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Man Ther. 2009 Oct;14(5):531-8. doi: 10.1016/j.math.2008.09.001. Epub 2008 Nov 21.

The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model.

Author information

1
University of Florida, Department of Physical Therapy, Gainesville, FL 32610-0154, United States. bialosky@phhp.ufl.edu

Abstract

Prior studies suggest manual therapy (MT) as effective in the treatment of musculoskeletal pain; however, the mechanisms through which MT exerts its effects are not established. In this paper we present a comprehensive model to direct future studies in MT. This model provides visualization of potential individual mechanisms of MT that the current literature suggests as pertinent and provides a framework for the consideration of the potential interaction between these individual mechanisms. Specifically, this model suggests that a mechanical force from MT initiates a cascade of neurophysiological responses from the peripheral and central nervous system which are then responsible for the clinical outcomes. This model provides clear direction so that future studies may provide appropriate methodology to account for multiple potential pertinent mechanisms.

PMID:
19027342
PMCID:
PMC2775050
DOI:
10.1016/j.math.2008.09.001
[Indexed for MEDLINE]
Free PMC Article

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