I see it as a type of massage used in physical medicine and rehabilitation as part of a medical team consisting of referring physicians or surgeons, chiropractors, physical therapists and athletic trainers. It also involves being proficient in documenting care in medical terminology to discuss treatment plans and outcomes with other members of the medical team. Plus, understanding everyone’s scope of practice and boundaries to make proper referrals and maintaining the integrity of your practice. I also think continuing education for those in the medical field is a big more therapeutically based.