LICENSURE

Delaware Physical Therapist #J1 0000851

• Board Certified Specialist in Orthopedic Physical Therapy (1999)
• Board Certified Specialist in Sports Physical Therapy (2003)

HONORS/AWARDS

• Signe Brunnstrom Award for Excellence in Clinical Teaching, American Physical Therapy Association, 2007
• James A. Gould Excellence in Teaching Orthopedic Physical Therapy Award, Orthopedic Section of the American Physical Therapy Association, 2006
• University of Delaware Physical Therapy Department Alumni Award, 2006
• Academic Education Award, Sports Section of the American Physical Therapy Association, 2005

PROFESSIONAL ORGANIZATIONS/SOCIETIES (top)

• American Physical Therapy Association
  • Research Section
  • Orthopedic Section
  • Sports Section
  • Residency Directors Core Group
  • Performing Arts Special Interest Group
• Delaware Physical Therapy Association
• Delaware Division of Professional Regulation - Physical Therapy
• Delaware State Board of Physical Therapy
• Delaware State Delegate to the Federation of State Boards of Physical Therapy
  

CLINICAL INTERESTS

Dr. Manal's clinical areas of expertise are the spine and knee. She has a special area of interest in the performing arts as a content expert including; dance, music, gymnastics and figure skating. She has consulted with and rehabilitated skaters of all skill levels from amateur to Olympic gold medalists and is VP of The Performing Arts Section of the American Physical Therapy Association.

SELECTED PUBLICATIONS (top)

PEER REVIEWED PUBLICATIONS

1. Gamboa J, Haggins M, Manal T. An Analysis to Define the Clinical Practice of Physical Therapy for Performing Artists J of Dance Medicine (JDMS), 2005 Volume 9, No 2, pages 41-55
2. Manal T, Claytor R. The Delitto Classification Scheme and the Management of Lumbar-Spine Dysfunction Human Kinetics Athletic Therapy Today 10(5) 2005 pp 6-12
3. Manal T , Snyder-Mackler L. Failure of Voluntary Activation of the Quadriceps Femoris Muscle after Acute Patellar Contusion JOSPT2000;30(11):654-663
4. Meszler D, Manal T, Snyder-Mackler L. Disorders of the Tibiofemoral Joint Evidence-Based Evaluation, Diagnosis, and Intervention. Orthopaedic Physical Therapy Clinic of North America 7:3 Sept 1998
5. Meszler D, Manal T, Snyder-Mackler L. Rehabilitation After Anterior Cruciate Ligament Reconstruction: Practice Guidelines and Procedure-Modified, Criterion-Based Progression Operative Techniques in Sports Medicine 6:2 April 1998 111-116
6. Manal T , Snyder-Mackler L. Practice Guidelines for Anterior Cruciate Ligament Rehabilitation: A Criterion-Based Rehabilitation Progression Operative Techniques in Sports Medicine 6:3 1996 190-196

BOOK CHAPTERS

1. Manal TJ, Snyder-Mackler L Electrical Stimulation for Pain Modulation Clinical Electrophysiology: Electrotherapy and Electrophysiologic Testing Ed 3 Robinson and Snyder-Mackler Williams and Wilkins Baltimore, MD 2008
2. Manal TJ, Delitto A Spine : Regional sport and exercise injury Management in Physical Therapies in Sport and Exercise Ed.2, Kolt and Snyder-Mackler Curchill Livingston London, UK 2007

MONOGRAPHS

1. Manal TJ, Sturgill L Current Concepts of Orthopedic Physical Therapy: Knee Current Concepts of Orthopedic Physical Therapy APTA Home Study Course APTA 2006
2. Manal TJ, Sturgill L Rehabilitation of the Adolescent with Anterior Knee Pain Patellofemoral Joint Revisited, Implications for the 21st Century Sports Section APTA 2005
3. Manal TJ. Shock and Bleeding. Emergency Management of the Injured Athlete. APTA Home Study Course Sports Section APTA 2004.
4. Manal T, Dickerson-Schnatz A Disorders of the Tibiofemoral Joint Evidence Based Practice for the Upper and Lower Extremity 13.2.2 APTA Home Study Course Orthopedic Section APTA 2003
5. Manal T, Kittredge B, Snyder-Mackler L. Rehabilitation of the Adolescent with Anterior Knee Pain Chapter in compendium by the APTA's Sports Section Rehabilitation of the Patellofemoral Joint. 1998

