Manual therapy is defined as a clinical approach utilizing advanced specific hands-on techniques that include, but are not limited to mobilization, massage, myofascial release, PNF, traction, and mobilization with movement. These are techniques used by the physical therapists to evaluate and treat soft tissues and joint structures for the purpose of increasing range of motion (ROM); decreasing pain; reducing inflammation; reducing tissue tension/spasm; enhancing tissue repair, improving soft tissue extensibility, and/or stability; facilitating movement; and improving overall function.