Reconceptualising manual therapy skills in contemporary practice

Martin Rabey, Toby M. Hall, Clair Hebron, Thorvaldur Skuli Palsson, Steffan Wittrup Christensen, Niamh Moloney

    Research output: Contribution to journalArticlepeer-review

    28 Citations (Scopus)


    With conflicting evidence regarding the effectiveness of manual therapy calls have arisen within some quarters of the physiotherapy profession challenging the continued use of manual skills for assessment and treatment. A reconceptualisation of the importance of manual examination findings is put forward, based upon a contemporary understanding of pain science, rather than considering these skills only in terms of how they should "guide" manual therapy interventions. The place for manual examination findings within complex, multidimensional presentations is considered using vignettes describing the presentations of five people with low back pain. As part of multidimensional, individualised management, the balance of evidence relating to the effectiveness, mechanisms of action and rationale for manual skills is discussed. It is concluded that if manual examination and therapeutic skills are used in a manner consistent with a contemporary understanding of pain science, multidimensional patient profiles and a person-centred approach, their selective and judicious use still has an important role.

    Original languageEnglish
    Pages (from-to)28-32
    Number of pages5
    JournalMusculoskeletal Science and Practice
    Early online date6 Mar 2017
    Publication statusPublished - Jun 2017


    • manual therapy
    • contemporary
    • pain


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