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Therapeutic Interventions and Manual Techniques

Manual Therapy and Interventions

False Narratives, Nocebo, and Negative Expectations do NOT affect Manual Therapy Outcomes: Research Confirmed

False Narratives, Nocebo, and Negative Expectations do NOT affect Manual Therapy Outcomes: Research Confirmed

Research Confirmed: Messaging, expectations, and treatment preference may have an inconsistent effect on the perception of pain induced by a manual therapy technique (e.g. how painful an acupuncture needle feels), but no significant effect on post-treatment outcome measures (e.g. pain during motion or functional outcome measure scores). Further, stress and catastrophizing are unlikely to have a significant effect on outcomes; however, it may be advised that joint manipulations are not performed when stress/catastrophizing is high. Stress is likely to be highest during session 1 and decrease with subsequent sessions, and matching a patient's assessment findings to the best treatment option significantly improves outcomes, regardless of expectations.

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

Pain Neuroscience Education (PNE) is Relatively Ineffective: Research Confirmed

Pain Neuroscience Education (PNE) is Relatively Ineffective: Research Confirmed

Research Summary Statement: The randomized controlled trials (RCTs) available that compare pain neuroscience education (PNE) to other interventions imply that PNE is unlikely to be more effective than biomedical education, and is unlikely to result in additional benefit when added to supervised manual therapy, exercise, and/or the combination of other effective interventions. Further, the addition of manual therapy and exercise to PNE reliably results in significant improvement in patient outcomes, implying that PNE alone cannot be considered an optimal treatment approach. The addition of PNE to a home exercise program may enhance patient outcomes (perhaps due to enhanced effort and compliance during exercise). Last, PNE does reliably improve Tampa Scale of Kinesiophobia (TSK) scores; however, the validity of this finding and/or correlation with other recovery outcome measures is questionable. 

What causes the "popping" noise when you crack a joint? (Does it improve joint manipulation outcomes?)

What causes the "popping" noise when you crack a joint? (Does it improve joint manipulation outcomes?)

An evidence-based article defining cavitation sound, the mechanism of sound creation, how it relates to joint manipulation, and whether a cavitation sound is correlated with patient outcomes following manipulation.

You Can Palpate the Psoas

You Can Palpate the Psoas

You Can Palpate the Psoas