How does orthopaedic manual physical therapy work? The available evidence strongly suggests that it is by a neurophysiologic affect. (1) The differences of effect between mobilization and manipulation techniques have not been consistent, or clear. The specific neurophysiologic mechanism and where it is occurring is also not well understood. Fisher (2016) The effect of velocity… Continue reading Abstract of The Week: Effect of Velocity of Joint Mobilization on Corticospinal Excitability in Individuals with History of Ankle Sprain