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

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Bialosky, JE; Bishop, MD; Price, DD; Robinson, ME; George, SZ

Published Date

  • October 2009

Published In

Volume / Issue

  • 14 / 5

Start / End Page

  • 531 - 538

PubMed ID

  • 19027342

Pubmed Central ID

  • 19027342

Electronic International Standard Serial Number (EISSN)

  • 1532-2769

Digital Object Identifier (DOI)

  • 10.1016/j.math.2008.09.001

Language

  • eng

Conference Location

  • Scotland