The impact of delivery models on psychomotor performance of manual procedures: a pilot study

OBJECTIVE: Developing psychomotor competence in orthopedic manual physical therapy (OMPT) techniques is fundamental to post-professional physical therapy education. Concerns persist about whether online instructional models and the rise of hybrid physical therapy programs adequately support the development of psychomotor skills. The credentialing examination in Mechanical Diagnosis and Therapy (MDT), which includes formal assessment of manual procedures, provides an opportunity to evaluate performance across training pathways for licensed physical therapists. This pilot study sought to determine whether the mode of instruction, traditional face-to-face training or a hybrid option in which at least one course was completed online, was associated with pass/fail performance demonstrated on psychomotor examination. METHODS: test of independence examined whether there was an association between pass/fail outcomes and instructional method. RESULTS: < .01, d = 0.25). CONCLUSION: In this pilot exploratory study of credentialing examination data, no detected association was observed between delivery model and pass/fail outcomes on a standardized psychomotor assessment for selected orthopedic manual therapy procedures. Future research with larger samples and prospective designs is needed to further evaluate factors that may influence psychomotor learning across different educational modalities.

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Publication Details

Journal
Journal of Manual & Manipulative Therapy
Published
2026-05-30
DOI
https://doi.org/10.1080/10669817.2026.2680217
Primary Topic
Occupational Therapy Practice and Research
Type
article
Field-Weighted Citation Impact
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article

The impact of delivery models on psychomotor performance of manual procedures: a pilot study

Éric Miller, Brian McClenahan, Ronald Schenk, Sean McBride et al.
Journal of Manual & Manipulative Therapy
Occupational Therapy Practice and Research
article

The impact of delivery models on psychomotor performance of manual procedures: a pilot study

Éric Miller, Brian McClenahan, Ronald Schenk, Sean McBride, Jane Borgehammar
article en

Abstract

OBJECTIVE: Developing psychomotor competence in orthopedic manual physical therapy (OMPT) techniques is fundamental to post-professional physical therapy education. Concerns persist about whether online instructional models and the rise of hybrid physical therapy programs adequately support the development of psychomotor skills. The credentialing examination in Mechanical Diagnosis and Therapy (MDT), which includes formal assessment of manual procedures, provides an opportunity to evaluate performance across training pathways for licensed physical therapists. This pilot study sought to determine whether the mode of instruction, traditional face-to-face training or a hybrid option in which at least one course was completed online, was associated with pass/fail performance demonstrated on psychomotor examination. METHODS: test of independence examined whether there was an association between pass/fail outcomes and instructional method. RESULTS: < .01, d = 0.25). CONCLUSION: In this pilot exploratory study of credentialing examination data, no detected association was observed between delivery model and pass/fail outcomes on a standardized psychomotor assessment for selected orthopedic manual therapy procedures. Future research with larger samples and prospective designs is needed to further evaluate factors that may influence psychomotor learning across different educational modalities.

Journal of Manual & Manipulative Therapy
Tufts University (US), Medical University of South Carolina (US), D'Youville University (US)
Quality Education
Openalex Percentile: Top 2%
Occupational Therapy Practice and Research
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