No significant effect was found on thermal pain threshold. In three studies both a local and widespread analgesic effect was found.
CLAQUETTE FEMME 2015 MANUAL
Pressure pain thresholds increased following spinal or peripheral manual techniques. In 10 studies a significant effect was found. Outcome measure was pain threshold.Ī total of 13 randomized trials were included in the review. Manual therapy was defined as any manual induced articular motion with the aim of inducing analgesic effects. Also the analgesic effects of manual therapy on peripheral joints have not been systematically reviewed.Ī systematic review was carried out following the PRISMA-guidelines. 6 Pain in Motion Research Group, Belgium Departments of Human Physiology and Physiotherapy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium.Ĭurrent evidence shows that manual therapy elicits analgesic effect in different populations (healthy, pain inflicted and patients with musculoskeletal pain) when carried out at the spinal column, although the clinical significance of these effects remains unclear.5 Department of Orthopaedic Surgery, Erasmus MC, University Medical Centre Rotterdam, The Netherlands.
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4 Pain in Motion Research Group, Belgium Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.3 Pain in Motion Research Group, Belgium Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
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Electronic address: 2 Master Program in Manual Physiotherapy, Rotterdam University of Applied Sciences, The Netherlands Department of Neuroscience, Erasmus MC, University Medical Centre Rotterdam, The Netherlands.