Summary
Our understanding of manual therapy has evolved considerably in recent years. Traditional models based primarily on specific biomechanical effects have gradually given way to a perspective that integrates neurophysiological mechanisms, contextual factors, and individual patient characteristics. This evolution does not mean that technique no longer matters, but rather that its selection, dosage, and intended purpose must be integrated into broader clinical reasoning.
This presentation will explore the role of manual therapy in contemporary musculoskeletal practice. Drawing on recent evidence and clinical scenarios, we will examine how much technique specificity matters, the role of patient response in guiding technique selection, and how predominant pain mechanisms—nociceptive, neuropathic, and nociplastic—may influence the purpose and parameters of manual therapy. The aim is to shift from an approach focused on “Which technique should I apply?” toward a broader consideration of “Why, how, and for which patients should I use manual therapy?”
Objectives
1. Explain how evolving contemporary models of manual therapy influence clinical reasoning.
2. Identify patient characteristics and clinical features that can guide the selection, intended purpose, and dosage of a manual therapy intervention.
3. Adapt the use of manual therapy according to predominant pain mechanisms (nociceptive, neuropathic, and nociplastic) within a patient-centered, multimodal approach to care.
Target professionals
Content is not intended for use outside the scope of the learner’s license or regulation. Continuing education courses should not be taken by people who are not licensed or regulated.This does not apply when they are part of a specific plan of care. By participating in this course, the participant agrees to respect his/her professional scope of practice.
