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Hands On Hands Off

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by AAOMPT

5.0(4 reviews)
218 episodes
Updated Daily
Accepts GuestsHas SponsorsLocation 🇺🇸
60

Podcast Authority

Beta
GoodBased on show quality, social media presence, reviews, charts, and more
Pod Engine
Quality77
Social0
YouTube76
Engagement32
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Podcast Overview

The Hands On Hands Off Podcast from the American Academy of Orthopaedic Manual Physical Therapists explores the debate at the heart of modern rehab: How much treatment should be hands-on… and how much should empower patients to move independently? Through conversations with leaders in manual therapy, orthopedic physical therapy, pain science, and rehabilitation, we break down: • clinical reasoning • manual therapy techniques • patient education • exercise-based care • evidence vs tradition in PT If you’re a physical therapist, manual therapist, DPT student, or rehabilitation professional, this show will challenge assumptions and sharpen your practice.

Language

🇺🇲

Publishing Since

11/1/2018

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60

Podcast Authority

Beta
GoodBased on show quality, social media presence, reviews, charts, and more
Pod Engine
Quality77
Social0
YouTube76
Engagement32
Learn more
7
Excellent Areas
4
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8
Growth Opportunities
excellent
Episode Length
35 minutes
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good
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Every 13 days

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Recent Episodes

Episode thumbnail for When Headache Starts in the Neck: Gwen Jull & Zhiqi Liang on Migraine, Cervicogenic Headache, and Clinical Reasoning

June 26, 2026

When Headache Starts in the Neck: Gwen Jull & Zhiqi Liang on Migraine, Cervicogenic Headache, and Clinical Reasoning

<p>Neck pain and headache often travel together. But as Gwen Jull and Zhiqi Liang explain in this episode, that does not automatically mean the cervical spine is driving the headache.</p><p>In this AAOMPT and IFOMPT collaborative episode, hosts Amy McDevitt and Michael Boney explore the evolving science around cervicogenic headache, migraine-associated neck pain, sensitization, and clinical examination.</p><p>Gwen Jull discusses the development and validation of physical criteria for cervicogenic headache, emphasizing the need for a cluster of comparable musculoskeletal signs involving joint, movement, and muscle impairments.</p><p>Zhiqi Liang expands the conversation into migraine, reminding clinicians that neck pain can be part of a migraine presentation rather than proof of a cervical source. She challenges clinicians to rethink the meaning of symptom reproduction during upper cervical examination and to consider sensitivity, irritability, and migraine cycles when examining and treating these patients.</p><p>Together, the guests make a compelling case for more careful clinical reasoning: listen to the patient’s story, examine without over-provoking symptoms, look for comparable signs, and match treatment to the impairments that are actually present.</p><p>Big takeaway:</p><p> The neck may matter — but clinicians need to prove it through the whole clinical picture.</p><p></p>Timestamped Chapters<p>00:00 — Welcome to Hands On, Hands Off</p><p> 00:31 — Introducing the AAOMPT and IFOMPT collaboration</p><p> 01:19 — Meet Gwen Jull and Zhiqi Liang</p><p> 03:19 — Why headache and neck pain matter to manual physical therapists</p><p> 03:40 — Major shifts in clinical thinking around cervicogenic headache</p><p> 04:09 — Validated physical criteria for cervicogenic headache</p><p> 05:37 — Joint, movement, and muscle signs</p><p> 07:33 — The physiotherapist’s role in differential diagnosis</p><p> 08:02 — How headache can refer pain into the neck</p><p> 08:51 — Are cervicogenic headache and migraine distinct or a spectrum?</p><p> 09:26 — Migraine as a primary neurological condition</p><p> 11:33 — Sorting out mixed headache presentations</p><p> 12:05 — Patient history clues: migraine vs cervicogenic headache</p><p> 13:27 — Comparable signs and why intensity matters</p><p> 14:51 — How much does pain location matter?</p><p> 16:20 — Why no single feature is enough</p><p> 17:17 — Neck pain in migraine may not be a neck problem</p><p> 17:53 — Rethinking symptom reproduction during examination</p><p> 19:22 — How to decide whether the neck is a driver</p><p> 20:01 — Avoiding confirmation bias</p><p> 21:27 — Why non-provocative examination matters</p><p> 23:08 — Scapular dysfunction and other regional contributors</p><p> 24:37 — Broadening beyond the diagnostic cluster</p><p> 26:05 — Sensory-motor control, dizziness, and balance</p><p> 28:41 — Local cervical findings and global systems</p><p> 29:31 — Listening for migraine evolution over time</p><p> 30:46 — Central sensitization and comparable physical findings</p><p> 31:28 — PIVM vs PAVM assessment considerations</p><p> 32:08 — Avoiding symptom provocation in migraine</p><p> 33:04 — Migraine cycles and changing sensitivity</p><p> 34:36 — Trial treatment and rigorous re-evaluation</p><p> 35:41 — Individualized care beyond guidelines</p><p> 36:19 — Who may benefit from a cervical-focused approach?</p><p> 37:07 — Education, exercise, sleep, stress, and lifestyle strategies</p><p> 39:02 — Let the physical exam guide treatment</p><p> 39:46 — PTs as rehabilitation experts, not just pain reducers</p><p> 41:38 — One assumption clinicians should rethink tomorrow</p><p> 42:12 — Don’t forget the jaw</p><p> 42:27 — Neck pain may reflect sensitivity, not source</p><p> 43:16 — Final reflections and closing</p>