NON PEER-REVIEWED PUBLICATIONS

1. Manal T Diseases and Disorders Eds Jolyon Goddard and Anne Hildyard. Slipped disk: Volume 2, Marshall Cavendish: Tarrytown, New York 789-790 2007
2. DeLeo A, Manal T Electrical Stimulation for Pain Control Physical Therapy Products Vol 15 No 6; 14-16 2004
3. Manal T The When, How, and Why of TENS Physical Therapy Products Vol 15 No 2; 14-16 2004
4. Goodstadt N, Manal T Improve Strength Recovery Outcomes with Neuromuscular Electrical Stimulation (NMES) Physical Therapy Products Vol 14 No 4; 18-19 2003
5. Manal T Use of Electrical Stimulation to Supplement Lumbar Stabilization for a Figure Skater Following Lumbar Fusion Orthopedic Physical Therapy Practice Vol 14:2:02 pg 30-32 2002
6. Manal T, Schmitt L Free From Stiff Knee Physical Therapy Products Vol 13; 26-29 2002
7. Manal T The Use of High Intensity Noxious Electrical Stimulation for Pain Control in the Performing Arts Population Physical Therapy Products Vol 12:5 2001 10-16
8. Manal T, Snyder-Mackler L. Electrotherapy for Pain Management Rehab Management 10:4 1997 56,62

PRESENTATIONS (top)

1. Sturgill L , Manal T, Snyder-Mackler L, Axe M : Inter-rater Reliability of a Clinical Scale to Assess Knee Joint Effusion Orthopedic Section Combined Section Meeting Nashville 2008

2. Merritt M , Hunter-Giordano A , Manal T Modification to a Self-Paced Rehabilitation Program Following Percutaneous Achilles Lengthening Poster Combined Section Meeting Nashville 2008
3. Manal T, Hicks G “Translating the Evidence- Monday Morning Techniques Involving Acute Low Back Pain Treatment Classification” 3 hr session APTA Annual Meeting Denver 2007
4. Kilburn K, Hunter-Giordano A, Manal T.  “Resolving Knee Flexion Deficits in an Arthrofibrotic Knee following a Patella Fracture.”  Orthopedic Section, APTA Combined Sections Meeting Boston 2007.
5. Manal T , Schmitt L, Petterson S “ What is the Current Physical Status of Patients following Total Knee Arthroplasty and Can We Improve Rehabilitation Outcomes” APTA Annual Conference 2006 3 hour session
6. Manal T, Goodstadt N Neuromuscular Electrical Stimulation: An Adjunct Intervention for Muscle Recovery” 3 hr session APTA Annual Meeting June 2005 Boston, MA
7. Goodstadt N, Manal T. “High Intensity Electrical Stimulation of the Lumbar Paraspinal Musculature 1-year after Spinal Fusion”. Platform APTA CSM 2003 Tampa
8. Manal T , Schmitt L “Arthrofibrosis: Management of the Stiff Knee” 3 hr session APTA Annual Meeting June 2002 Cincinatti, OH
9. Manal, T “Treatment of Patellofemoral Pain in a Dancer 2 Years after a Patellar Contusion” Platform APTA Combined Sections Meeting Feb 2002
10. Manal, T Schmitt L A A Model of Clinical Education provided on-site at an Academic Institution @ Poster APTA Combined Sections Meeting Feb 2000
11. Manal, T , Fitzgerad GK A Screening Patients with Acute ACL Rupture for Return to High Level Activity with Non-Op Rehabilitation @ 3 hr session APTA National Conference June 1999, Local Clinics 2000
12. Manal, T Synder-Mackler L A The Presence of Quadriceps Inhibition in Patients following Patellar Contusions @ Platform Combined Sections Meeting APTA February 1999
13. Manal, T Schweizer P Inter-rater Reliability of Instrumented Muscle Testing of the Shoulder. Poster APTA National Conference June 1992

