Vicenzino Bill, Paungmali Aatit, Teys Pamela
Division of Physiotherapy, The University of Queensland, St Lucia QLD 4072, Australia.
Man Ther. 2007 May;12(2):98-108. doi: 10.1016/j.math.2006.07.012. Epub 2006 Sep 7.
There are an increasing number of reports espousing the clinically beneficial effects of Mulligan's mobilization-with-movement (MWM) treatment techniques. The most frequent reported effect is that of an immediate and substantial pain reduction accompanied by improved function. Prompted by these dramatic effects are questions regarding the mechanism(s) of action that underpins MWM. It appears timely that a review of the current literature is performed to synthesize and evaluate claims of the effectiveness of MWM and speculation about the proposed mechanisms of action. This article provides an overview of the literature concerning the clinical efficacy, effects and putative mechanisms of action of the MWM approach in the treatment of musculoskeletal conditions. The literature regarding the mechanisms of action in both the biomechanical and pain science paradigms is covered herein by reviewing all available scientific evidence from laboratory-based studies. Limitations of reported studies and directions for further research are also considered.
越来越多的报告支持穆利根动态关节松动术（MWM）治疗技术的临床有益效果。最常报道的效果是疼痛立即大幅减轻，同时功能得到改善。这些显著效果引发了关于MWM作用机制的问题。对当前文献进行综述，以综合和评估MWM有效性的相关说法以及对其作用机制的推测，似乎很有必要。本文概述了有关MWM方法在治疗肌肉骨骼疾病方面的临床疗效、效果及假定作用机制的文献。本文通过回顾基于实验室研究的所有现有科学证据，涵盖了生物力学和疼痛科学范式中作用机制的相关文献。还考虑了已报道研究的局限性及进一步研究的方向。
