The Modernisation of Manipulative Therapy

• 作者: Max Zusman
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Manipulative THERAPY CHRONIC PAIN BIOPSYCHOSOCIAL Model PASSIVE MOVEMENT
• 年，卷（期）: 2011,（5）
• 页码范围: 644-649
• 页数: 6页
• 分类号: R73

摘要

Research indicates that, despite physiotherapists’ comprehensive training in the basic sciences, manipulative (currently “musculoskeletal”) therapy is still dominated in the clinical setting by its original, now obsolete, structure-based “biomedical” model. This is further inexplicable in the light of evidence that not only the underlying “philosophy” but also several of the fundamental requirements of the clinical process itself which has the structural-mechanical model as its basis, have been shown to be flawed or at least irrelevant. The apparent inability of the profession to fully abandon outmoded “concepts” (and embrace the acknowledged science-based “best practice” biopsychosocial model) may have potentially undesirable consequences for both patients and therapists engaged in the management of (chronic) musculoskeletal pain and disability.