Guidance for premanipulative clinical reasoning to improve the safety of manual therapy
Dr. N. (Nathan) Hutting
Bestuurslid innovatie en internationaal beleid / Board member innovation and international policy
MO delegate IFOMPT
Time: 4:30 pm- 7:30 pm
Location: Modern University for Technology and Information (Transportation will be provided)
Considerations to improve the safety of cervical spine manual therapy
Manipulation and mobilisation of the cervical spine are well established interventions in the management of patients with headache and/or neck pain. However, their benefits are accompanied by potential, yet rare risks in terms of serious adverse events, including neurovascular insult to the brain.
A recent international framework for risk assessment and management offers directions in the mitigation of this risk by facilitating sound clinical reasoning. The aim of this article is to critically reflect on and summarise the current knowledge about cervical spine manual therapy and to provide guidance for clinical reasoning for cervical spine manual therapy.
About Dr. Nathan Hutting
Studied physical therapy at the University of Applied Sciences in Utrecht (the Netherlands). He studied manual therapy at the Free University of Brussels (Belgium) and graduated cum laude in 2008. In December 2011 he started as a PhD student at the HAN University of Applied Sciences and the Radboud University Nijmegen Medical Center, both located in Nijmegen (the Netherlands). His PhD thesis (2015) entitled “Effectiveness of a self-management program for employees with complaints of the arm, neck, and/or shoulder” consisted of seven peer-reviewed publications. Nathan is currently working as a physical therapist and manual therapist in a private practice and as a researcher at the HAN University of Applied Sciences, research group Occupation & Health. His current research topics include self-management, (work related) musculoskeletal disorders, premanipulative screening procedures and healthy living. He is also a board member of the Dutch Association for Manual Therapy (NVMT) and Member Organisation delegate of the Netherlands in the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT).
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