Advanced Musculoskeletal Physiotherapy (Manual Therapy)


Advanced Musculoskeletal Physiotherapy (Manual Therapy) is an approach used by physiotherapists for evaluation and treatment of neuro-musculo-skeletal injuries in an orthopaedic setting. Orthopaedic conditions often occur due to a lack of adequate joint mobility and/or proper movement control. These limitations can cause discomfort, pain, and alterations in posture, movement and function.

Clinical diagnosis is made by taking a medical history of the problem, a visual observation of the patient (postural assessment) and by manual examination of the affected and related regions. X-rays are not required for the diagnosis of conditions treatable with advanced musculoskeletal physiotherapy (manual therapy) however a physiotherapist will consult with a medical practitioner in some cases for radiological examinations if required to rule out more serious underlying conditions.


Advanced Musculoskeletal Physiotherapy (Manual Therapy) involves restoring mobility and normal fluid function to otherwise stiff joints and promoting proper muscle control of those joints.

Three groups of techniques can be used:

  • Mobilization is precise, gentle, rhythmic, repetitive passive movement of graded amplitude aimed at restoring mobility and function, as well as reducing pain in a stiff joint and surrounding tissues.
  • Manipulation is a skilled, passive, quick movement aimed at restoring mobility and function, as well as reducing pain in a stiff joint and associated tissues.
  • Muscle control exercises These exercises are designed to either activate muscles that are not contributing as they should to overall function or to perfect the timing of their activation. Exercises to increase strength and endurance are also prescribed when indicated.

Based on the findings of the evaluation, your physiotherapist trained in Advanced Musculoskeletal Physiotherapy (Manual Therapy) by the Canadian Academy of Manipulative Therapy will use a combination of the techniques specific to the injury. In most conditions advanced musculoskeletal physiotherapy (manual therapy) will be used in combination with specific exercises to restore optimal movement, muscle strength, flexibility, endurance and stability control in order to regain optimal function.

At Kinatex, this hands-on Advanced Musculoskeletal Physiotherapy (Manual Therapy) approach has set us apart from our competitors and has provided our therapists with the chance to build strong relationships with our clients by offering this unique one-to-one patient care

If you would like more information on Advanced Musculoskeletal Physiotherapy (Manual Therapy) please contact your local Kinatex clinic. Patients should not become dependent on long-term repeated courses of advanced musculoskeletal physiotherapy (manual therapy).

Musculoskeletal Physiotherapy: Different Levels of Certification

As part of their university education, all physiotherapists complete hours of core training in musculoskeletal physiotherapy. Nevertheless, physiotherapists who wish to develop specific expertise in this area may complete post-graduation training that offers different levels of certification.

For this reason, a distinction is made between physiotherapists practicing advanced musculoskeletal physiotherapy and their colleagues. Certification ranges from level 1 to level 5 and leads to the FCAMPT Physiotherapist designation.

At the time of the assessment, your physiotherapist will be able to determine if your particular situation requires the care of a colleague who holds a different level of certification than their own.

Source: Canadian Academy of Manipulative Therapy