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

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TitreThe mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model.
Publication TypeJournal Article
Année de Publication2009
AuthorsBialosky JE, Bishop MD, Price DD, Robinson ME, George SZ
JournalMan Ther
Volume14
Issue5
Pagination531-8
Date Published2009 Oct
ISSN1532-2769
Mots-clésBiomechanical Phenomena, Humans, Models, Neurological, Musculoskeletal Diseases, Musculoskeletal Manipulations, Pain, Pain Management, Pain Measurement, Research Design
Résumé

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.

DOI10.1016/j.math.2008.09.001
PubMed ID19027342
PubMed Central IDPMC2775050
Grant ListR-21 AT002796-01 / AT / NCCIH NIH HHS / United States
R21 AT002796 / AT / NCCIH NIH HHS / United States
R21 AT002796-01A1 / AT / NCCIH NIH HHS / United States
R21 AT002796-02 / AT / NCCIH NIH HHS / United States
T32 HD043730 / HD / NICHD NIH HHS / United States
T32 HD043730-01 / HD / NICHD NIH HHS / United States
T32HD043730 / HD / NICHD NIH HHS / United States