Manual Therapy And Physiological Effects Flashcards
(14 cards)
What is the mechanism of manual therapy
Physiological processes by which an intervention (manual therapy) creates DESIRED change (outcome)
What is a mediator
How a treatment works
What is moderator
For WHOM a treatment works best
What is #1 for logical processing
We can accurately and reliably MEASURE the movement dysfunction
Or
Presence of tissue pathology
What is #2 of logical process
Measured dysfunctions in this movement, or presence tissue pathology, are CONFIRMED in people who HAVE pain and NOT see in people who do not have pain
What is #3 logical process
We have an intervention that can change the dysfunction or presence of the tissue pathology
What is #4 of logical process
When we apply the intervention to the dysfunction it causes a specific change and if we don’t apply the intervention there will be no change
What is #5 of logical process
When we do change this movement dysfunction or tissue pathology, there IS a resolution of symptoms. If we don’t change this movement dysfunction there will be no change
Why does manual therapy help?
This is where biopsychosocial approach to MT comes in
It effects the neurophysiological system: peripheral and central system
What are the peripheral takeaways for MT
MT can decrease inflammation
MT can cause released of endogenous opioids
MT can effect nerve sensitivity
What are the central takeaways of MT
MT can affect central sensitization
What is personal equipoise
Bias of treatment
What are the evidence of the neurophysiological effects of MT
MT decreases inflammation
Increases endogenous opioids
MT increase pain threshold and decreases pain sensitivity
MT decreases motor neuro activity
What are the evidence of the pyschosocial moderators
Patient expectations of MT influence effectiveness
Clinician preference and expectation of MT influence its effectiveness
Contextual and non-specific effects influence MT
Also therapist-patient, therapist-intervention, and patient intervention affects outcome
