Hands On Hands Off

Hands On Hands Off


Redefining Orthopedic Manual Physical Therapy (OMPT)

September 30, 2024

In this episode of the Hands-On, Hands-Off podcast, we are joined by Dr. Jason Silvernail, PT, DPT, DSc, Colonel in the U.S. Army and expert in Orthopedic Manual Physical Therapy (OMPT). Dr. Silvernail shares insights into the development of a modern, comprehensive definition of OMPT, addressing its importance for the future of physical therapy practice.


We discuss the evolution of OMPT, how physical therapists can apply the latest definition in clinical practice, and the role of advanced training and clinical reasoning. Dr. Silvernail also explains how this new definition can shape both current practitioners and students pursuing fellowship or residency training.


Key Topics Covered:


The motivation behind updating the OMPT definition.

Distinguishing characteristics of OMPT vs. traditional manual therapy.

The role of exercise and long-term patient-centered care in OMPT.

Applications of OMPT in physical therapy education and practice.

How OMPT can influence systematic reviews and clinical guidelines.

Special Guest:


Dr. Jason Silvernail, PT, DPT, DSc, Colonel, U.S. Army — Expert in Orthopedic Manual Physical Therapy


00:00 - Introduction to Dr. Jason Silvernail

02:15 - The Origins of the Updated OMPT Definition

05:50 - The Role of Exercise in OMPT Practice

08:35 - Patient-Centered Care: The Long-Term Focus

12:30 - Distinguishing OMPT from Manual Therapy

16:10 - The Future of OMPT in Physical Therapy Education

19:45 - Influencing Systematic Reviews and Clinical Guidelines

22:50 - OMPT’s Role in Lifelong Learning and Expertise Development

25:30 - International Implications for OMPT Practice

29:00 - Closing Remarks