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The Kaltenborn-Evjenth method - KEOMT, also known as Nordic Orthopaedic Manual and Manipulative Physical Therapy, is in constant evolution and is increasingly gaining influence in physical therapy practices all over the world. Many principles and techniques in the KEOMT concept were developed from techniques of other Manual Therapy methods. The concept is indeed based on a systematic review and integration of experiences in the field of Orthopaedic Medicine, Osteopathy, Chiropractic, Medical Training Therapy, Proprioceptive Neuromuscular Facilitation (PNF), Muscle Energy Technique and Sports Physiotherapy. The KEOMT concept continues to evolve through the inclusion of new evaluation and treatment techniques in order to make the system as comprehensive and effective as possible.


KEOMT aims to address the cause of the problem and includes techniques such as joint mobilisation and manipulation, soft tissue, and neural tissue mobilisation, specific tailored exercises and self-treatment. The use of various techniques during the same treatment session has proven to be particularly effective.


Orthopaedic Manipulative Therapists are trained to:


  • Consider the whole body when assessing and treating musculoskeletal problems.

  • Use three-dimensional (3D) assessment and mobilisation/manipulation techniques.

  • Specifically mobilise/manipulate spinal and extremity joints using distraction and gliding techniques.

  • Use specific, very effective techniques to address soft tissue dysfunction.

  • Use techniques that combine soft tissue techniques with joint mobilisation.

  • Use specific stabilisation and strengthening techniques for the treatment of muscle imbalances.

  • Use myofascial release treatments, including dry needling.

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