Episode thumbnail for Why Kyle Feldman Never “Works a Day”

April 7, 2026

Why Kyle Feldman Never “Works a Day”

In this episode, we sit down with Kyle Feldman, National Director of Physical Therapy for ReEnvision PT and owner of WE ARE Physiotherapy. Kyle shares how clinical reasoning, therapeutic alliance, and intentional growth have shaped his work as a clinician, educator, and leader.We discuss:* Why clinical reasoning is often misunderstood* How strong therapeutic alliance amplifies patient outcomes* Safety, intent, and application of spinal manipulation in elderly patients* Using fellowship training to step into leadership or ownership* Kyle’s career path and the mindset that keeps him energizedThis is a must-listen episode for clinicians looking to level up their reasoning, build meaningful patient relationships, and explore new opportunities in the profession.Key Takeaways:* Clinical reasoning is more than pattern recognition — it’s dynamic decision-making.* Therapeutic alliance isn’t “being nice”; it’s a critical clinical skill.* Older adults are often under-treated due to clinician fear, not evidence.* Fellowships can be springboards for business ownership and leadership innovation.* Growth in PT requires curiosity, reflection, and courage.Guest Info: ???? Kyle Feldman – kylefeldmandpt@gmail.com ???? ReEnvision PT ???? WE ARE Physiotherapy

Episode thumbnail for How to Teach Clinical Reasoning in OMPT

March 24, 2026

How to Teach Clinical Reasoning in OMPT

What happens when you mix decades of movement science, deep mentorship, and a passion for solving complex MSK problems? You get Lee Marinko — one of the most beloved educators and mentors in OMPT.Lee has been teaching in the Boston University DPT program for more than 20 years, serves as Chair of the AAOMPT Program Director SIG, and launched the BU OMPT Fellowship in 2014 with one goal: “We can do better than that.”In this conversation, Lee shares her philosophy on mentorship, the joy of Ah ha moments, how to keep clinical problem-solving fun, and what young professionals really need from their teachers and clinical leaders.In this episode, we explore:???? Why movement science is the foundation for great OMPT???? Lee’s favorite teaching moments — and what they reveal???? How to guide learners through complex cases???? Mentorship tips for faculty, fellows, and CI’s???? The origin story of the BU Fellowship???? Why curiosity beats certainty in clinical reasoning???? The mindset that makes clinicians grow faster???? How to “do better” for people with MSK painIf you teach, mentor, or simply want to think better as a clinician — do not miss this one.

218 total episodes available

Recent guests on Hands On Hands Off

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Jason Beneciuk

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Alex Bengtsson

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Dr. Gail Deyle

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Steve Rodriguez

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Dr. Mark Shepherd

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Dr. Vladimir Smolgovskiy

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Dr. Brian Swanson

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Dr. Antonio Varela

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Dr. Kyle Feldman

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Dr. Jane Lucas

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Dr. Charles Nichols

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Dr. Mindy Brummett

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What is Hands On Hands Off?

The Hands On Hands Off Podcast from the American Academy of Orthopaedic Manual Physical Therapists explores the debate at the heart of modern rehab:

How much treatment should be hands-on… and how much should empower patients to move independently?

Through conversations with leaders in manual therapy, orthopedic physical therapy, pain science, and rehabilitation, we break down:

• clinical reasoning • manual therapy techniques • patient education • exercise-based care • evidence vs tradition in PT

If you’re a physical therapist, manual therapist, DPT student, or rehabilitation professional, this show will challenge assumptions and sharpen your practice.

How often does this podcast release new episodes?

This podcast updates daily.

Where can I listen to this podcast?

This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.

Does this podcast accept guests?

Information about guest appearances is not available.

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