Manipulative therapy has known a parallel development throughout many parts of the world. The earliest historical reference to the practice of manipulative therapy in Europe dates back to 400 BCE. Over the centuries, manipulative interventions have fallen in and out of favor with the medical profession. Manipulative therapy also was initially Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current 509-532-0500. fax: 509-532-8810. history of manual therapy. coming soon Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation.It is also used by Rolfers, massage therapists, athletic trainers, osteopaths, and physicians. Since its creation in 1952, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has been the go-to reference for mental health professionals diagnosing and treating patients. The DSM is a comprehensive catalog of all known mental health disorders, with detailed descriptions of each condition. It has revised multiple times over the National Center for Biotechnology Information The Very Beginning- Early history of Physical Therapy Physical therapy's first documented account is from the old master of medicines- Hippocrates.In the year 460 BC, Hippocrates introduced the idea of manual manipulation for pain relief.Since then, physiotherapy has evolved from simple massage to a complex portfolio of therapies with many specialized applications. Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current literature related to the use of manual techniques Manipulation in physical therapy has become a significant part of its rehabilitation practice, often encompassed in the terms therapeutic exercise, active and passive movement, or manual therapy. Instruction in manipulation begins with pre-professional education; for those who wish to specialize in this field, instruction continues at the post The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current literature related to the use of manual techniques (including manipulation, massage, and nerve manipulation), and discusses future research topics. Primarily, manual therapy techniques are based on the physical properties of the delivered stimulus (requiring knowledge of anatomy, biomechanics and neurophysiology) as well as on the emotional properties that emerge from the sympathetic contact established with the patient. Secondarily, the manual therapists should develop relationship and The future rol