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Sometimes called hands-on physical therapy, manual physical therapy uses no devices or machines. With this technique, therapists use only their hands to Manual therapy consists of a wide range of hands-on interventions, which may include soft tissue mobilizations, joint mobilizations or manipulations. Book Now.Manual therapy is a clinical approach based on skilled “hands on” therapy to decrease pain and improve the mobility of joints, soft tissues and nerves. Physio.co.uk's physiotherapists can use a variety of different manual (hands on) therapy techniques to treat a variety of conditions and symptoms. Manual physical therapy is a a structured approach to delivering hands on physical therapy within a biopsychosocial framework. Resources (Mobilization and