AI Article Synopsis

  • Manual therapy is a key part of rehabilitation for pain, but its exact mechanisms are not fully understood, with suggestions it involves neurophysiological processes.
  • This review aims to explore how various types of manual therapy trigger neurophysiological responses that lead to pain relief.
  • The findings indicate that different manual therapies produce analgesic effects through distinct mechanisms, largely influenced by descending modulation pathways, highlighting the need for more research on these processes.

Article Abstract

Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response to different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy's analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms, and nearly all therapies appear to be at least partially mediated by descending modulation. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4695672PMC
http://dx.doi.org/10.1155/2015/292805DOI Listing

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