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Originally Posted by TheSutterDynasty
Physiotherapists also perform manipulation. The difference is we don't use aggressive rotational techniques that theoretically stress both the vascular and ligamentous systems and we do it far more specifically. We aren't just looking for a crack.
The other, probably more important difference is assessment. To be able to manipulate as a physiotherapist in Alberta you must obtain significant post graduate training that focuses not only on technique but screening. It is our responsibility to know when a patient is having a medical event, our responsibility to not treat it, and our responsibility to triage. When that patient walks in your door with red flags that their neck pain may be vascular in nature, YOU need to be the one that finds it.
There has never been a significant adverse event due to a manipulation by a physiotherapist in Canada. Every year there are a few events related to chiropractic manipulation.
I know a lot about the industry. The vast majority of chiropractors are extremely aggressive, maintenance focused, and have NO assessment techniques.
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I don’t entirely disagree. However, I will say that those who do high amounts of rotation are going to be older chiropractors. Those in the last two decades were trained to avoid any excessive rotation and focus almost entirely on lateral flexion to get into the proper position.
I think that in the next few generations chiropractic will be absorbed into either physiotherapy or osteopathy, as those are both evidence-based professions. It hurts me to say that, but chiropractors have done this to themselves. They were given an opportunity in the 80s to modernize and integrate but instead chose to isolate themselves even further.