Manual therapy is one of the many tools utilized by the physical therapists at Proformance Rehab for treating joint and muscle dysfunction. The physical therapists all have training based in the North American Institute of Manual Therapy(NAIOMT.) NAIOMT offers continuing education and certification in their program of evaluation and treatment techniques for physical therapists. The concepts are based on thorough evaluation of joints of the spine, arms and legs and treatment techniques designed to restore normal joint range of motion, decrease pain and allow improved ability to complete desired activities. The manual techniques are followed up with both strengthening exercises to create and maintain stability and stretching exercises to maintain the appropriate motions.