ReviewPain research and treatment2015
The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review.
Review in Pain research and treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05680688 (Conditioned Pain Modulation Effects of Manual Therapy in University Students With Recurrent or Chronic Neck Pain), which is not on this map. Cited by 44 papers, 3 of them syntheses 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.
Conditioned Pain Modulation Effects of Manual Therapy in University Students With Recurrent or Chronic Neck Pain
Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- Therapeutic Massage for Cancer Survivors: An Umbrella Review.Current oncology reports · 2026Pooled it
- Effects of mobilization or manipulation of the thoracic spine on autonomic nervous system markers in symptomatic and asymptomatic participants - a systematic review and meta-analysis.The Journal of manual & manipulative therapy · 2025Pooled it
- Exercise Therapy Versus Manual Therapy for the Management of Pain Intensity, Disability, and Physical Function in People With Chronic Low Back Pain: A Systematic Review With Meta-Analysis and Meta-Regression.European journal of pain (London, England) · 2025Pooled it
- Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial.Clinical rehabilitation · 2024Trial
- Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis.The Journal of manual & manipulative therapy · 2020Trial
- Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations.BMC musculoskeletal disorders · 2017Trial
- Common Mechanisms in Migraine, Migraine-Related Neck Pain, and Low Back Pain: Implications for Treatment.Pain and therapy · 2026Review
- The Effect of Joint Mobilization and Manipulation on Proprioception: Systematic Review with Limited Meta-Analysis.Journal of functional morphology and kinesiology · 2026Review
- The Effects of High-Intensity Laser Therapy on Pain, PPT, and ROM in Individuals with Myofascial Pain Syndrome: A Systematic Review.Journal of lasers in medical sciences · 2026Review
- Therapeutic Soreness in Manual Therapy for Chronic Neck Pain: A Triphasic Model of Descending Pain Modulation.Journal of pain research · 2026Review
- Integrative conservative rehabilitation for adolescent idiopathic scoliosis: a randomized controlled trial of traditional Chinese manual therapy combined with Schroth training.Frontiers in pediatrics · 2026Article
- Technologies to investigate the mechanisms of force-based manipulations: a narrative methods review.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
- Manual therapy and neuroplasticity: central mechanisms and clinical implications for pain relief.The Journal of manual & manipulative therapy · 2025Article
- The mechanisms of manual therapy: A living review of systematic, narrative, and scoping reviews.PloS one · 2025Article
- Rotating-pulling-poking manipulation effectively alleviates pain symptoms of lateral ankle sprain: an animal experimental study.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Immediate Effects of the Mandibular Muscle Energy Technique in Adults with Chronic Temporomandibular Disorder.Clinics and practice · 2024Article
- Variability and repeatability of spinal manipulation force-time characteristics in thoracic spinal manipulation on a manikin.Chiropractic & manual therapies · 2024Article
- An international consensus on gaps in mechanisms of forced-based manipulation research: findings from a nominal group technique.The Journal of manual & manipulative therapy · 2024Article
- Effectiveness of a Manual Therapy Protocol in Women with Pelvic Pain Due to Endometriosis: A Randomized Clinical Trial.Journal of clinical medicine · 2023Article
- Facial Pain: RCT between Conventional Treatment and Fascial ManipulationBioengineering (Basel, Switzerland) · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response to different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy's analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms, and nearly all therapies appear to be at least partially mediated by descending modulation. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.
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.