Physical therapists have made significant contributions to the current diversity in manual therapy approaches and procedures. Manual therapy has a lengthy history within the physical therapy profession. In the past, mechanical justifications were employed to describe how manual therapy techniques functioned. According to recent studies, complex neurophysiologic systems are also at work, and offering hands-on assessment and management has been shown to have positive psychological impacts. Orthopaedic manual physical therapy is described as "a specialised area of physiotherapy/physical therapy for the management of NMS conditions, based on clinical reasoning, using highly specific treatment approaches, including manual techniques and therapeutic exercises.
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