Bishop Mark D, Torres-Cueco Rafael, Gay Charles W, Lluch-Girbés Enrique, Beneciuk Jason M, Bialosky Joel E
Department of Physical Therapy, PO Box 100154, University of Florida, Gainesville, FL 32610, USA.
Center for Pain Research & Behavioral Health, PO Box 100165, University of Florida, Gainesville, FL 32610, USA.
Pain Manag. 2015;5(6):455-64. doi: 10.2217/pmt.15.39. Epub 2015 Sep 24.
Manual therapy (MT) is a passive, skilled movement applied by clinicians that directly or indirectly targets a variety of anatomical structures or systems, which is utilized with the intent to create beneficial changes in some aspect of the patient pain experience. Collectively, the process of MT is grounded on clinical reasoning to enhance patient management for musculoskeletal pain by influencing factors from a multidimensional perspective that have potential to positively impact clinical outcomes. The influence of biomechanical, neurophysiological, psychological and nonspecific patient factors as treatment mediators and/or moderators provides additional information related to the process and potential mechanisms by which MT may be effective. As healthcare delivery advances toward personalized approaches there is a crucial need to advance our understanding of the underlying mechanisms associated with MT effectiveness.
手法治疗（MT）是临床医生实施的一种被动的、有技巧的动作，直接或间接针对各种解剖结构或系统，其目的是在患者疼痛体验的某些方面产生有益变化。总体而言，手法治疗过程基于临床推理，通过从多维角度影响有可能对临床结果产生积极影响的因素，来加强对肌肉骨骼疼痛患者的管理。生物力学、神经生理学、心理学和非特异性患者因素作为治疗调节因素和/或缓和因素的影响，提供了与手法治疗可能有效的过程和潜在机制相关的额外信息。随着医疗服务朝着个性化方法发展，迫切需要加深我们对与手法治疗有效性相关的潜在机制的理解。
