Physical Therapy, Manual Therapy, Manipulation and Chiropractic People often ask "what the difference is between Physical Therapy and chiropractic?" When you get to the root of what most people want to know, it is "Can Physical Therapist's perform manipulations?" The answer is yes. Manipulations are just one part of manual therapy techniques which are commonly used by physical therapists. MANUAL THERAPY According to the Guide to Physical Therapy Practice the definition of manual therapy is: "a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement."1 Put into plain English this means that Physical Therapist's can move joints and soft tissue using varying techniques and speeds. This type of passive movement can range from slow rhythmic movements, all the way to fast movements that may cause an audible pop. While state laws differ, Idaho currently recognizes manipulations as part of physical therapy practice3. HISTORY OF MANIPULATION Physical Therapist's have the education, expertise, and assessment processes to manipulate joints in the human body. Manipulation of muscles and joints was identified as part of physical therapy in the 1920′s when Mary McMillan, the first American Physical Therapy Association president, defined Physical Therapy6. Physical therapy was founded on movement analysis and the science of movement. Physical ...
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