Hands On Hands Off

Hands On Hands Off


OMPT vs MDT Is the Wrong Debate!

January 08, 2026

Dr. Moyo Tillery sits down with Dr. Ron Shank to explore the evolving relationship between Orthopaedic Manual Physical Therapy (OMPT) and Mechanical Diagnosis & Therapy (MDT). Drawing from decades of clinical practice, mentorship, and research, Ron reframes the debate — arguing that integration, not ideology, leads to better patient outcomes.

Together, they unpack directional preference, centralization, test–retest frameworks, patient empowerment, and the leadership principles that shape great clinicians. This is a must-listen for anyone navigating modern manual therapy practice.


Key Topics Covered:

  • Directional preference vs centralization
  • End-range testing as common ground
  • Hands-on vs hands-off decision-making
  • Patient self-efficacy and dependency
  • Mentorship, leadership, and legacy in OMPT