Manual Therapy


Manual therapy techniques are skilled hand movements and skilled passive movements of joints and soft tissue and are intended to improve tissue extensibility; increase range of motion; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; and reduce soft tissue swelling, inflammation, or restriction.

Techniques may include manual lymphatic drainage, manual traction, mobilization/manipulation, and passive range of motion.


Three paradigms for Manual Therapy therapeutic effects
  • Physiological: positive placebo response
  • Biomechanical and Physical: facilitates repair and tissue modelling
  • Psychological: pain relief via- pain gate mechanism; muscle inhibition; reduction of nocioceptive activity; reduced intraarticular or periarticular pressure
Techniques Include
  • Traction
  • Trigger Point Therapy
  • Active Release Techniques
  • Assisted Active Range of Motion (AAROM)
  • Passive Range of Motion
  • Lymph Drainage
  • Stretches (muscle, neural tissue, joints, fascia)
  • Instrument Assisted Soft Tissue Mobilization


Manual physical therapy is a specialised form of physical therapy delivered with the hands as opposed to a device or machine. It has an important place in Physiotherapy and when used appropriately by practitioners is a very effective set of tools literally at our fingertips.

Scroll to Top