High velocity low amplitude thrust

[Guest guest]

This is a question to anyone in the group who may be using this

technique. Several of our therapists recently took a weekend seminar

on spinal manipulation and would like to incorporate these techniques

into their treatment regime.

We are located in the state of Florida and the practice act

specifically prohibits a Physical Therapist from using Chiropractic

spinal manipulation.

Here is the exact wording:

" The practice of physical therapy as defined in this chapter does not

authorize a physical therapy practitioner to practice chiropractic

medicine as defined in chapter 460, including specific spinal

manipulation. For the performance of specific chiropractic spinal

manipulation, a physical therapist shall refer the patient to a

health care practitioner licensed under chapter 460. "

My question to the group is for any of you who may know someone using

these techniques. How do you separate what you do from chiropractic

manipulation? Furthermore, how do you document what you do?

Thanks in advance,

Ken Muller, PT, PhD

Director of Outpatient Rehab

Memorial Health Systems

Stuart, FL