Joint Manipulation Not the Thrust of Physical Therapists' Training

Physical therapists (PTs) learn about thrust joint manipulation (TJM) in class. How often do they practice during clinical internships? That's the question studied in this report. TJM is defined as a "high-velocity, low force movement of the joint at the end range of motion."

Clinical instructors and coordinators were polled using a survey to find out if PT students receive such training. Results showed that most (85 percent) didn't know. They don't ask whether TJM training is given at various educational clinic sites. Reasons for this lack of training were listed as:

  • lack of qualified teachers
  • not considered an entry level skill
  • liability concerns
  • students unprepared in class

    Results of this survey point out the need for PT students to get clinical training in TJM. At least half the schools polled teach TJM. Far fewer clinical instructors provide hands-on training. The authors suggest there's a need for schools and clinics to address this issue together.



    References: William Boissonnault, PT, DHSc, FAAOMPT and Jean M. Bryan, MPT, PhD, OCS. Thrust Joint Manipulation Clinical Education Opportunities for Professional Degree Physical Therapy Students. In Journal of Orthopaedic & Sports Physical Therapy. July 2005. Vol. 35. No. 7. Pp. 416-423.

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