Evaluating the Efficacy of Manual Therapy in Musculoskeletal Rehabilitation
Keywords:
manual therapy, musculoskeletal rehabilitation, efficacy, aches, range of movement, musculoskeletal conditions, joint mobilization, soft tissue mobilization, spinal manipulation, muscle strength strategies, low back aches, neck pain, osteoarthritis, shoulder disorders, neurophysiological responses, pain modulation, biomechanical changes, comprehensive rehabilitation programs, quality of life, variations in techniques, long-term benefits, clinical decision-making, treatment strategiesAbstract
Manual remedy represents a multifaceted approach in musculoskeletal rehabilitation, encompassing numerous fingers-on strategies implemented with the aid of professional therapists to relieve aches, improve range of movement, and repair features in individuals with musculoskeletal disorders. This evaluation ambitions to assess the efficacy of manual remedy strategies in treating musculoskeletal conditions by analyzing a wide variety of research, encompassing randomized controlled trials, systematic evaluations, and meta-analyses. The evaluation considers the numerous applications of manual remedy, inclusive of joint mobilization, soft tissue mobilization, spinal manipulation, and muscle strength strategies. Studies exploring the effectiveness of manual remedy interventions for conditions consisting of low back aches, neck pain, osteoarthritis, and shoulder disorders are reviewed and synthesized. Additionally, the assessment examines the mechanisms underlying manual therapy's efficacy, together with neurophysiological responses, pain modulation, and biomechanical changes. Findings advocate that manual remedy, while incorporated into comprehensive rehabilitation applications, demonstrates promising consequences in reducing pain, improving functionality, and enhancing the fine of lifestyles in people with musculoskeletal illnesses. However, versions in techniques, affected person populations, and observed methodologies highlight the need for further properly-designed research to establish definitive conclusions concerning the highest quality software and lengthy-time period blessings of manual remedy in musculoskeletal rehabilitation. This complete assessment contributes to nuanced expertise on the function and effectiveness of guide therapy, assisting clinicians and researchers in informed decision-making and treatment strategies for musculoskeletal issues.References
Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2015). Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis. Physical Therapy, 96(1), 9–25. https://doi.org/10.2522/ptj.20140548
Arribas-Romano, A., Fernández-Carnero, J., Molina-Rueda, F., Angulo-Diaz-Parreño, S., & Navarro-Santana, M. J. (2020). Efficacy of Physical Therapy on Nociceptive Pain Processing Alterations in Patients with Chronic Musculoskeletal Pain: A Systematic Review and Meta-analysis. Pain Medicine, 21(10), 2502–2517. https://doi.org/10.1093/pm/pnz366
Barrett, E., de Burca, N., McCreesh, K., & Lewis, J. (2016). The effectiveness of conservative treatments in the management of idiopathic frozen shoulder: A systematic review of randomised controlled trials. Manual Therapy, 25, e60–e61. https://doi.org/10.1016/j.math.2016.05.087
Bishop, M. D., Torres-Cueco, R., Gay, C. W., Lluch-Girbés, E., Beneciuk, J. M., & Bialosky, J. E. (2015). What effect can manual therapy have on a patient’s pain experience? Pain Management, 5(6), 455–464. https://doi.org/10.2217/pmt.15.39
Cao, Y. (2017). The Effectiveness of Manual Therapy for Relieving Pain, Stiffness, and Dysfunction in Knee Osteoarthritis: A Systematic Review and Meta-Analysis. May 2017, 4(20;4), 229–243. https://doi.org/10.36076/ppj.2017.243
Clark, N. C., Röijezon, U., & Treleaven, J. (2015). Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Manual Therapy, 20(3), 378–387. https://doi.org/10.1016/j.math.2015.01.009
