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Manual therapy is used by many different medical professionals to relieve pain from a variety of different causes. High quality evidence supporting these therapies can be difficult to find. Research available for three different manual therapies was discussed. CranioSacral Therapy (CST) is a manipulative technique that involves light touches guided by the rhythm of the flow of cerebrospinal fluid to relieve areas of CSF that may be blocked or abnormal. There was moderate quality evidence available to support the use of this clinically. Muscle Energy Technique involves passive movement of the practitioner, followed by muscle activation of the patient, followed by more passive movement of the practitioner to relieve pain and improve range of motion. There was moderate quality evidence available to support the use of this clinically. Fascial Distortion Model (FDM) relies on a large force from the thumb of the practitioner to a specific area of fascial abnormality indicated by pain from the patient. There was minimal evidence available to support the use of this clinically. It is important to note that evidence and research is only one portion of treatment for individual patients. Though evidence can help guide a practitioner to a treatment, reliance on evidence-based medicine may unintentionally limit practice. |
