31.3 - Mechanisms of Manual Therapy Interventions
This course will provide the clinician with a needed update on the mechanisms of joint-, soft tissue-, and nerve-biased manual therapy interventions. In these monographs, the authors explore the complex interactions between biomechanical and neurophysiological mechanisms of manual therapy techniques. The authors also discuss the importance of establishing a patient’s baseline neurophysiological status – considering both pro-nociceptive and anti-nociceptive mechanisms – which may alter the effects (ie, success versus lack of success) of manual therapy interventions. The non-specific effects of manual therapy are also discussed, including patient factors, provider factors, and provider-patient relationships. Each monograph ends with examples of clinical applications.
Course Format: Online with an option to purchase the print version
Contact Hours: 10 contact hours
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- Differentiate biomechanical versus neurophysiological effects of manual therapy in individuals with musculoskeletal pain
- Identify interacting mechanisms through which manual therapy may inhibit pain and design interventions accordingly.
- Describe how nociplastic pain presentations may alter manual therapy outcomes.
- Analyze the relationship between dynamic quantitative sensory measures of temporal summation and conditioned pain modulation with neurophysiological mechanisms of wind-up and descending inhibition.
- Compare and contrast the effects of manual therapy versus other physical therapy interventions on opioidergic and non-opioidergic pain inhibitory mechanisms.
- Apply decision making to determine dosage of manual therapy in the patient with and without nociplastic pain.
- Describe considerations for patient improvement after they seek care.
Topics and Authors
- The Mechanisms of Manual Therapy
Joel E. Bialosky, PT, PhD, FAAOMPT, OCS Mark D. Bishop, PT, PhD, FAPTA
- Manual Therapy for Chronic Conditions: A Mechanistic Approach to Modern Manual Therapy
Carol A. Courtney, PT, PhD, ATC, FAAOMPT Cesar Fernández-de-las-Peñas, PT, PhD, Dr.MedSci