Côté, P., Hartvigsen, J., Axén, I., Leboeuf-Yde, C., Corso, M., Shearer, H., Wong, J., Marchand, A.-A., Cassidy, J. D., French, S., Kawchuk, G. N., Mior, S., Poulsen, E., Srbely, J., Ammendolia, C., Blanchette, M.-A., Busse, J. W., Bussières, A., Cancelliere, C., & Christensen, H. W. (2021). The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature. Chiropractic & Manual Therapies, 29(1). https://doi.org/10.1186/s12998-021-00362-9
Desjardins-Charbonneau, A., Roy, J.-S., Dionne, C. E., Frémont, P., MacDermid, J. C., & Desmeules, F. (2015). The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 45(5), 330–350. https://doi.org/10.2519/jospt.2015.5455
Eckenrode, B. J., Kietrys, D. M., & Parrott, J. S. (2018). Effectiveness of Manual Therapy for Pain and Self-reported Function in Individuals With Patellofemoral Pain: Systematic Review and Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 48(5), 358–371. https://doi.org/10.2519/jospt.2018.7243
Effectiveness of Paravertebral Ozone Therapy in Individuals with Low Back Pain with or without Radicular Pain: A Systematic Review. (2020). Chronic Pain & Management. https://doi.org/10.29011/2576-957x.100028
Gomes-Neto, M., Lopes, J. M., Conceição, C. S., Araujo, A., Brasileiro, A., Sousa, C., Carvalho, V. O., & Arcanjo, F. L. (2017). Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Physical Therapy in Sport, 23, 136–142. https://doi.org/10.1016/j.ptsp.2016.08.004
Hidalgo, B., Hall, T., Bossert, J., Dugeny, A., Cagnie, B., & Pitance, L. (2017). The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 30(6), 1149–1169. https://doi.org/10.3233/BMR-169615
Konstantakis, X., Pazaridis, C., & Heneghan, N. (2016). The adjunctive benefit of manual therapy in addition to therapeutic exercise for shoulder impingement syndrome: A systematic review. Manual Therapy, 25, e153. https://doi.org/10.1016/j.math.2016.05.296
Laimi, K., Mäkilä, A., Bärlund, E., Katajapuu, N., Oksanen, A., Seikkula, V., Karppinen, J., & Saltychev, M. (2017). Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review. Clinical Rehabilitation, 32(4), 440–450. https://doi.org/10.1177/0269215517732820
Lee, N.-W., Kim, G.-H., Heo, I., Kim, K.-W., Ha, I.-H., Lee, J.-H., Hwang, E.-H., & Shin, B.-C. (2017). Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine, 2017, 1–22. https://doi.org/10.1155/2017/8218139
Martins, W. R., Blasczyk, J. C., Aparecida Furlan de Oliveira, M., Lagôa Gonçalves, K. F., Bonini-Rocha, A. C., Dugailly, P.-M., & de Oliveira, R. J. (2016). Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis. Manual Therapy, 21, 10–17. https://doi.org/10.1016/j.math.2015.06.009
Picha, K. J., Jochimsen, K. N., Heebner, N. R., Abt, J. P., Usher, E. L., Capilouto, G., & Uhl, T. L. (2018). Measurements of self‐efficacy in musculoskeletal rehabilitation: A systematic review. Musculoskeletal Care, 16(4), 471–488. https://doi.org/10.1002/msc.1362
Piper, S., Shearer, H. M., Côté, P., Wong, J. J., Yu, H., Varatharajan, S., Southerst, D., Randhawa, K. A., Sutton, D. A., Stupar, M., Nordin, M. C., Mior, S. A., van der Velde, Gabrielle M., & Taylor-Vaisey, A. L. (2016). The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration. Manual Therapy, 21, 18–34. https://doi.org/10.1016/j.math.2015.08.011
Salamh, P., Cook, C., Reiman, M. P., & Sheets, C. (2016). Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta-analysis. Musculoskeletal Care, 15(3), 238–248. https://doi.org/10.1002/msc.1166
Steuri, R., Sattelmayer, M., Elsig, S., Kolly, C., Tal, A., Taeymans, J., & Hilfiker, R. (2017). Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. British Journal of Sports Medicine, 51(18), 1340–1347. https://doi.org/10.1136/bjsports-2016-096515
Ulger, O., Demirel, A., Oz, M., & Tamer, S. (2017). The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 30(6), 1303–1309. https://doi.org/10.3233/bmr-169673
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