Mechanotherapy, Scope of Practice

Mechanotherapists who received a certificate to practice from the State Medical Board prior to March 2, 1992, may continue to practice mechanotherapy, as defined in the rules adopted by the Board.Such mechanotherapist shall practice in accordance with rules adopted by the Board.  ORC § 4731.151  (B)(2)  

A person who holds a certificate to practice mechanotherapy and completed educational requirements in mechanotherapy on or before November 3, 1975, is entitled to use the title “doctor of mechanotherapy” and is a “physician” who performs “medical services” for the purposes of ORC § 4121 and ORC § 4123 (workers’ compensation) and under ORC § 5111.01, and shall receive payment or reimbursement as provided under the foregoing laws.  ORC § 4731.151  (B)(3)  

As used in this section, “educational requirements” means completion of a course of study appropriate for certification to practice mechanotherapy on or before November 3, 1975, as determined by rules adopted under Chapter 4731ORC § 4731.151  (B)(1)(b)

“Mechanotherapy” constitutes all of the following:  examining patients by verbal inquiry; examination of the musculoskeletal system by hand; visual inspection and observation and diagnosing a patient’s condition only as to whether the patient has a disorder of the musculoskeletal system.  In the treatment of patients, mechanotherapists may employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound or infrared therapy only to those disorders of the musculoskeletal system that are amenable to treatment by such techniques and that are identifiable by examination, performed and diagnosable according to the above standards.  ORC § 4731.151  (B)(1)(a)

A practitioner of mechanotherapy shall examine patients only by verbal inquiry, examination of the musculoskeletal system by hand and visual inspection and observation.  A practitioner of mechanotherapy shall specifically not employ any techniques that involve extraction or analysis of body tissue or fluids.   OAC § 4731-1-04  (A)  A practitioner of mechanotherapy shall not diagnose a patient’s condition except as to whether there is a disorder of the musculoskeletal present.  OAC § 4731-1-04  (B)

A practitioner of mechanotherapy, in the treatment of patients, may apply only those techniques listed below, but he or she may apply such techniques only to those disorders of the musculoskeletal system which are amenable to treatment by the listed techniques and which are identifiable by examination and diagnosis as described in OAC § 4731-1-04:  Advised or supervised exercise; massage or manipulation or employment of air, water, heat, cold, sound or infrared rays.  OAC § 4731-1-04  (C)

*NOTE:  This rule is currently under revision, proposed by the State Medical Board.  Its current effect is uncertain due to the recent changes made to ORC § 4731.151.  Please refer to ORC § 4731.151 when seeking answers to specific questions.

Mechanotherapy, Scope of Practice

 
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