwide initiative by the chiropractic profession.8 Of course, Canadian PTs have faced similar legal challenges to their scope of practice in the past.9 In our opinion, there are valid reasons to include spinal thrust manipulation in Canadian entry-level curricula.

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Dynamic is the smartest choice for your physical therapy care.

At Dynamic Physical Therapy, our physical therapists are the most experienced and educated in physical therapy treatments. We have six locations throughout Northern Michigan in Cadillac, Manistee, Gaylord, Marion, Buckley and Traverse City. We are the most recommended Northern Michigan physical therapy center for upper and lower back pain. We also specialize in neck pain, knee pain, arm pain and hand pain, and our physical therapists and aides can help relieve your pain in the most effective way possible. For orthopedic treatment and aquatic therapy, rehab for sports related injuries like shoulder injuries and foot injuries, physical therapy for Cerebral Palsy, stroke rehabilitation, therapy for carpal tunnel syndrome, headaches and arthritis relief, and even jaw pain treatment, Dynamic Physical Therapy is the smartest choice for comprehensive physical therapy care and physical rehabiliation services.