The History of Physical Therapy Continuing Education – The Development of Manual Therapy

Recently I was fortunate enough to interview one of the living legends of Physical Therapy. Before asking him about his specific techniques, I took the opportunity to ask him about the history of Manual Therapy in our profession. Here is what he had to say:

Interviewer: Definitely wanted to get you on the phone today to talk more about your approach to treatment and your techniques that you’ve developed, but before we get into that I’d just like to ask you a few questions about your background.

I noticed in your bio you credit being influenced by the likes of Stanley Paris, Dr. James Cyriax, Freddy Kaltenborn, Geoffrey Maitland, Robin McKenzie, and Robert Elvy.

That’s an impressive list of who’s who in the world of manual therapy, so I’d just love to hear a little bit more about your connection and interaction with these people. If you can think of any examples of perhaps you learned this from this person and it’s something you’ve always carried with you, or perhaps lead you down your own path in your manual therapy work?

Manual Therapy Expert: Well, first of all, all of those people contributed to my knowledge and I believe made me a better therapist. No matter who you go to in this world no one can fix everything so better the better armament you have to deal with patients, the better

Cyriax of course was a doctor and he gave us a system of diagnosis which is still practiced today. I’m a manipulative manual therapist and of course the only thing about dear old James Cyriax was that his manipulations were not as specific and they looked gross and always looked threatening.

But we were lucky because Stanley Paris, who was following Cyriax’s work and realized he didn’t have all the answers, went off in the early 1960s and did courses with Freddy Kaltenborn where he learned to manipulate spinal joints. Of course he came back to New Zealand and started to teach us what he had learned.

One weekend, 12 of us gathered in Wellington with Stanley. It was an interesting group. Robin McKenzie was there and also in the group were two people who eventually became McKenzie teachers in their later years. And there was Ian Searle. He became Secretary of IFOMPT for many, many years.

But anyway, he taught us what he had learned and as a result McKenzie goes off to Europe and he studies with Freddy.

Then we got courses underway in New Zealand on Freddy’s techniques and we brought him out in the 1960s virtually every year to teach or share with us his knowledge and his techniques and his assessments.

We were doing very well but it was always to do with just the spinal joints. Then Freddy said, “Well, we should know something about extremity joints.” He was going to teach us but believe it or not in 1970, or 1969, he had a minor heart attack and wasn’t allowed to travel.

So, he said to us, “Well, if one of you would like to come to across to Europe. I’m running a course in Helsinki and I’ll see you have a place.” Of course that’s where things began for me. I went and did that course and came back and my role was then to teach the extremity techniques, and McKenzie taught the spinal techniques for our association in New Zealand.

Interviewer: Fantastic.

Manual Therapy Expert: But that’s how we got started. Geoffrey Maitland, he taught us handling skills and Bob Elvy was the first one to – well, Bob Elvy was a very special Australian to me. He came up with a new form of assessment. He was looking at neural tension. He came up with a new form of treatment.

Dear old Bob then did some scientific research and he proved to the world, or showed the world, that nerves move independently through your tissues when you move structures. I thought he was an incredible boy. Of course since then David Butler’s running with what he started and become very successful.

But anyway, that’s how it all began and that was the beginnings for us of manual therapy in a big way in New Zealand.

How Does A Calorie Calculator Work?

The calorie calculator is a simple weight loss tool. This calculator is built as a software package that will allow you to list each meal daily. It will select all the food items you consumed and calculate the calories per item and quantity eaten. After gathering the data it will then total the calories per meal. Every day you do this it will provide you with a total daily caloric intake report. The calorie calculator is not an exact instrument but very close. It gives estimates but will point you in the right direction to what you need to do to lose weight.

A big advantage of this device is that it is very quick and easy to use. It will provide the user with a detailed history of their caloric intake daily, weekly, and monthly. A benefit of it is that it allows the user to preplan their meals by providing a list of food items and their caloric values. The majority of the calculators use your resting metabolic rate and other activities you do to tell you how many calories you burn under normal circumstances and when your body is moving. Some of them can be worn and are designed to detect motion and convert that motion into electrical energy, which is interpreted by the device into a measurement of caloric burn. What this does is tell you what amount of calories you can expect to burn and how much you need to cut back on your food intake.

As an example of the capabilities of the software it will quickly approximate the number of calories you need to burn 1 pound of fat per week. It will use the values you put in for the number of calories burned and consumed. The result of the data will tell you what you need to do to lose that 1 pound a week. It might be increasing your body movement or cutting back on the food. Some will say you need to make a certain amount of steps in a day or run so many miles.

The nice thing about it is it gives you a choice. You can program the device to lose 2 pounds a week and up depending on your goals. For most people, losing 1 to 2 pounds per week is considered safe and healthy by most experts. It also ensures that most of the weight you lose is primarily from fat.

There are plenty of free calorie calculators online. Tracking calories burned is essential for any fitness or weight management program. The information given is designed to help you make informed decisions about your health.

