Additionally, manual therapy is seen more frequently in voice research. However, given newer models trickling in from the more general literature (and more input from the many SLPs who have learned my gentler approach), I hope to see more studies using a more comprehensive range of intervention styles. The patient is given little opportunity to provide input during the treatment. Historically, manual therapy is presented in the literature as a (relatively) aggressive form of intervention, with the clinician in the role of the operator (clinician-as-expert model). Please provide information on trends we need to look out for in the research. But implicit in the shared decision-making model I use is handing over to the patient a fair amount of responsibility. ![]() This request is often confusing for the new learner, as there is an abstraction that disconnects them from their expectations. I teach clinicians to use palpation to direct the patient to an area relevant to them (and not to us). “My approach is to acknowledge the poor validity of palpation as a predictor of dysfunction and instead palpate for patient awareness. When we are evaluating, what is it we are searching for? But if you could step back from each of those models and see that each was directing you toward the same area, the same palpated felt-sense experience, you’d begin to wonder, “are there common denominators in all these models of treatment?” Take another class, this time in manual circumlaryngeal treatment, and you’d be tasked with finding the high muscle tension that was said to be causing the voice or swallowing problem. Take a class in laryngeal massage, and you’d be tasked with finding the muscle knot responsible for the voice or swallowing problem. In my original manual therapy training (myofascial release), you would have been charged with finding the fascial restriction causing the voice or swallowing problem. “As most manual therapy models specify a tissue - or pathology-based problem, the clinician is tasked with seeking out those problems through palpation. What questions do you love hearing participants ask time and time again? Manual therapy doesn’t require special equipment and can be applied with your patient seated or lying down.” Manual therapy can be simple to incorporate into your existing treatment framework.ģ. As such manual therapy training is less commonly taken, especially with newer graduates.Ģ. Over the past 10-15 years, the PT profession has devalued manual therapies of all types, elevating exercise to a higher place in terms of patient value. PTs might be just as inexperienced in applying manual therapy as the SLP (though we would never admit that!). ![]() What would you list of the top three things that you wished all speech pathologists knew - that are good news? If you think you may have a medical emergency, please call your doctor or 911 immediately.Walt Fritz, PT, with “Foundations in Manual Therapy: Voice & Swallowing Disorders,” was recently (print) interviewed by Nice Speech Lady LLC, owner Wilson Nice, SLP (on 1-19-23).īelow is the transcript of the interaction, highlighting current issues in manual therapy for voice, swallowing disorders, and more. Reliance on any information provided by the NPI Profile website or other visitors to this website is solely at your own risk. The contents of the NPI Profile website are for informational purposes only. NPI records are maintained by the National Plan & Provider Enumeration System. The NPI information is provided "as-is" per the NPPES Data Dissemination Notice covering disclosable health care provider data under the Freedom of Information Act (FOIA) and in accordance with the e-FOIA amendments.Īll contents of this website are provided on an "as is" and "as available" basis without warranty of any kind. ![]() ![]() NPI Profile is designed to quickly and easily find the most current NPI records in the National Provider Identifier registry. NPI Profile is the most comprehensive reference website about the NPI registry and NPI related information. NPI Profile 2023 | The complete repository of NPI information
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