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

<p>Abstract</p> <p>Background</p> <p>Many health care practitioners use a variety of hands-on treatments to improve symptoms and disablement in patients with musculoskeletal pathology.</p> <p>Research to date indirectly suggests a potentially broad effect of...

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Main Authors: Kulig Kornelia, Davenport Todd E, Fisher Beth E, Wu Allan D
Format: Article
Language:English
Published: BMC 2009-05-01
Series:BMC Neurology
Online Access:http://www.biomedcentral.com/1471-2377/9/20
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author Kulig Kornelia
Davenport Todd E
Fisher Beth E
Wu Allan D
author_facet Kulig Kornelia
Davenport Todd E
Fisher Beth E
Wu Allan D
author_sort Kulig Kornelia
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Many health care practitioners use a variety of hands-on treatments to improve symptoms and disablement in patients with musculoskeletal pathology.</p> <p>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.</p> <p>Methods/Design</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Trial Registration</p> <p><url>http://www.clinicaltrials.gov</url> identifier NCT00847769.</p>
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spelling doaj.art-35032c1177834a539fc0340ec2b2b3132022-12-21T18:37:34ZengBMCBMC Neurology1471-23772009-05-01912010.1186/1471-2377-9-20Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trialKulig KorneliaDavenport Todd EFisher Beth EWu Allan D<p>Abstract</p> <p>Background</p> <p>Many health care practitioners use a variety of hands-on treatments to improve symptoms and disablement in patients with musculoskeletal pathology.</p> <p>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.</p> <p>Methods/Design</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Trial Registration</p> <p><url>http://www.clinicaltrials.gov</url> identifier NCT00847769.</p>http://www.biomedcentral.com/1471-2377/9/20
spellingShingle Kulig Kornelia
Davenport Todd E
Fisher Beth E
Wu Allan D
Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
BMC Neurology
title Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
title_full Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
title_fullStr Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
title_full_unstemmed Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
title_short Identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement: rationale and description of a clinical trial
title_sort identification of potential neuromotor mechanisms of manual therapy in patients with musculoskeletal disablement rationale and description of a clinical trial
url http://www.biomedcentral.com/1471-2377/9/20
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