DOI: 10.1054/math.1999.0222, available online at http://www.idealibrary.com on
Editorial
Welcome to the 5th volume of Manual Therapy and to this
new Millennium. The coming of the New Year, the New Decade and the New Millennium oers a time for reection on events passed, current issues, future pathways, future aspirations and on future strategies. As Manual Therapists, we should reect on what our professions have achieved in such a short time frame with the physiotherapy profession being founded in the UK in 1865, the osteopathic profession being founded by Andrew Taylor Still in 1874 and the chiropractic profession founded by D.D. Palmer in 1895. We are still very young but growing professions. All three professions have witnessed the growth of undergraduate and postgraduate degrees, and in the number of clinicians attracted to undertake research degree programmes. We have also seen the rise of manual therapy philosophies of clinical treatment and management, the growth of a discrete and underlying body of scientic evidence and the growth in manual therapy related research. We should pause to reect and contemplate on the way in which individuals have contributed so greatly to the growth and development of each of the manual therapy professions during the latter part of the last millennium; names such as James Cyriax, Gregory Grieve, Freddy Kaltenborn, Martin Littlejohn, Georey Maitland, Robin McKenzie, James Mennell, D.D. Palmer, Alan Stoddard and Andrew Taylor Still come to mind. Such individuals have provided the building blocks and the fundamental concepts on which manual therapy and its three major philosophies had their beginnings. And so it was clinicians who sowed the seeds of manual therapy development and with such an inspirational lead from the manual therapists of the last Millennium it is a tribute to their work that many of our current colleagues have gone on to develop related frameworks of therapeutic philosophies. Additionally there has been a rapid and expansive growth in research activity within the basic and applied elds of manual therapy practice. As we move forward into the new Millennium we must continue to take responsibility for any new developments and place them rmly in a scientic framework. As we discover new techniques, we must test them out, rene them, test them
again and when we are sure that we have a strong scientic
rationale for their use, then we can condently disseminate the new techniques to the world. And so we celebrate the key manual therapists of the last Millennium for having given us our clinical heritage. These persons have inspired an army of exponents who have broadened the clinical base of manual therapy and our scientic body of knowledge. If the last Millennium was marked by the growth of clinical prowess in manual therapy then this new Millennium will surely see the proliferation of the clinician researcher and of single minded researchers in general who, with their research activity, will underpin manual therapy principles and practices. Many manual therapists of this new Millennium began their work in the 1980s and the 1990s and as they grow in maturity and productivity, their responsibility is clear. They must prove it or not use it. As Editors of this Manual Therapy Journal, our responsibility is also clear. We must focus attention on new knowledge and on the promulgation and dissemination of sound, scientic evidence. We must assist in quenching manual therapists' thirst for knowledge to the best of our abilities. We note with enthusiasm that beginning with this issue, Manual Therapy will be published electronically in the IDEAL online journal library. IDEAL is the International Digital Electronic Access Library which contains, at this stage, the full text of almost 200 journals. This resource will bring the journal to the desktops of around 8 million researchers, teachers, students and practitioners worldwide. The electronic publication will be of great advantage to authors whose work will be more widely disseminated and which will be published earlier via the online version. We invite you to visit our newly constructed web site at www.harcourtinternational.com/journals/math for the latest information on Manual Therapy. We begin the new Millennium with pride noting the inclusion of Manual Therapy in Index Medicus and welcome you all to the beginning of an exciting new era of manual therapy clinical practice, science and research. Ann Moore and Gwen Jull Editors