Manual Therapy, Exercise Training



Orthopaedic Manual Therapy (OMT) is any "hands-on" treatment provided by the Physiotherapist. Treatment may include moving joints in specific directions and at different speeds to regain movement (joint mobilization and manipulation), muscle stretching, passive movements of the affected body part, or having the patient move the body part against the therapist's resistance to improve muscle activation and timing. Selected specific soft tissue techniques may also be used to improve the mobility and function of tissue and muscles.

OMT Physiotherapists treat acute and chronic symptomatic conditions in body regions including the head, neck, back, arms and legs. Early, consistent and skillful manual therapy, combined with exercise and patient education, is central to the OMT Physiotherapist's practice. Advanced examination, communication and decision-making skills that are built on the foundations of professional and scientific education facilitate the provision of effective and efficient care. Orthopaedic Manual Therapy (OMT) practitioners provide patient management, consult with other care providers on neuromusculoskeletal conditions ranging from simple to complex, and provide recommendations and interventions in the area of health and wellness. By selecting a physiotherapist trained and experienced in Orthopaedic Manual Therapy, a patient will receive optimal care that is effective and fiscally responsible. This is particularly important if the patient has limited resources, has limited visits covered by health insurance, is seeking conservative treatment that may preclude the need for surgery, or, in cases where surgery is required, is seeking treatment to enhance their outcomes.

When someone suffers from a neuromusculoskeletal disorder, an exercise and movement re-education program may be sufficient to restore full pain free movement, function, and return to full activity. However, in some cases, soft-tissue and joint restrictions are present, resulting in these same interventions being painful or, worse, aggravating to the condition. In these instances, an OMT Physiotherapist can provide hands-on techniques to improve mobility, reduce pain, and restore normal function of the soft tissues and joints. Following these interventions, the practioner can prescribe and implement the most effective individualized exercise and movement re-education program to maintain and improve health.

The services of an OMT Physiotherapist are recommended if you have muscle, joint, or soft tissue conditions that affect movement, strength, posture, or cause pain. This not only includes common disorders associated with trauma, post-operative recovery, poor posture, overuse, athletic injuries, obesity, arthritis, or congenital conditions, but also disability associated with conditions such as Parkinson's disease, multiple sclerosis, cerebral palsy, spinal cord injury, diabetes, cancer, heart disease or balance disorders. Patients suffering from chronic conditions can benefit from skilled OMT intervention with the goals of attaining optimal health, returning to optimal activity, and minimizing disability associated with disease progression.