Hands On Hands Off

Evolving Orthopedic Manual Therapy: Insights from Dr. Damian Keter’s Delphi Study


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Dr. Damian Keter is interviewed by Dr. Tony Varela.


The focus of their discussion is Dr. Keter’s research, “Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study,” investigating expert consensus on modifications and adaptions to training paradigms required for orthopaedic manual therapy education (OMT) to align with current evidence. This conversation further explores how neurophysiological, psychological, and biomechanical principles inspires person-centered approaches and patient factor effects that contribute to successful OMT intervention.


REFERENCES:

Keter D, Griswold D, Learman K, Cook C. Priorities in updating training paradigms in orthopedic manual therapy: An international Delphi study. J 

Educ Eval Health Prof. 2023 Jan 27;20:4. doi: 10.3352/jeehp.2023.20.4.


Keter D, Hutting N, Vogsland R, Cook CE. Integrating Person-Centered Concepts and Modern Manual Therapy. JOSPT Open. 2023;2(1):60-70. doi:10.2519/josptopen.2023.0812


Silvernail JL, Deyle GD, Jensen GM, Chaconas E, Cleland J, Cook C, 


Courtney CA, Fritz J, Mintken P, Lonnemann E. Orthopaedic Manual Physical Therapy: A Modern Definition and Description. Phys Ther. 2024 Jun 4;104(6):pzae036. doi: 10.1093/ptj/pzae036. PMID: 38457654.


John M Mayer, Michael Jason Highsmith, Jason Maikos, Charity G Patterson, Joseph Kakyomya, Bridget Smith, Nigel Shenoy, Christopher L Dearth, Shawn Farrokhi. The influence of active, passive, and manual therapy interventions on escalation of health care events after physical therapist care in Veterans with low back pain. Phys Ther. 2024 Oct;104(10):pzae101, https://doi.org/10.1093/ptj/pzae101


Peter Westlund Sørensen, P., Nim, C., Poulsen, E., Juhl, C. Spinal manipulative therapy for nonspecific low back pain: Does targeting a specific vertebral level make a difference?: A systematic review with meta-analysis. JOSPT. 2023 Sep;53(9):529-39.   doi:10.2519/jospt.2023.11962


Nim, C.G., Downie, A., O’Neill, S. et al. The importance of selecting the correct site to apply spinal manipulation when treating spinal pain: Myth or reality? A systematic review. Scientific Reports. 2021 Dec 3;11(1):23415. https://doi.org/10.1038/s41598-021-02882-z


Jorge E. Esteves, Rafael Zegarra-Parodi, Patrick van Dun, Francesco Cerritelli, Paul Vaucher, Models and theoretical frameworks for osteopathic care – A critical view and call for updates and research. International J of 


Osteopathic Med. 2020 Mar 1;35:1-4. Doi 10.1016/j.ijosm.2020.01.003.


McDevitt AW, O'Halloran B, Cook CE. Cracking the code: Unveiling the specific and shared mechanisms behind musculoskeletal interventions. Arch Physiother. 2023 Jul 6;13(1):14. doi: 10.1186/s40945-023-00168-3.

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