Hands On Hands Off

Rebekah Griffith joins the podcast to talk about what it means to be a newly minted AAOMPT Fellow working in one of the most unlikely settings — the Emergency Department.She shares why OMPT-level manual therapy skills are not only relevant in the ED, but essential for rapid assessment, safe decision-making, and efficient patient care. Rebekah explains how fellowship training sharpened her clinical reasoning, helped her manage acute MSK presentations, and expanded her impact within emergency medicine teams.In this episode: • The PT’s role in the ED • How manual therapy speeds clarity and improves outcomes • Examples of OMPT reasoning in acute, high-stakes scenarios • Why fellowship training matters outside outpatient ortho • Reducing unnecessary imaging, opioids, and admissions • Rebekah’s journey through AAOMPT Fellowship and into ED practiceWhether you’re a clinician, student, or educator, Rebekah’s perspective will reshape how you think about where — and how — manual therapy skills should be used.

Ken Olson joins the podcast to discuss his work on the IFOMPT/IOPTP taskforce on pediatric spinal manipulation and the ongoing clinical reasoning debate around specific vs. general manipulation.Ken is a private practice clinician, educator, past-president of IFOMPT and AAOMPT, author of Manual Physical Therapy of the Spine, and recipient of the 2024 Distinguished Lecturer Award. His perspective blends evidence, global standards, and decades of practical experience.Topics include: • Why the pediatric manipulation taskforce was created • The taskforce’s findings and new position statements • Safety, indications, and advocacy for pediatric manual therapy • The “specific vs. general” manipulation controversy • The value and evidence for specificity in OMPT • What great clinical reasoning looks like in manipulation decisionsThis is a must-listen for OMPT clinicians, educators, and advocates shaping the profession’s next chapter.

Jason Silvernail joins the show to break down the essential communication and leadership skills clinicians need to thrive—and to protect themselves from burnout, conflict, and misalignment.We explore the principles behind assertive communication, how to establish a confident presence, and what it means to communicate clearly without crossing into arrogance or dominance. Jason offers practical, real-world strategies for handling interruptions, navigatingtension, setting boundaries, and keeping conversations focused.Episode topics include:• Mindset and behaviors of assertive communicators• Body language, tone, and leadership presence• Techniques for clarity in difficult conversations• Active listening and feedback as two-way communication• Holding boundaries in professional interactions• De-escalation strategies for disruption, interruptions, and conflictThis episode is for clinicians, mentors, educators, and leaders who want to show up with more confidence and communicate with purpose.

Pediatric manual therapy has been built on adult techniques — and that’s a problem.Educator, clinician, and researcher Ginny Henderson joins us to expose the missing guidelines, the hidden dangers, and the new evidence-based techniques designed specifically for growing bodies.We cover: • Why kids’ bones are more vulnerable — and how to mobilize safely • The biggest misconceptions clinicians bring from adult PT • Combining joint mechanics with motor learning for better outcomes • How chronic pain presents differently in children • The powerful (and often overlooked) influence of parent beliefs • When pain is nociceptive… and when it’s actually nociplastic • How PTs can start making better decisions tomorrow with pediatric patientsThis is one of those “I didn’t even know I needed this” conversations — and it might change how you treat kids forever.

Dr. Gail Deyle joins the show to discuss clinical reasoning, diagnostic skill, and the evidence supporting OMPT. A true clinician-scientist, Dr. Deyle has spent decades conducting clinical trials, mentoring fellowship-trained clinicians, and advocating for direct access and advanced evaluation skills in physical therapy.In this episode we explore:• Why PTs are essential contributors to global health• Evidence showing OMPT’s high benefit and low risk• The real impact of fellowship training on clinical outcomes• Advanced interviewing and reasoning as core PT competencies• The importance of diagnostic screening by PTs• Direct access and why restrictions harm patientsGuest: Dr. Gail DeyleOrganization: Army Baylor Doctoral Fellowship