Dr. Peter Huijbregts Insight

From 2006 to 2010, Dr. Peter Huijbregts was a close partner and educational consultant with Dynamic Physical Therapy. In this capacity, Dr. Huijbregts was available to work with the entire Dynamic Physical Therapy team as a mentor and assisted with clinical questions. Dr. Huijbregts also assisted with literature searches within the context of evidence-informed clinical practice. In addition, he was an integral part of presentations both for a professional and general audience.

Dr. Huijbregts sadly passed away in November of 2010. Please read his biography and articles below for more information about his lifelong accomplishments.


Dr. Huijbregts is a physical therapist holding licenses in British Columbia, Michigan, and the Netherlands. In addition to a 4-year baccalaureate diploma in physical therapy (PT) in 1990, he completed a Master of Science in Manual Therapy (1994), a Master of Health Science in PT (1997), and a Doctor of Physical Therapy degree (2001). He is board-certified in Orthopaedic PT with the American Board of Physical Therapy Specialties (1998, re-certified 2008) and holds post-graduate certificates in strength and conditioning (1996), manual therapy (1997), functional capacity evaluation (1997), clinical education (1998), and intramuscular stimulation (2004). He has also attained Fellowship status in the American Academy of Orthopaedic Manual Physical Therapy (1998) and in the Canadian Academy of Manipulative Therapy (2002). Since 1990 Dr. Huijbregts has worked in a variety of clinical settings with an emphasis on orthopaedic PT. His current clinical workplace is at Shelbourne Physiotherapy Clinic in Victoria, BC, Canada (www.shelbournephysio.com), where he works as a physiotherapy consultant with a special interest in diagnosis and management of chronic spinal pain syndromes, shoulder pain, headache, and dizziness.

Dr. Huijbregts has taught in entry-level and post-graduate clinical PT education, continuing medical education, community education, and academic PT and occupational therapy education. He has served as Adjunct Professor at Grand Valley State University (2000) in Allendale, MI, and Pacific University (2001) in Forest Grove, OR. Since 2002 Peter has held an appointment as Assistant Professor at the University of St. Augustine for Health Sciences in St. Augustine, FL (www.usa.edu), where he teaches and develops online courses in the area of orthopaedic basic science, spinal instability, and statistics and research methodology. He also serves as a faculty advisor for independent study projects and doctoral Capstone projects. In 2008 he was appointed Advisory Faculty Member for the North American Institute of Orthopaedic Manual Therapy (www.naiomt.com). For NAIOMT he teaches a specialty course on the impact of evidence-based practice on clinical practice and publication.

After serving as its Editor-in-Chief from late 2004 until the end of 2007, Dr. Huijbregts is now the Consulting Editor of the Journal of Manual and Manipulative Therapy (www.jmmtonline.com), a peer-reviewed international journal on the topic of orthopaedic manual therapy. He also holds appointments at three other peer-reviewed journals, i.e., Physical Therapy (US), Physiotherapy Canada (Canada), and Rehabilitacja Medyczna (Poland). As of 2006, Dr. Huijbregts has been working as Consulting Editor for Jones and Bartlett Publishers (www.jbpub.com) and serves as the Series editor for a book series called Current Topics in Physical Therapy and Rehabilitation Medicine. He has authored a textbook on strength training applications in rehabilitation and sports and has produced more than 40 original articles, four American Physical Therapy Association Orthopaedic Section independent study course chapters, university graduate-level courses and course chapters, editorials, and textbook chapters on topics related to various areas in PT. Many of his original papers and editorials and a number of the independent home study course chapters are available through this website with kind permission from the editors of the Journal of Manual and Manipulative Therapy, the Canadian Physiotherapy Association Orthopaedic Division Review, Rehabilitacja Medyczna, and Physiotherapy Canada and with permission from the Orthopaedic Section of the APTA. His current projects include an edited textbook on myofascial trigger point pathophysiology, diagnosis, and management and another on the diagnosis and management of patients with dizziness.

In short, Dr. Huijbregts wrote the book (and the articles) on physical therapy and his active envolvement with our team allows for immdiate answers to clinical questions and access to the most updated technology and treatments available.


Past and Future: Responsibility and Opportunity

Becoming the editor of a well established, international, peer-reviewed journal is a grave responsibility. At the same time, it is an exciting opportunity. The Journal of Manual and Manipulative Therapy was started in 1993 with the goal of providing an international forum where ideas on the theory and practice of orthopaedic manual therapy (OMT) could be shared among clinicians and researchers worldwide1,2. To this end, over the past 12 years, the Journal has published original research articles, literature reviews, case reports, Letters to the Editor, and media reviews.

Articles & Insight from Dr. Peter Huijbregts

Balance Disorders

Cervicogenic Dizziness: A Case Report Illustrating Orthopaedic Manual and Vestibular Physical Therapy Comanagement
Dizziness, Cervicogenic, Orthopaedic Manual Physical Therapy, Vestibular Physical Therapy
Dizziness in Orthopaedic Physical Therapy Practice: History and Physical Examination
Dizziness, History, Physical Examination, Physical Therapy
Dizziness in Orthopaedic Physical Therapy Practice: Classification and Pathophysiology
Dizziness, Classification, Vertigo, Presyncope, Dysequilibrium, Other Dizziness
Dizziness in Orthopaedic Physical Therapy Practice: Vestibular System Anatomy, Vascularization, and Physiology with Clinical Implications
Dizziness, Vertigo, Vestibular, Anatomy, Vascularization, Physiology

