Hands-On vs. Virtual PT: Your Body Deserves More Than an Algorithm đ€
In todayâs tech-driven world, itâs no surprise that physical therapy is joining the ranks of services going digital. Virtual PT apps are popping up left and right, promising personalized care through video analysis, AI corrections, and exercise suggestions based on what your camera can âsee.â Iâve had a number of patients ask about these toolsâand while innovation can be exciting, I have some thoughts as a licensed Doctor of Physical Therapy who works hands-on with real human bodies every day.
Observation is Only Step One
With my clinical training and experience, I can typically narrow down whatâs going on with a patient just by observing their movementâdown to about three or four potential causes. But thatâs only the beginning. What truly clarifies the picture is touch.
Once I get my hands on a patientâpalpating muscles, testing mobility, feeling joint alignmentâI can confidently identify the primary issue. That tactile feedback allows me to prioritize a treatment plan thatâs tailored to what I both see and feel. Itâs not just educated guessing; itâs skilled, manual assessment honed by years of training and experience.
The Real Value of PT Is in the Hands
Thereâs a reason physical therapists go through extensive doctoral-level training. While we learn a tremendous amount about biomechanics, anatomy, and clinical theory, one of our most irreplaceable tools is our hands. We learn how to feel dysfunction, to sense the subtleties of movement or tension that no camera or software can fully capture.
Removing this hands-on element isnât just a matter of preferenceâitâs a major shift in the quality and type of care being delivered.
Why âOne-Size-Fits-Allâ Doesnât Fit Your Body
Several of these apps focus on correcting form based solely on visual feedback. The idea is that thereâs a ârightâ way to squat, hinge, or moveâand the app is programmed to push you toward that universal standard. But hereâs the thing: Your body might not be built for that version of the movement.
A skilled PT or trainer understands that movement should be individualized. We all have different joint structures, mobility limitations, injury histories, and strengths. Thatâs why your squatâor any other exerciseâmight need to look different than what a robot thinks is âcorrect.â
Real Stories, Real Results
Iâve had two patients who decided to give one of these apps a try. Both ended up with back pain caused by well-meaning but misguided form corrections. Thankfully, after just 2â3 in-person sessions with me, they were back to pain-free movement.
Thatâs not a flukeâitâs the difference between generalized algorithms and personalized, hands-on care.
PT Should Be Personal
Physical therapy isnât just a checklist of exercises. Itâs a relationship-based practice that depends on understanding the individual in front of you. Sure, virtual PT may have a placeâespecially when designed and programmed by someone who truly knows your body. But it canât replace the nuance, responsiveness, and precision of hands-on, in-person care.
Your body isnât a robot. PT shouldnât be either.
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