Integrated manual therapies: IASP taskforce viewpoint.

IF 3.4 Q2 NEUROSCIENCES Pain Reports Pub Date : 2024-10-29 eCollection Date: 2024-12-01 DOI:10.1097/PR9.0000000000001192
Jerry Draper-Rodi, Dave Newell, Mary F Barbe, Joel Bialosky
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Abstract

Introduction: Manual therapy refers to a range of hands-on interventions used by various clinical professionals, such as osteopaths, osteopathic physicians, chiropractors, massage therapists, physiotherapists, and physical therapists, to treat patients experiencing pain.

Objectives: To present existing evidence of mechanisms and clinical effectiveness of manual therapy in pain.

Methods: This Clinical Update focuses on the 2023 International Association for the Study of Pain Global Year for Integrative Pain Care. Current models of manual therapy and examples of integrative manual therapy are discussed.

Results: The evolution of concepts in recent years are presented and current gaps in knowledge to guide future research highlighted. Mechanisms of manual therapy are discussed, including specific and contextual effects. Findings from research on animal and humans in manual therapy are presented including on inflammatory markers, fibrosis, and behaviours. There is low to moderate levels of evidence that the effect sizes for manual therapy range from small to large for pain and function in tension headache, cervicogenic headache, fibromyalgia, low back pain, neck pain, knee pain, and hip pain.

Conclusion: Manual therapies appear to be effective for a variety of conditions with minimal safety concerns. There are opportunities for manual therapies to integrate new evidence in its educational, clinical, and research models. Manual therapies are also well-suited to fostering a person-centred approach to care, requiring the clinician to relinquish some of their power to the person consulting. Integrated manual therapies have recently demonstrated a fascinating evolution illustrating their adaptability and capacity to address contemporary societal challenges.

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综合手工疗法:IASP 工作组的观点。
导言:手法治疗是指各种临床专业人员,如骨科医生、骨科医生、脊骨神经科医生、按摩师、理疗师和物理治疗师,为治疗疼痛患者而使用的一系列动手干预措施:目的:介绍徒手疗法治疗疼痛的机制和临床效果的现有证据:本临床更新重点关注 2023 年国际疼痛研究协会全球综合疼痛护理年。讨论了目前的手法治疗模式和综合手法治疗的实例:结果:介绍了近年来概念的演变,并强调了当前的知识空白,以指导未来的研究。讨论了徒手疗法的机理,包括特定效应和环境效应。介绍了人工疗法对动物和人类的研究结果,包括对炎症标志物、纤维化和行为的研究结果。有低到中等程度的证据表明,手法疗法对紧张性头痛、颈源性头痛、纤维肌痛、腰背痛、颈部疼痛、膝关节疼痛和髋关节疼痛的疼痛和功能的影响大小从小幅到大幅不等:结论:徒手疗法似乎对各种病症都很有效,而且安全性极低。徒手疗法有机会将新证据融入其教育、临床和研究模式中。徒手疗法也非常适合促进以人为本的护理方法,要求临床医生将部分权力交给咨询者。综合徒手疗法最近发生了令人着迷的演变,说明其适应性强,有能力应对当代社会的挑战。
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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
期刊最新文献
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