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    Reconceptualising manual therapy skills in contemporary practice

    Access Status
    Fulltext not available
    Authors
    Rabey, M.
    Hall, Toby
    Hebron, C.
    Palsson, T.
    Christensen, S.
    Moloney, N.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Rabey, M. and Hall, T. and Hebron, C. and Palsson, T. and Christensen, S. and Moloney, N. 2017. Reconceptualising manual therapy skills in contemporary practice. Musculoskeletal Science and Practice. 29: pp. 28-32.
    Source Title
    Musculoskeletal Science and Practice
    DOI
    10.1016/j.msksp.2017.02.010
    ISSN
    2468-8630
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/63503
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 Elsevier Ltd. With conflicting evidence regarding the effectiveness of manual therapy calls have arisen within some quarters of the physiotherapy profession challenging the continued use of manual skills for assessment and treatment. A reconceptualisation of the importance of manual examination findings is put forward, based upon a contemporary understanding of pain science, rathe r than considering these skills only in terms of how they should “guideâ€? manual therapy interventions. The place for manual examination findings within complex, multidimensional presentations is considered using vignettes describing the presentations of five people with low back pain. As part of multidimensional, individualised management, the balance of evidence relating to the effectiveness, mechanisms of action and rationale for manual skills is discussed. It is concluded that if manual examination and therapeutic skills are used in a manner consistent with a contemporary understanding of pain science, multidimensional patient profiles and a person-centred approach, their selective and judicious use still has an important role.

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