Simply Not Easy

In the world of physical therapy there are groups of clinicians that are either gun-ho for hands on joint moving/pushing and those who spend very little time there that report it's minimal utility. The balance is often in the middle. It can be extremely effective when used as an adjunct in the right situation for the right reason. As long as all things lead to better movement. I'm a huge fan of having options. Not training a skill, to not have confidence in its application, is not reason enough to not do it. If you choose not to, no worries, as long as there is a clinically minded reason based on the patient to back it up.