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Does Manual Therapy Actually Work?! Part 2 | Expert Physio Reviews!
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- Opublikowany 5 lis 2022
- In part two of this tutorial series, we review and consider if there are any real differences between manual versus fake therapy and if they provide any clinical benefits on reducing pain.
Part 1- Manual therapy Series: • Does Manual Thera...
References
*Lavazza et al., 2021: bmjopen.bmj.com/content/11/5/...
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As a PT Student in my final internship who studied in the uk and am now in North America I find this interesting. In the UK it is usually discouraged though I have seen my current educator have immediate symptoms improvement after manual therapy. I believe there’s a high degree in skill needed and the techniques used need to be relevant to the patients condition. For example, thoracic trigger point release can lead to full rotation and all someone with a shoulder injury to gain enough ROM to participate in there exercises. Passive stretching can also temporarily improve shoulder ROM for adhesive capsules. I do think there is a place for it after what I have seen however I would like to see more supporting evidence.
Great thoughts Andrew! The evidence is exactly what I hope to process during this series - and I’m really looking out for those ones that truly support manual therapy as well
Would be interesting to do a similar review of exercise or 'sham exercises' that is to say random non specific movements and specific exercises for a particular area.
I would love to! Do you any pieces of research that do this?
As Brian Mulligan said " he's surprised not more people do manual therapy cause hands on is everything "
Interesting!
Why on different part of the body. I had been in a sports medicine clinic and observed the therapists, they used a lot of the manual therapy to surrounding tissues and muscles that can get involved or compensating, plus specific exercises, all of the patients came back better and finally good enough to be discharged. The manual therapy can change the pain signal, loosen up the muscles, and allow patients to participate in the excise needed which is significant.
@Grant Wilding 👏🏼👏🏼👏🏼
@Clinical Physio it's all linked via fascia though 😉👍🏻🤫
Yes that’s very true but there’s a big difference between surrounding areas and “a different part of the body” completely. Some of the trials in the research for example completed manual therapy on the foot to treat neck pain.
This is huge! Thank you so much!!
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it's interesting, isn't it?
I would be curious to find out if lying still, on a plinth (or floor), in silence for 30 minutes had any effect on pain/muscle tension?
AMAZING QUESTION!!!
So essentially MT vs ST is MT vs placebo? Really makes me think about the Ben Goldacre TED talk about bad science in the pharmacological world.
What are your thoughts on chiropractors vs physios?
Thank you! This is definitely something we will be exploring in future episodes in this series!
Amazing I have been doing something for 23 yrs and it didn't work on any one of them... Perhaps I will just become a doc and hand out pills...
Thank you so much.....for valuable information
You are most welcome!
Social creatures getting sympathetic touch makes them feel better..... Seems about right!
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I grabbed my popcorn for this. 🍿
🙏🏼🙏🏼👍🏼👍🏼
What's about chiropractice?
Thank you! This is something we will absolutely be covering in future episodes in this series!
Hi did i saw you treating LOGAN PAUL? Please say yes😂
Definitely not me!! 😂