“…The proposed comprehensive model is intended to explain the mechanisms of MT on musculoskeletal pain. MT has a postulated role in the treatment of disorders of other body systems such as asthma (Balon & Mior, 2004) and high blood pressure (Plaugher & Bachman, 1993); however, those effects are beyond the scope of the current model. Finally, this model is strictly intended to guide research questions regarding the mechanisms of MT.…”
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.
“…The proposed comprehensive model is intended to explain the mechanisms of MT on musculoskeletal pain. MT has a postulated role in the treatment of disorders of other body systems such as asthma (Balon & Mior, 2004) and high blood pressure (Plaugher & Bachman, 1993); however, those effects are beyond the scope of the current model. Finally, this model is strictly intended to guide research questions regarding the mechanisms of MT.…”
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.
“…2,17 If it is assumed that chiropractors would be sought primarily for musculoskeletal conditions and because the incidence of back pain and arthritis is increasing in the population, 20 it would be reasonable to imagine that utilization of chiropractic services would also increase. Data from the national health survey suggest that although the proportion of the population reporting chronic back pain and arthritis-related conditions increased between 1996 and 2000, the proportion that reported seeing a chiropractor remained relatively stable (Table 5).…”
Section: Discussionmentioning
confidence: 99%
“…1 The profession has obtained self-regulatory status in all Canadian provinces, maintains high patient satisfaction, and is the most frequently sought complementary and alternative health care group. 2 Yet despite this apparent acceptance, its future role within the health care system remains controversial. 3 In addition, chiropractors are beginning to realize the potential economic threat of an increasing supply within a market of questionable demand.…”
“…Since 2002, four systematic reviews, one a Cochrane review, on manual therapy for asthma have been published [227][228][229][230]. Of the total of five RCTs on the effectiveness of manual therapy [231][232][233][234][235] available from the searched literature, two investigated chiropractic spinal manipulation for chronic asthma, one in adults [231] and the other in children [232].…”
Section: Evidence Base For Manual Treatment Systematic Reviewsmentioning
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