scholarly journals The neurophysiological response to manual therapy and its analgesic implications: A narrative review

Author(s):  
Andrew D Vigotsky ◽  
Ryan P Bruhns

Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin, and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response of different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy’s analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.

2015 ◽  
Author(s):  
Andrew D Vigotsky ◽  
Ryan P Bruhns

Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin, and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response of different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy’s analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.


2015 ◽  
Author(s):  
Andrew D Vigotsky ◽  
Ryan P Bruhns

Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin, and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response of different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy’s analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.


2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Andrew D. Vigotsky ◽  
Ryan P. Bruhns

Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response to different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy’s analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms, and nearly all therapies appear to be at least partially mediated by descending modulation. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.


2017 ◽  
Vol 38 (suppl_1) ◽  
Author(s):  
N. Lyamina ◽  
E. Karpova ◽  
S. Lyamina ◽  
E. Kotelnikova ◽  
V. Senchikhin ◽  
...  

2015 ◽  
Vol 1 (1) ◽  
pp. 57-61
Author(s):  
Jigme Singye

According to the philosophy of traditional Bhutanese medicine, ignorance (Ma-Rig-Pa) is considered as the main causeof all diseases of mankind. However, other factors such as seasons, psychiatric emotions, behaviour and dietary habitsalso acts as the triggering agents. This paper is a narrative review based on the medical text of traditional medicine(Sowarigpa) and religious text available in the country. All the medical text states that our defective mind (ignorance)is the main source of all kinds of ailments in the living beings. Due to ignorance, we the human beings are unable tosee the real phenomenon and therefore leading to enclosed knowledge of oneself, which in turn gives rise to the threemental poisons; attachment, anger and delusion. Ignorance is the ultimate source of these three mental poisons whichcompel people to follow wrong lifestyle that disturb the balance of the three humours – wind, bile and phlegm. Thus,in turn gives rise to the four hundred and four different types of diseases as described in gSo-ba Rig-pa.


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