INVITED PRESENTATIONS (top)

INTERNATIONAL INVITED PRESENTATIONS

1. Manal T Progressing Patients in Sports Physical Therapy Rehabilitation Israeli Physiotherapy Association Tel Aviv, Israel 2007
2. Manal T, Hicks G Treatment Based Classification of the Spine: An Evidence Based Journey for the Physical Therapist 40 hour course for the Israeli Physiotherapy Association Haifa, Israel 2007
3. Manal T “ Conservative Treatment of ACL Tears” Advances in Lower Limb Rehabilitation International Congress on University and Sports Progress in Prevention and Treatment of Sports Injuries Torino Italy 2007
4. Manal T “Management of the Stiff Knee” International Congress on University and Sports Progress in Prevention and Treatment of Sports Injuries Torino Italy 2007
5. Manal T SOCRATIC DEBATE ACL Lesions and High Level Sports Activity International Congress on University and Sports Progress in Prevention and Treatment of Sports Injuries Torino Italy 2007
6. Manal T Instructional Course “Meniscal and ACL Injuries: How to Prevent Osteoarthritis” International Congress on University and Sports Progress in Prevention and Treatment of Sports Injuries Torino Italy 2007
7. Manal T Key Note Address: “Electrical Stimulation: Current concepts and recent developments for muscle strengthening and recovery” International Symposium on Sports Medicine – Ramat-Gan, Israel April 2006
8. Manal T Key Note Address: “ Conservative treatment of ACL injuries” International Symposium on Sports Medicine – Ramat-Gan, Israel April 2006
9. Manal T “ The patellofemoral joint: Strategies of Management” International Symposium on Sports Medicine – Ramat-Gan, Israel April 2006
10. Manal T “Screening and training procedures for nonoperative management of athletes with ACL injury” International Symposium on Sports Medicine – Ramat-Gan, Israel April 2006
11. Manal T “Use of Electrical Stimulation for pain control and muscle strengthening, Part I and Part II” International Symposium on Sports Medicine – Ramat-Gan, Israel April 2006
12. Manal T “Treatment Based Classification in the Evaluation and Management of Lumbar Spine Pain” University of Haifa, Haifa, Israel April 2006
13. Manal T “Can I Use Electrical Stimulation to Augment Strengthening in My Patient: Guidelines for Surgical Procedures, Diagnosis, and Co-Morbidities” University of Haifa, Haifa, Israel April 2006

