This is apparently the first podcast by the Musculoskeletal Science & Practice journal, previously know as Manual Therapy (I didn’t know they have changed their name). And there is no doubt that this is the most fiercely debated topic in the world of physiotherapy right now.
“In this podcast Professor Gwen Jull and Associate Professor Dave Walton discuss the question, “does manipulative therapy have a place in contemporary musculoskeletal physiotherapy?”
Prof Gwen is an authoritative figure in the manual therapy world, and it was great to hear both her thoughts and Dave’s as well on this controversial subject. I think it is good to listen to physios on both ends of the spectrum so that we may get a better understanding on the subject. Of course I find myself somewhere in the middle of the spectrum, but I admit that it is not an easy topic to navigate about.
My beliefs are that the effect of touch and human interaction plays a significant part in our practice and that is partially why we are not able to get great results in our research. The “placebo” effects are definitely a significant part of the treatment effect. As Lorimer Moseley mentioned in his presentation at the IFOMPT conference earlier this year, he believes the actual effect of our specific techniques play only a small part of the treatment effect, and that makes sense in my opinion. However even with that acknowledgement, I do not believe that manual therapy has no place at all in our practice. But it does challenge us to be more critical in our treatment choices, to make the most out of a physio session by choosing the most effective treatment in the limited time we have.
Enough of my opinions, please have a listen below and make up your own mind on this tricky subject! 🙂