Graduate School, Baylor University, San Antonio, Texas, USA.
Graduate School and College of Professional Studies, Creighton University, Omaha, Nebraska, USA.
Phys Ther. 2024 Jun 4;104(6). doi: 10.1093/ptj/pzae036.
Currently, orthopaedic manual physical therapy (OMPT) lacks a description of practice that reflects contemporary thinking and embraces advances across the scientific, clinical, and educational arms of the profession. The absence of a clear definition of OMPT reduces understanding of the approach across health care professions and potentially limits OMPT from inclusion in scientific reviews and clinical practice guidelines. For example, it is often incorrectly classified as passive care or incorrectly contrasted with exercise-therapy approaches. This perspective aims to provide clinicians, researchers, and stakeholders a modern definition of OMPT that improves the understanding of this approach both inside and outside the physical therapist profession. The authors also aim to outline the unique and essential aspects of advanced OMPT training with the corresponding examination and treatment competencies. This definition of practice and illustration of its defining characteristics is necessary to improve the understanding of this approach and to help classify it correctly for study in the scientific literature. This perspective provides a current definition and conceptual model of OMPT, defining the distinguishing characteristics and key elements of this systematic and active patient-centered approach to improve understanding and help classify it correctly for study in the scientific literature.
目前，骨科手法物理治疗（OMPT）缺乏一种反映当代思维并涵盖该专业科学、临床和教育领域进步的实践描述。OMPT 缺乏明确的定义，降低了医疗保健专业人员对该方法的理解，并可能限制了 OMPT 被纳入科学审查和临床实践指南。例如，它经常被错误地归类为被动护理，或者与运动疗法方法错误地对比。本观点旨在为临床医生、研究人员和利益相关者提供 OMPT 的现代定义，以提高他们对该方法的理解，无论在物理治疗师专业内部还是外部。作者还旨在概述高级 OMPT 培训的独特和必要方面，以及相应的检查和治疗能力。这种实践的定义及其定义特征的说明对于提高对该方法的理解以及帮助在科学文献中对其进行正确分类是必要的。本观点提供了 OMPT 的当前定义和概念模型，定义了这种系统的、以患者为中心的主动方法的区别特征和关键要素，以帮助提高对其的理解，并帮助在科学文献中对其进行正确分类。
