31.3 - Mechanisms of Manual Therapy Interventions

Course Description

This course will provide the clinician with a needed update on the mechanisms of joint-, soft tissue-, and nerve-biased manual therapy interventions. In these monographs, the authors explore the complex interactions between biomechanical and neurophysiological mechanisms of manual therapy techniques. The authors also discuss the importance of establishing a patient’s baseline neurophysiological status – considering both pro-nociceptive and anti-nociceptive mechanisms – which may alter the effects (ie, success versus lack of success) of manual therapy interventions. The non-specific effects of manual therapy are also discussed, including patient factors, provider factors, and provider-patient relationships. Each monograph ends with examples of clinical applications.

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Course Overview

Course Format: Online with an option to purchase the print version

Contact Hours: 10 contact hours

State Approval: AOPT courses are accepted in all states plus the District of Columbia, as allowed by the type of course requirements in state regulations. A small number of states require APTA to seek pre-approval of courses. The approval codes for these states can be found here. Always check with your State Licensing Board to confirm contact hours offered.

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Online Only Online + Hard Copy
AOPT Member $70 $90
Non-AOPT Member $170 $190

Cancellation Policy

Due to the automation of our learning management system allowing you instant access to the online content and the immediate order placement for a plus print product, there are no refunds after an order is placed.

International Shipping Policy

International shipping is NOT available when purchasing a plus print copy of our independent study courses. The online copy allows you instant access to any course with the ability to print a pdf copy. Note: APO and FPO addresses are serviced by the USPS and the Military Postal Service Agency and are available for plus print shipping.

Mechanisms of Manual Therapy Interventions

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Course Objectives

  1. Differentiate biomechanical versus neurophysiological effects of manual therapy in individuals with musculoskeletal pain
  2. Identify interacting mechanisms through which manual therapy may inhibit pain and design interventions accordingly.
  3. Describe how nociplastic pain presentations may alter manual therapy outcomes.
  4. Analyze the relationship between dynamic quantitative sensory measures of temporal summation and conditioned pain modulation with neurophysiological mechanisms of wind-up and descending inhibition.
  5. Compare and contrast the effects of manual therapy versus other physical therapy interventions on opioidergic and non-opioidergic pain inhibitory mechanisms.
  6. Apply decision making to determine dosage of manual therapy in the patient with and without nociplastic pain.
  7. Describe considerations for patient improvement after they seek care.

Topics and Authors

  • The Mechanisms of Manual Therapy
    Joel E. Bialosky, PT, PhD, FAAOMPT, OCS Mark D. Bishop, PT, PhD, FAPTA
  • Manual Therapy for Chronic Conditions: A Mechanistic Approach to Modern Manual Therapy
    Carol A. Courtney, PT, PhD, ATC, FAAOMPT Cesar Fernández-de-las-Peñas, PT, PhD, Dr.MedSci