ArticleThe Journal of manual & manipulative therapy2011
Placebo response to manual therapy: something out of nothing?
Article in The Journal of manual & manipulative therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Influence of Patient Expectations With Lateral Epicondylalgia in Applying Mobilization With Movement. Clinical Trial
Non-Specific Effects of Manual Therapy: A Mixed-Methods Investigation of Contextual and Social Interactions
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.
- Manipulation-induced hypoalgesia in musculoskeletal pain populations: a systematic critical review and meta-analysis.Chiropractic & manual therapies · 2019Pooled it
- Immediate effects of upper cervical spinal manipulation on cervical sensorimotor control in individuals with chronic primary cervical pain: an exploratory randomized controlled trial.Chiropractic & manual therapies · 2026Trial
- Thoracic spine thrust manipulation for individuals with cervicogenic headache: a crossover randomized clinical trial.The Journal of manual & manipulative therapy · 2022Trial
- Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial.BMC musculoskeletal disorders · 2021Trial
- The immediate effects of passive hip joint mobilization on hip abductor/external rotator muscle strength in patients with anterior knee pain and impaired hip function. A randomized, placebo-controlled crossover trial.The Journal of manual & manipulative therapy · 2021Trial
- Time-course changes associated with PA lumbar mobilizations on lumbar and hamstring range of motion: a randomized controlled crossover trial.The Journal of manual & manipulative therapy · 2019Trial
- Craniosacral Therapy for the Treatment of Chronic Neck Pain: A Randomized Sham-controlled Trial.The Clinical journal of pain · 2016Trial
- Thoracic Spine Manipulation in Individuals With Subacromial Impingement Syndrome Does Not Immediately Alter Thoracic Spine Kinematics, Thoracic Excursion, or Scapular Kinematics: A Randomized Controlled Trial.The Journal of orthopaedic and sports physical therapy · 2015Trial
- Article
- Evaluating Manual Therapy in Musculoskeletal Pain: Why Certain Trial Designs May Overestimate Effectiveness-A Scoping Review.European journal of pain (London, England) · 2025Article
- Review
- Acute Effects of Osteopathic Treatment in Long COVID-19 Patients with Fatigue Symptoms: A Randomized, Controlled Trial.Journal of clinical medicine · 2025Article
- Physical Therapists' Choices, Views and Agreements Regarding Non-Pharmacological and Non-Surgical Interventions for Knee Osteoarthritis Patients: A Mixed-Methods Study.Mediterranean journal of rheumatology · 2023Article
- Positive, but not negative, treatment outcome expectancies mediate the relation between depressive symptoms and treatment-related pain reduction.Journal of behavioral medicine · 2023Article
- Tui Na for painful peripheral neuropathy in people with human immunodeficiency virus: A randomized, double-blind, placebo-controlled trial protocol.Frontiers in neurology · 2023Article
- The cognitive-behavioral aspects of the Mulligan concept of manual therapy: A systematic review.European journal of translational myology · 2022Article
- Comparison Between Classic and Light Touch Massage on Psychological and Physical Functional Variables in Athletes: a Randomized Pilot Trial.International journal of therapeutic massage & bodywork · 2020Article
- State of the art: What have the pain sciences brought to physiotherapy?The South African journal of physiotherapy · 2020Article
- The Evolving Case Supporting Individualised Physiotherapy for Low Back Pain.Journal of clinical medicine · 2019Review
- Evaluation of aromatherapy with lavender oil on academic stress: A randomized placebo controlled clinical trial.Contemporary clinical trials communications · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
The mechanisms through which manual therapy inhibits musculoskeletal pain are likely multifaceted and related to the interaction between the intervention, the patient, the practitioner, and the environment. Placebo is traditionally considered an inert intervention; however, the pain research literature suggests that placebo is an active hypoalgesic agent. Placebo response likely plays a role in all interventions for pain and we suggest that the same is true for the treatment effects associated with manual therapy. The magnitude of a placebo response may be influenced by negative mood, expectation, and conditioning. We suggest that manual therapists conceptualize placebo not only as a comparative intervention, but also as a potential active mechanism to partially account for treatment effects associated with manual therapy. We are not suggesting manual therapists include known sham or ineffective interventions in their clinical practice, but take steps to maximize placebo responses to reduce pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.