Evidence map›Paper›PMID 40938885›Full record

GuidelinePloS one2025

A Model to guide force-based manipulation research and practice.

M Terry Loghmani, Damian Keter, Geoffrey M Bove, Beth A Winkelstein, Thomas C Bulea, Håkan Olausson, Medha N Pathak, Rachael Powell, Chad E Cook

Abstract readPractice Guideline
In one paragraph

Guideline in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

M Terry LoghmaniDepartment of Physical Therapy, School of Health & Human Sciences, Indiana University, Indianapolis, Indiana, United States of America.ORCID https://orcid.org/0000-0003-2286-0733
Damian KeterPhysical Medicine and Rehabilitation Department, United States Department of Veterans Affairs, Cleveland, Ohio, United States of America.
Geoffrey M BoveBove Consulting, Kennebunkport, Maine, United States of America.ORCID https://orcid.org/0000-0002-8974-4705
Beth A WinkelsteinDepartment of Bioengineering, School of Engineering and Applied Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Thomas C BuleaRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, United States of America.
Håkan OlaussonDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Medha N PathakDepartment of Physiology & Biophysics, Sue and Bill Gross Stem Cell Research Center, University of California, Irvine, Irvine, California, United States of America.
Rachael PowellDepartment of Physical Therapy, School of Health & Human Sciences, Indiana University, Indianapolis, Indiana, United States of America.
Chad E CookDepartment of Orthopaedics, Duke University School of Medicine, Duke University, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0001-8622-8361

Funding

SPINE-WORK: An inclusive research community to study and improve force-based manipulations for spine painU24AT011978 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI VICTOR H BAROCAS, Beth A Winkelstein · 2022 to 2026
$3.2M
NeuronS_MATTR Network: Neuronal & Systems Mechanisms of Affective Touch & Therapeutic Tissue Manipulation Research NetworkU24AT011970 · NCCIH · UNIVERSITY OF CALIFORNIA BERKELEY · PI Gregory John Gerling, Ellen A Lumpkin · 2022 to 2026
$3.2M
Building the brain: How mechanical forces shape human neural developmentDP2AT010376 · NCCIH · UNIVERSITY OF CALIFORNIA-IRVINE · PI PATHAK, MEDHA M · 2018 to 2020
$2.9M
Force-Based Manipulations Research NetworkU24AT011969 · NCCIH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Chad Cook, William Ray Reed · 2022 to 2026
$2.6M
NCCIH NIH HHS DP2 AT010376NCCIH NIH HHS U24 AT011969NCCIH NIH HHS U24 AT011970NCCIH NIH HHS U24 AT011978
6 · The paper itself

Abstract

introductionManual therapies are forms of force-based manipulations (FBM) and involve the application of mechanical force to the outside of the body with therapeutic intent. The United States National Institutes of Health (NIH) U24 FBM Taxonomy and Terminology Committee (FBM-TTC) was formed to better understand why responses to FBM differ between individuals. One objective for this multi-disciplinary working group was to develop a framework outlining factors that should be considered, measured, and reported when developing and performing studies on FBM.

methodsThe workgroup collaborated to develop a model outlining elements to consider during FBM research and practice. Three different models were proposed by members of the group who voted on a preferred model using a rank-ordered process and refined the selected model based on consensus and published literature.

resultsA 3-dimensional (3D) matrix model was chosen that includes three elements: contextual factors influencing FBM outcomes, structure and function levels focusing on biological and physiological aspects, and force parameters. Each element expands into different components and sub-levels. The model is designed to be interactive, integrative, and dynamic. DISCUSSION: The model provides a framework to guide protocol development for FBM mechanistic research and clinical outcome studies. For example, researchers can design more robust studies systematically varying force parameters by considering other matrix components, while clinicians may develop more personalized treatment plans. The model supports the complexity of mechanistic responses to FBM by integrating the multitude of intrinsic and extrinsic factors that impact responses. Detailed discussion of each element is beyond the scope of this paper; however, content experts are encouraged to expand on this dynamic model.

conclusionsAn innovative 3D model was developed to guide FBM research. The framework integrates foundational elements and accommodates new insights, making it a valuable tool to advance FBM science and practice.

Indexed as

Musculoskeletal ManipulationsAnimalsHumansModels, TheoreticalNational Institutes of Health (U.S.)United States

Identifiers

PMID40938885
PMCPMC12431274

What OpenQuestion holds

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Registered trials

None linked

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.