Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: Rationale and description of a clinical trial

Beth E. Fisher*, Todd E. Davenport, Kornelia Kulig, Allan D. Wu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Many health care practitioners use a variety of hands-on treatments to improve symptoms and disablement in patients with musculoskeletal pathology. Research to date indirectly suggests a potentially broad effect of manual therapy on the neuromotor processing of functional behavior within the supraspinal central nervous system (CNS) in a manner that may be independent of modification at the level of local spinal circuits. However, the effect of treatment speed, as well as the specific mechanism and locus of CNS changes, remain unclear. Methods/Design: We developed a placebo-controlled, randomized study to test the hypothesis that manual therapy procedures directed to the talocrural joint in individuals with post-acute ankle sprain induce a change in corticospinal excitability that is relevant to improve the performance of lower extremity functional behavior. Discussion: This study is designed to identify potential neuromotor changes associated with manual therapy procedures directed to the appendicular skeleton, compare the relative effect of treatment speed on potential neuromotor effects of manual therapy procedures, and determine the behavioral relevance of potential neuromotor effects of manual therapy procedures.

Original languageEnglish (US)
Article number20
JournalBMC Neurology
Volume9
DOIs
StatePublished - May 21 2009
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: Rationale and description of a clinical trial'. Together they form a unique fingerprint.

Cite this