NATIONAL INVITED PRESENTATIONS

1. Fontenot M, Hunter-Giordano A, Manal T, Management of a music student with thoracic, shoulder, arm and thumb pain in Evaluation and Treatment of Cervicothoracic Pain and Dysfunction - Freeing the Performing Artist to Reach New Heights APTA Combined Sections Meeting Nashville 2008
2. Hunter-Giordano A ., Manal T.  “The Use of High Intensity Electrical Stimulation to the Lumbar Paraspinals During Immobilization for a Stress Fracture: IS IT SAFE?”  Electrotherapy Section APTA Combined Sections Meeting 2008.
3. Burlovich E, Goodstadt N, Manal T The addition of high intensity neuromuscular electrical stimulation for patients lacking rotator cuff strength gains after surgery: a case series Electrotherapy Section APTA Combined Sections Meeting 2008
4. Sions JM, Goodstadt N, Manal T Use of NMES to Augment Return of Wrist Extensor Strength in an Information Technologist Electrotherapy Section APTA Combined Sections Meeting 2008
5. Manal T The Collaborative Model of Clinical Education in an Academic Setting at the 2007 Educational Leadership Conference Education Section of the American Physical Therapy Association Minneapolis, MN Oct 2007
6. Manal T Service Learning at the 2007 Educational Leadership Conference Education Section of the American Physical Therapy Association Minneapolis, MN Oct 2007
7. Manal T Physical Therapy: How to Recognize Good Physical Therapy University of Delaware Graduate Program for Nurse Practitioners Newark, DE April 2007
8. Manal T Management of Rectus Femoris tendonitis in an Elite Figure Skater in Evaluation, Rehabilitation and Medical Management of the HIP joint through the lifespan of the performing artist – An evolving Art APTA Combined Sections Meeting Boston 2007
9. Sions JM, Goodstadt N, Manal T Can E-stim to the Quadriceps following TKA still strengthen if force output isn’t measured? Electrotherapy Section APTA Combined Sections Meeting Boston 2007
10. Sturgill L, Manal T "Use of High Intensity Electrical Stimulation to Restore Quadriceps Strength Following L4Nerve Root Compression" Electrotherapy Section APTA Combined Sections Meeting Boston 2007
11. DoBroka S, Hunter-Giordano A, Manal T.  “How Trigger Point Stimulation Assisted a Runner with Compartment Syndrome to Keep Running.”  Electrotherapy Section, APTA Combined Sections Meeting, 2007.
12. Manal T Physical Therapy: What to expect in the care and prevention of impairments, disability or functional limitations. Blue Hen Education Day III Health Services Newark, DE January 2007
13. Manal T Residency/Fellowship Education: The University Model at 2006 Educational Leadership Conference October 2006 Arlington, VA
14. Manal T Grand Rounds: Evaluation Guided Treatment for Low Back Pain University of Maryland Department of Physical Therapy and Rehabilitation Science March 8, 2006 Baltimore, MD
15. Manal T Grand Rounds: Evaluation and Treatment of Lumbar Strengthening in a Patient with a Lumbar Stress Fracture University of Maryland Physical Department of Physical Therapy and Rehabilitation Science March 22, 2006 Baltimore, MD
16. Baughman M, Goodstadt NM, Manal TJ. “ Isokinetics and NMES assist a young patient with tricompartmental OA in avoiding pain, regaining quadriceps strength, and postponing a total knee arthroplasty .” CSM 2006
17. Hunter AO, Manal TJ. “A different path of treatment for a patient with persistent quadriceps weakness.” CSM 2006
18. Hunter AO, Manal TJ. “Evaluation and Management of Lumbar and Pelvic Dysfunction in the Performing Artist” CSM 2006  
19. Sturgill LP, Manal TJ . "Low Frequency Motor E-stim for trigger point management for persistent postoperative shoulder and arm pain." CSM 2006
20. Manal T Electrical Stimulation: An Adjunct Intervention for Muscle Recovery PT 2005: Annual Conference of the American Physical Therapy Association June 2005 Boston, MA
21. Manal T Electrical Stimulation to Augment Muscle Strengthening: Guidelines for Surgical Procedures, Diagnosis and Co-Morbidities 2 hour course Clinical Electrophysiology Section APTA CSM 2005 New Orleans
22. Manal T, Sturgill L Quadriceps strengthening augmented with electrical stimulation versus conventional strengthening following billateral total knee replacement.   Clinical Electrophysiology Section APTA CSM 2005 New Orleans
