Challenges to the use of manual therapy have arisen from evidence of its limited effectiveness as a sole modality, indicated by clinically insignificant effect sizes in some populations (Gross et al. , 2015, Rubinstein et al. , 2011). Further, the reliability and validity of manual assessment findings has also come under question. So, does the evidence base truly support the abandonment of manual therapy? Do these age-old and intensively-acquired skills lack practice? In this manuscript, we consider the balance of evidence around manual assessment and intervention, whilst presenting a contemporary perspective on interpretation of manual examination findings, and how these might inform clinical reasoning.
Bibliographical note© 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Rabey, M., Hall, T., Hebron, C., Palsson, T. S., Christensen, S. W., & Moloney, N. (2017). Reconceptualising manual therapy skills in contemporary practice. Musculoskeletal Science and Practice, 29, 28-32. https://doi.org/10.1016/j.msksp.2017.02.010