Title
Balancing hands-on with hands-off physical therapy interventions for the treatment of central sensitization pain in osteoarthritis
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Edinburgh ,
Subject
Human medicine
Source (journal)
Manual therapy / Manipulation Association of Chartered Physiotherapists. - Edinburgh
Volume/pages
20(2015) :2 , p. 349-352
ISSN
1356-689X
ISI
000352769200017
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Traditional understanding of osteoarthritis-related pain has recently been challenged in light of evidence supporting a key role of central sensitization in a subgroup of this population. This fact may erroneously lead musculoskeletal therapists to conclude that hands-on interventions have no place in OA management, and that hands-off interventions must be applied exclusively. The aim of this paper is to encourage clinicians in finding an equilibrium between hands-on and hands-off interventions in patients with osteoarthritis-related pain dominated by central sensitization. The theoretical rationale for simultaneous application of manual therapy and pain neuroscience education is presented. Practical problems when combining these interventions are also addressed. Future studies should explore the combined effects of these treatment strategies to examine whether they increase therapeutic outcomes against current approaches for chronic osteoarthritis-related pain.
E-info
https://repository.uantwerpen.be/docman/iruaauth/3ce0fd/0d4d0a4c64c.pdf
Full text (open access)
https://repository.uantwerpen.be/docman/irua/85f96e/9795.pdf
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