23. Manal T , Claytor R High intensity noxious electrical stimulation and joint mobilizations for management of biceps tendinits in a tennis player C linical Electrophysiology Section APTA CSM 2005 New Orleans
24. Manal T Evidenced Based Approach to the Clinical Use of Thermal Modalities and Electrical Stimulation. Frazier Rehabilitation Institute Jewish Hospital Health Network Louisville, Kentucky September 2004 Full Day Course.
25. Manal TJ. Electrical Stimulation for Pain and Muscle Strengthening – Can My Machines Do That? Clinical Electrophysiology Section APTA Combined Sections Meeting Feb 2004 2 hour course.
26. Gamboa JM, Hagins M, Manal TJ. Description of Advanced Clinical Practice in Performing Arts. APTA Combined Sections Meeting Feb 2004.
27. Goodstadt NM , Manal TJ Neuromuscular Electrical Stimulation to the Rotator Cuff Following Surgical Repair. APTA Combined Sections Meeting Electrotherapy Section Feb 2004.
28. Hunter A, Storaska J , Manal TJ. Assessment of the Inability of a Patient to Perform a Toe Raise: After MMT What Can We Do? APTA Combined Sections Meeting Electrotherapy Section Feb 2004.
29. Storaska J, Manal T, Schmitt LUse of Neuromuscular electrical stimulation to treat radicular weakness of the lower extremity Clinical Electrophysiology Section APTA CSM 2004
30. Eaton C, Manal TJ Comparisons of Maximal Volitional Isometric Contraction and Electrical Burst Superimposition Technique in Assessing Strength of the Quadriceps APTA Combined Sections Meeting Electrotherapy Section Feb 2004.
31. Kuchta C, Manal T, Schmitt L “Use of High Intensity Electrical Stimulation for the Treatment of Patellofemoral Pain” APTA Electrotherapy Section CSM 2003 Tampa
32. Goodstadt N, Manal T. “High Intensity Electrical Stimulation of the Lumbar Paraspinal Musculature on an Elite Junior Figure Skater with Chronic Back Pain”. APTA Electrotherapy Section CSM 2003 Tampa
33. Goodstadt N, Manal T. “High Intensity Electrical Stimulation of the Lumbar Paraspinal Musculature 1-year after Spinal Fusion. APTA Orthopedic Section CSM 2003 Tampa
34. Storaska J, Manal T “Use of Neuromuscular Electrical Stimulation toTreat Radicular Weakness of the Lower Extremity” APTA Electrotherapy Section CSM 2003 Tampa
35. Manal T “Evidence Based Evaluation and Treatment of a Dancer with Knee Pain” Performing Arts Sig APTA CSM 2003 Tampa
36. Manal T , Schmitt L “Clinical Instructor Training” Johns Hopkins Medical Center, Physical Therapy Department Baltimore, MD 2003
37. Manal T , Goodstadt N. “Evidence Based Practice for the use of Electrical Stimulation for Pain Control and Strengthening in Physical Therapy”. 3 hr session NJ State Physical Therapy Conference April 2002
38. Dickerson-Schnatz A, Manal, T “Treatment of Plantar Fasciitis with Electrical Stimulation for Pain Control” APTA Combined Sections Meeting Electrotherapy Section Feb 2002
39. Manal, T “Electrical Stimulation and Lumbar Strengthening with Performing Artists” Performing Arts Sig APTA Combined Sections Meeting Feb 2002
40. Manal, T "The Use of High Intensity Noxious Electrical Stimulation for Pain Control in the Performing Arts Population" Performing Arts Sig APTA Combined Sections Meeting Feb 2001
41. Manal, T "Screening Patients with Anterior Cruciate Ligament Rupture for Return to High-Level Physical Activity with Nonoperative Rehabilitation" University of the Sciences in Philadelphia September 2000
42. Manal, T A Rehabilitation of the Patellofemoral Joint @ Adolescent Medicine Conference Wilmington Hospital May 1999, June 2000
43. Manal, T A Evaluation and Treatment of the Acutely Injured Spine Featured Speaker at the Medical Aspects of Sports Conference January 1999
44. Manal, T Schmitt L A Evaluation and Treatment of the Lumbar Spine @ Beebe Medical Center December 1999
45. Manal, T A The Patellofemoral Joint - Physical Therapy Perspective @ Occupational Medicine Lecture Series Medical Arts Pavilion Christiana Hospital February 1999
46. Manal, T A Dealing with Skating Related Injuries @ presentation at the Professional Education Program for National Figure Skating Coaches August 1998
47. Manal, T A Cervical Spine Evaluation and Treatment @ presentation at the Medical Aspects of Sports Conference January 1998

