Great Vid! Multimodal Approach to Treatment of a Patient with CP | Modern Manual Therapy Blog

Great Vid! Multimodal Approach to Treatment of a Patient with CP

Dr. Andrew Bennett, PT, DPT, OCS, FAAOMPT uses an interesting multimodal approach of OMPT techniques including dry needling, STM, and IASTM - using the EDGE on a patient with cerebral palsy. The video is a full treatment of her forearm with some before and after functional measures! Nothing like capturing it on video for some proof of concept! For you impatient types, watch the initial few minutes, then check around 8:50 for the dramatic improvement in hand function. Great Job Dr. Bennett!

I just evaluated a very similar patient from one of my top referring docs, a neurologist. She normally sends me spinal patients, and I was suprised to see an evaluation for strengthening that was an adult with CP. She has very similar functional limitations with her left forearm as well. She thought she was in for some UBE, pulleys, and hand weights. She was surprised at the OMPT approach I explained I was going to take. Next visit I will use STM and IATSM plus some light joint mobilizations to improve her forearm and hand function.

I am curious to see how well the approach works for lasting results with a neuromusculoskeletal case like this. She will definitely be a future case writeup in the next few weeks after 3-4 treatments.


  1. I will ask Dr. Bennett about his typical HEP, and outcomes. I just started my CP pt on 2nd visit with STM and IASTM. She had similar outcomes in terms of much improved ease of hand movement. It wasn't as drastic as in the video, but according to the vid description she has been coming for 6 weeks. I am sure much of the gains, being neurological rather than mechanical will be transient, but hopefully any change in the quality of her grasp affects her ADLs and thus quality of life.

    I will report more on my case as a blog post in 2-3 weeks once she's had 4-5 follow up visits.

  2. I'm the one in the video and am so glad to know that this has helped someone else, which was my goal. I hope it's ok that I answer the question about carryover and lasting impact? I have been seeing Dr Bennett since early October but our first TDN in the left arm was Nov 14. While i see the greatest improvement in the 24-48 hours afterwards I still have measurable positive outcome at the 4 day mark. I can't say beyond 4 days as of yet. But, my patterns are impacted by environmental factors such as weather changes etc so it's hard to predict. However, being left handed. My hope is that my QL continues to improve as I continue to use and strengthen the hand in functional ways