Online Health Information – Should You Trust It?

You or a loved one is newly diagnosed with a serious health condition. Or maybe your doctor has prescribed a new medication and you’re concerned about side effects. Or you need surgery and want to know what to expect. Where do you turn? According to the Pew Research Center, if you’re like 80% of the Internet users out there, you’ve looked for health-related information online. But type “cancer” into a search engine and you’ll get over 306,000,000 (yes, million!) results. Where do you begin? And can you trust what you find? Here are some guidelines to help you.

Things to Look for in a Legitimate Health Site

  • First of all, what does the URL or website address end in? If it’s (government site),.org (organization’s site), (educational site), the information there is most likely to be trustworthy. If it’s, you’ll have to look closer. The site may be legitimate, but it may also be trying to sell you something, or contain inaccurate information.
  • Is there an author or organization associated with the website? If an author is listed, what are his or her credentials?
  • Is there “contact” information available — an address, phone number or email? Is there an “about us page?
  • When was the site last updated? Is the information current? (You may find this information near the bottom of the page).
  • Look to see if there is an HONcode or similar indication of accreditation. These sites must go through an approval process and follow certain ethical guidelines.

Be Very Cautious…

  • Be aware that the highlighted links that appear at the top of the page or over at the right after you’ve typed in a search term are “sponsored” or paid ads. They may be trying to sell you something.
  • Are there a lot of misspellings or poor grammar on the website? Look elsewhere.
  • Does the site promise a miraculous or quick “cure”? Is it the only site making these claims? Does it put down traditional medicine? If the claims made seem too good to be true — they probably are.
  • Are there a lot of advertisements on the page? Or is it, in fact, a blatant sales page itself? That alone may not disqualify it. But proceed cautiously nevertheless; and verify what you read there.
  • Do they post a privacy policy? You may have to look around for this. But if you’re asked to provide an email address, fill in a registration form, or take a survey, make sure they have one. If they state that they share information with companies that may send you “useful” information or products, then be aware that your personal information is not private.
  • And finally, don’t use the information you find on the Internet to diagnose or treat a disease or condition! Internet information is not a substitute for your doctor’s care, but should be used simply to educate yourself and supplement information provided by your doctor.

So Where Should You Begin?

The National Institute of Health, along with the National Library of Medicine (which is the world’s largest medical library) have produced a website designed specifically for patients and their families. You’ll find information on over 800 diseases and conditions, clinical trials, drugs and supplements, interactive tutorials, and “cool tools” like health calculators. There are also directories to help you find doctors, dentists, and other health care providers, hospitals, organizations, support groups and much, much more. You’ll find easy-to-understand information that’s current and totally reliable. So the next time you have a health-related question, you might want to consider visiting MedlinePlus first. You may not have to look anywhere else!

BMI Calculator For Females

Body Mass Index is a very useful tool and calculation which determines a persons weight ratio to their height and seeing whether they have more health risks resulting from their BMI. BMI calculator for females has the same calculation as that for men, as it is the weight and height measurements that are put to the test. The results of which are then dropped in to a category of five for means of risk testing on health plus advise on healthy lifestyle changes are addressed for those that are unluckily struggling to match results within the healthy BMI ranges.

Now the BMI calculator for females for either overweight or underweight hold no competition for the preferred title, as the risks for both hold their own drastic outcomes. Liver diseases, heart diseases, problems (irreversible) within the fertility areas for women occur within the underweight categories as you are starving your body of nutrients and needed fats to help this part of your body to work and thrive..

Nothing though is overlooked when any BMI result is shown as professionals and doctors a-like will always advice on the changes needed for an individual to work towards the healthier margin of results. These results act as pin-points for professionals to go by when giving out advise for certain people that need the extra help in lifestyle changes towards a better, longer future.

Now whether your result suggested a drastic change or just a small adjustment required, you still need to understand the importance of these changes happening as soon as possible, like yesterday to be overly honest in some cases, as once the body starts to work, the energy required for this comes from the fat around your body in turn burning it off as fuel to keep you going, so the longer and more you use up these fat calories the more weight will be lost. It is then obvious to say that the more calories you intake and the less chance you give yourself to use them, then the more weight you will see pile on.

Now as the BMI calculator for females is the same method as the males the results categories do differ as women are genetically carrying more fat around there bodies than men, as men carry more muscle, this is a scientifically proven fact, sorry ladies.

Always try to have a positive mind when using such tools as BMI calculator for females and body fat index’s, your doctor/health professional will support your every move and you are not alone, there are plenty of diet and exercise groups to join and they will keep you up-dated and motivated throughout your weight loss goals.

It is expected that if you keep up the healthy eating regimes you will notice a difference each week with your weight, trying on a pair of trousers that are too tight at the beginning of each new week should start to fit a lot easier and prove to you that you can lose the pounds with the right positive attitude, you will get to the desired BMI.