Effect of Manual Therapy on Pain Processing in People With Knee Osteoarthritis:A Systematic Review

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-07-01 Epub Date: 2025-11-12 DOI:10.1016/j.jmpt.2025.10.022

Paula Fernanda Sávio Ribeiro MSc , Adriane A. Alves MSc , Marcos Amaral de Noronha PhD , Luiz Fernando Approbato Selistre PhD

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引用次数: 0

Abstract

Objective

The purpose of this systematic review was to determine the effect of manual therapy techniques on pain processing in individuals with knee osteoarthritis (KOA).

Methods

: We conducted a comprehensive search across electronic databases through June 2023, including CENTRAL, Medline, Embase, CINAHL, and PEDro. Only randomized controlled trials were considered, and methodological quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale.

Results

Four studies met the inclusion criteria and underwent full reading and critical analysis. The methodological quality of these studies was rated from good to excellent. Two of 4 studies showed favorable results for manual therapy. Pain processing was assessed using pressure pain threshold, but the results of the included studies were inconclusive, failing to demonstrate a significant change in pressure pain threshold due to manual therapy techniques.

Conclusion

The limited number of studies and substantial variation in techniques used may have contributed to the lack of positive outcomes and therefore the findings are limited. No studies investigated alternative forms of pain processing beyond pressure pain threshold.

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手工疗法对膝关节骨关节炎患者疼痛加工的影响：系统综述。

目的：本系统综述的目的是确定手工治疗技术对膝关节骨关节炎（KOA）患者疼痛处理的影响。方法：我们在截至2023年6月的电子数据库中进行了全面的检索，包括CENTRAL、Medline、Embase、CINAHL和PEDro。仅考虑随机对照试验，并使用物理治疗证据数据库（PEDro）量表评估方法学质量。结果：4项研究符合纳入标准，并进行了完整阅读和批判性分析。这些研究的方法学质量被评为从良好到优秀。4项研究中有2项显示了手工疗法的良好效果。使用压力痛阈评估疼痛处理，但纳入的研究结果不确定，未能证明由于手动治疗技术导致压力痛阈的显着变化。结论：有限的研究数量和使用的技术的实质性变化可能导致缺乏积极的结果，因此研究结果是有限的。没有研究调查了压力疼痛阈值以外的其他形式的疼痛处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.