• Implementation
• Evidence based

Orthopaedic manual therapy (OMT) has advanced in recent years. A great amount of research accompanies this advancement. This has led to a shift from a paternalistic biomechanical paradigm to a patient-centred, biopsychosocial (BPS) paradigm.1 ,2 The IFOMPT defines OMT as “a specialized area of physical therapy for the management of neuro-musculoskeletal conditions based on clinical reasoning, using highly specific treatment approaches, including manual techniques and exercises”. Second, the IFOMPT states, “OMT also encompasses, and is driven by, the available scientific and clinical evidence and the biopsychosocial framework of each individual patient”. Nowadays, manual therapists are often master of science (MSc) and are trained to serve as role models and educators.3 ,4

In physical therapy, as in many fields in life, not everyone adopts to changes the same. Different types of ‘adopters’ can be described by the timing and motivation for adopting a specific change.5

• Innovators: Innovators are adventurous. They ‘gamble’ at new developments and are first to adopt change. Although …