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A new Paradigm in Manual Therapy: Abandoning Segmental Motion Palpation

A new paradigm in manual therapy: abandoning segmental motion palpation looks at the current evidence around PIVMs and their shortcomings

Manual therapy

Have you ever wondered why you struggle to feel hypermobility at L4-L5 in 3D flexion direction, while your MT teacher and
colleagues seemed be able to palpate all of those segmental restrictions easily?

I guess this sounds pretty familiar to a lot of us and to author Dr. Bahram Jam as well.
In his article “A new Paradigm in Manual Therapy: Abandoning Segmental Motion Palpation” he explains his personal struggles with
motion palpation during his MT education and shines a light on current evidence regarding manual therapy.

Before I advise you to download his article by a click on the following link,
take his TRUE or FALSE quiz about the best available MT evidence up to date – the solution can be found in his article:

1. Spinal manipulations applied to the cervical, thoracic and lumbar spine affect a local single segment.

2. A cavitation/an audible click is necessary for an effective patient outcome.

3. MT techniques are effective only if they are specifically applied to the level requiring treatment and this is based on clinical
evaluation; one cannot simply randomly apply MT to any level and expect a positive patient outcome.

4. In order to be effective, MT must be applied over specific painful spinal levels.

5. In order to be effective, MT techniques must be based on biomechanics and concave-convex rules.

6. Specific MT based on motion palpation skills is superior to independently performed exercises.

7. The human body is so delicate that a single stiff/hypomobile segment in the spine can affect the body in a detrimental way that it
must be found and treated with MT.

8. The ideal functioning and pain-free human body must have “normal” segmental joint mobility.

9. The primary benefit of MT is its effectiveness in the “breaking down” of adhesions and the reversing of subluxations.

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Bahram Jam graduated from the University of Toronto, Canada in 1992 with a Bachelors of Science in Physical Therapy. In 1999 he completed a Clinical Masters in Manipulative Physiotherapy at the University of Queensland, Australia and in 2009 he completed his Doctorate in Science in Physical Therapy at Andrews University, USA. He has the Canadian Diploma of Advanced Manual and Manipulative Physiotherapy and is also credentialed with the McKenzie Institute International. He is the founder and director of Advanced Physical Therapy Education Institute (APTEI) and has been a chief instructor for over one thousand post-graduate Orthopaedic clinical courses across Canada and internationally. He continues to practice and has had extensive clinical experience with direct patient care. He is presently practicing at Athlete’s Care Clinic Located at York University Campus, Toronto, Ontario, CANADA. If you wish to receive a clinical consultation please contact the clinic at (416) 479-8799
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