The effects of manual therapy on connective tissue

Phys Ther. 1992 Dec;72(12):893-902. doi: 10.1093/ptj/72.12.893.


The purpose of this manuscript is to examine the known and theoretical mechanical effects of therapeutic manual techniques on the connective tissue (CT) of joints and fasciae. Typical CT structures that could be influenced by manual techniques will be discussed. The behavior of CT under loading and the influence of immobilization on CT will be examined. The forces developed during manual techniques will be described, and their potential effects on the physical properties of CT will be discussed. Research priorities regarding the effects of manual therapy on CT will be outlined.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Connective Tissue / pathology
  • Connective Tissue / physiopathology*
  • Evaluation Studies as Topic
  • Humans
  • Joint Diseases / pathology
  • Joint Diseases / physiopathology
  • Joint Diseases / therapy*
  • Manipulation, Orthopedic / classification
  • Manipulation, Orthopedic / methods
  • Manipulation, Orthopedic / standards*
  • Physical Therapy Modalities / classification
  • Physical Therapy Modalities / methods
  • Physical Therapy Modalities / standards*
  • Range of Motion, Articular
  • Tensile Strength