Research: FIECHTNER and BRODEUR,

Listed in Issue 75

Abstract

FIECHTNER and BRODEUR, Division of Rheumatology, Michigan State University, Colleges of Osteopathic and Human Medicine, East Lansing, Michigan, USA, jfiechtner@pol.net, reviewed (67 references) clinical studies investigating the usefulness of manipulation in treating musculoskeletal disorders and arthritis .

Background

Methodology

Results

Conclusion

Manual techniques are useful, but primarily as adjuncts to a comprehensive treatment programme . Manual techniques are particularly useful to help break the cycle of pain and to increase tolerance to exercise and other educational approaches . The available clinical studies do not provide any information on how manual techniques aid the healing process, and thus further study is needed in this area, for example, to determine the mechanisms by which manipulation affects pain and motion . Such information should help to improve the design of future studies in this area.

References

Fiechtner JJ, Brodeur RR. Manual and manipulation techniques for rheumatic disease. The Medical Clinics of North America 86 (1): 91-103. Jan 2002.

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