The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review

Vigotsky, A. D., & Bruhns, R. P. (2015). The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review. Pain Research and Treatment, 2015, 1–11.

This literature review discusses the research on the neurophysiological response and mechanisms of action to different types of manual therapy. Specific manual therapies that are discussed include: osteopathic manipulative therapy, spinal manipulation, knee joint manipulation, ankle joint mobilization, mulligan’s mobilization with movement, neural mobilization, connective tissue massage, acupressure, and conventional massage. No specific conclusions are presented, only an overview of the literature.

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