Neck Pain & Headaches

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report
Chronic Daily Headache, Physical Therapy, Diagnosis, Management, Orthopaedic Manual Physical Therapy, Dry Needling, Myofascial Trigger Points
Immediate Effects of Inhibitive Distraction on Active Range of Cervical Flexion in Patients with Neck Pain: A Pilot Study
Cervical, Active Range of Motion, Inhibitive Distraction, Neck Pain, Pilot Study

Orthopedic & Musculoskeletal

Strength Training: The Use of the Theravital Bicycle Trainer for the Treatment of Gait Dysfunction in Extended Care Patients
Tendon Injury: A Review
Tendon, Biochemical, Biomechanical, Injury, Anatomy, Function, Contributing Factors
Scaphoid fracture: A case report illustrating evidence-based diagnosis and discussing measures of reliability and concurrent criterion-related validity
Osteoporosis: Diagnosis and Conservative Treatment
Osteoporosis, Diagnosis, Treatment, Exercise
Osteoporosis: Epidemiology, Histology, Bone Remodeling, and Classification
Osteoporosis, Epidemiology, Histology, Remodeling, Classification
Osteonecrosis of the Humeral Head: A Literature Review and Two Case Studies
Osteonecrosis, Humeral Head, Bone
Muscle Injury, Regeneration and Repair
Muscle, Injury, Regeneration, Repair
Creation and Critique of Studies of Diagnostic Accuracy: Use of the STARD and QUADAS Methodological Quality Assessment Tools
Special Tests, Diagnostic Accuracy, Methodological Quality Assessment Tools, STARD, QUADAS

Physical Therapy General

Evidence-based Rehabilitation Medicine and Physiotherapy: A Critical Appraisal
Physical Therapy and Manual Physical Therapy: Differences in Patient Characteristics
Evidence-Based Practice
Manual Therapy in Children: Role of the Evidence-Based Clinician
A New Model for Orthopaedic Manual Therapy Research: Description and Implications
Chiropractic Legal Challenges to the Physical Therapy Scope of Practice: Anybody Else Taking the Ethical High Ground?
Manipulation, Monkeys, and Bunches of Bananas
The Chiropractic Subluxation: Implications for Manual Medicine
Evidence-Based Practice and the Journal of Manual Manipulative Therapy
Clinical Prediction Rules: Time to Sacrifice the Holy Cow of Specificity?
Adding Spinal Thrust Manipulation to Entry-Level Canadian Physical Therapy Curricula: Why and How?

Spine & Joints

Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint
Diagnostic Utility of Clinical Tests for SLAP Lesions: A Systematic Literature Review
Best-evidence Synthesis, Diagnostic Utility, QUADAS, SLAP Lesion, Systematic Review
SLAP Lesions: Structure, Function, and Physical Therapy Diagnosis and Treatment
Labrum, SLAP-Lesion, Structure, Function, Diagnosis, Treatment
Sacroiliac Joint Dysfunction: Evidence-Based Diagnosis
Low Back Pain, LBP, Sacroiliac Joint Dysfunction, Joint Block
Biomechanics and Pathology of the Overhead Throwing Motion: A Literature Review
Throwing, Shoulder, Biomechanics, Pathology
Physical Therapy and Manual Physical Therapy for Patients with Non-Specific Low-Back Pain: Differences in Patient Characteristics with Implications for Diagnostic Classification
Manual Physical Therapy, Physical Therapy, Non-Specific Low Back Pain, Patient Characteristics, Diagnostic Classification
Evidence-Based Practice in Physical and Manual Therapy: Development and Content of Dutch National Practice Guidelines for Patients with Non-Specific Low Back Pain
Evidence-Based Practice, Physical Therapy, Manual Therapy, Non-specific Low Back Pain
Spinal Motion Palpation: A Review of Reliability Studies
Spinal Motion Palpation, Reliability, Research Validity
Huijbregts PA. HSC 11.2.4. Lumbopelvic Region: Aging, Disease, Examination, Diagnosis, and Treatment. In: Wadsworth C. HSC 11.2. Current Concepts of Orthopaedic Physical Therapy. LaCrosse, WI: Orthopaedic Section APTA, 2001.
Huijbregts PA. HSC 11.2.3. Lumbopelvic Region: Anatomy and Biomechanics. In: Wadsworth C. HSC 11.2. Current Concepts of Orthopaedic Physical Therapy. LaCrosse, WI: Orthopaedic Section APTA, 2001
Concurrent Criterion-Related Validity of Physical Examination Tests for Hip Labral Lesions: A Systematic Review
Concurrent Criterion-Related Validity, Hip Labral Lesion, Physical Examination, STARD, Systematic Review.
Positive Cervical Artery Testing in a Patient with Chronic Whiplash Syndrome: Clinical Decision-Making in the Presence of Diagnostic Uncertainty
Whiplash Syndrome, Physical Therapy, Cervical Artery, Vertebral Artery, Diagnostic Uncertainty, Clinical Reasoning
Fact and Fiction of Disc Reduction: A Literature Review
Disc, Herniation, Manipulation, Traction, McKenzie
Lumbar Spine Coupled Motions: A Literature Review with Clinical Implications
Concurrent Criterion-Related Validity of Acromioclavicular Joint Physical Examination Tests: A Systematic Review
Concurrent Criterion-Related Validity, Acromioclavicular Joint, Physical Examination, Systematic Review, STARD Criteria