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Manual Therapy

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Manual Therapy - April 16, 2007 9:03:00 PM   


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First year DPT student here, wondering if anyone has an opinion on what school of thought is the best for manual therapy (Maitland, Paris etc.). Also, does salary increase for someone who has a certification in manual therapy (MTC, DMT). I am partial to Paris because he is a pioneer in orthopedic PT and because of his viewpiont on PTs specializing in something rather than a broad knowledge. Thoughts??
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Re: Manual Therapy - April 17, 2007 11:47:00 AM   


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you are obviously a new a pariste at USA..correct?

I too was once in that mind thought until the real world hit me in my 1st job when I couldn't treat all my pts with one school of thought.

You will be a better clinician if you are ecletic in nature and build upon the knowledge gained from Paris's courses. I'm not saying Paris's techniques are bad at all. I use them when needed but I personally use a variety of techniques from different resources.

I don't know that a clincian will be paid more; it's possible though. Your pts will definitely receive better care from you being a manual therapist than someone who has no training.

good luck


Jason, PT
Board Certified Orthopaedic Specialist

(in reply to mjb2006)
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Re: Manual Therapy - April 17, 2007 12:06:00 PM   


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jason, well said. I had been a CI for many students, and the USA ones seem to be very good in some areas, but seem to not be able to put one tool away and grab for another. I agree with what you say entirely.

(in reply to mjb2006)
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Re: Manual Therapy - April 18, 2007 6:24:00 AM   
Sebastian Asselbergs


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From: Barrie, Canada
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Another thing to consider is the Childs study showing that a "generalised" and unspecific lumbar manip is all it takes to be effective in a certain subgroup of patients. And the research that shows little agreement between practitioners about exactly WHAT positional "fault" they have palpated the motion of....

I have taken Maitland, Cyriax, Osteopathic, Kaltenborn, the Canadian Ortho courses etc etc. I hate to say it, but right now - they are not very prominent at all in what I do every day.

It is a lot of money....Some people consider it is well spent just be RECOGNISED as a "manual therapist".

Just my thoughts...


Mundi vult decipi

(in reply to mjb2006)
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Re: Manual Therapy - April 18, 2007 8:34:00 AM   


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From: Canada
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I understand you work in Canada..
Where did you take the courses mentioned above..Cyriax/OSteo/Kaltenborn/Maitland...

I find that the Canadian system is pushing the Canadian ortho courses alot, so am wondering if one could do any other manual therapy courses here in Canada, together with the ones they are pushing...


(in reply to mjb2006)
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Re: Manual Therapy - April 19, 2007 7:26:00 AM   
Sebastian Asselbergs


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From: Barrie, Canada
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Took Cyriax in England, the others in the Netherlands, Canada and the US. You could check out Jim Meadows courses - he is darn good and teaches from the Cyriax perspective, but is fully integrated in the Ortho system and the NAIOMT curriculum. If you want other manual stuff, you may want to look at the "osteopathic" courses here in Canada, but beware: it is mainly "cranial osteopathy" with a lot of attention the ...yes: the cranial bone "motion".

Then there are the courses by Diane Lee, Richard Don-Tigny and others.
I took many courses from DOs like Mitchell, Greenman, Kutchera etc, but don't really use much of any of the manipulative techniqes these days.

Good luck!


Mundi vult decipi

(in reply to mjb2006)
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