SERVICE (top)

• University of Delaware
• Advisor to the University of Delaware Physical Therapy Interest Club (1993-2006)
• Delaware Division of Professional Regulation - Physical Therapy
  • Delaware State Board of Physical Therapy (1996-2004)
  • Vice-President (2002-2004)
  • Secretary (1997-2002)
  • Delaware State Delegate to the Federation of State Boards of Physical Therapy (2001-2004)
• Manuscript Reviewer
  • Physiotherapy (2006-present)
  • Physical Therapy (2006-present)
  • Archives of Physical Medicine and Rehabilitation (2005-present)
  • Journal of Orthopedic and Sports Physical Therapy (1998-present)
  • Journal of Sport Rehabilitation (1996)
• American Physical Therapy Association
• Finance Committee Member (2005-2008)
• Orthopedic Section
• Abstract Reviewer (2004-present)
• Combined Sections Meeting Moderator for Orthopedic Platforms (2005-present)
• Standard Setting Committee Member for the Natinoal Board of Specialists Orthopedic Specialty Exam (2001 & 2003)
• Strategic Planning Meeting (Oct06)
• American Board of Physical Therapy Specialties
• Specialization Academy of Content Experts Member (2001-2003)
• Strategic Planning Meeting (Spr05)
• Physical Therapy Residency
• Residency and Fellowship Education Coordinator (2008-2011)
• Residency Directors Core Group
• Residency Credentialing Committee Strategic Planning Meeting (Feb07)
• Performing Arts Activity
• United States Figure Skating Association
• Faculty Member Team 2006 Novice Champions (2000)
• Faculty Member High Performance Testing (2000)
• American Physical Therapy Association 
• Performing Arts Special Interest Group
• Vice President (Feb04-present)
• Chair Education Committee (Feb04-present)
• Performing Arts Physical Therapy Group
• Content Expert Member (2001-present)
• Steering Committee Member for Practice Analysis of Description of Advanced Clinical Practice in Performing Arts Physical Therapy (2001-present)
• Mid-Atlantic Regional Director of Performing Arts Physical Therapy (2000-present)
• Physical Therapy Journal
• Bottom Line Committee
• Committee Member for Clinical Communication

COURSES TAUGHT (top)

Current

• PHYT 808 Spine Management
• PHYT 807 Emergency Response
• PHYT 604 Functional Anatomy & Biomechanics - "Biomechanics of the Cervical and Lumbar Spine," "Posture and Lifting," and "TMJ"
• HESC 449 Advanced Topics in Sports Medicine in the Athletic Training Education Program

Past

• PHYT 608 Musculoskeletal Evaluation - "Evaluation and Treatment of the Spine" (1998-present); Lab Instructor/lecturer (Summer 1994-1997)
• PHYT 607 Electrotherapy -"Electrical Stimulation for Pain" and "Electrical Stimulation for Strengthening" (Spring 1997, 2000, & 2003); Lab Coordinator 1999
• PHYT 610 Psychosocial Aspects of Health Care (Fall 1995-2002)
• PHYT 619 Advanced Physical Therapy Seminar - "Soft Tissue Spasm," Malpractice in Physical Therapy," & "Hydrotherapy in Physical Therapy" (January 1995-1999)
• PHYT 617 Patient Management II - Course Coordinator (Fall 1998)
• PHYT 623 Clinical Neurosciences - Lab Instructor (Spring 1996-1999)
• PHYT 611 Clinical Management - "Risk Management" (Fall 2000-2001)
• PHYT 622 Clinical Gross Anatomy - Lab Instructor (Summer 1993-1997)
• PHYT 603 Physical Agents - Teacher's Assistant (Fall 1994)