Graduation Semester and Year

Summer 2025

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Kinesiology

Department

Kinesiology

First Advisor

Cindy Trowbridge

Second Advisor

Mark Ricard

Third Advisor

Chueh-Lung Laura Hwang

Fourth Advisor

Terry Loghmani

Fifth Advisor

Suzi Wolfram

Abstract

Musculoskeletal dysfunction is a leading cause of pain, functional limitation, and disability worldwide, necessitating the exploration of non-invasive therapeutic strategies. Manual therapy, which encompasses massage, stretching, and instrument-assisted soft tissue mobilization (IASTM), has long been used to address musculoskeletal dysfunction, yet its mechanisms of action and clinical efficacy remain inconsistently defined within the literature. This paper provides a comprehensive review of the historical foundations, physiological effects, and current applications of manual therapy techniques in the treatment of musculoskeletal disorders. Emphasis is placed on how these interventions influence key musculoskeletal properties, including tissue stiffness, joint range of motion, neuromuscular function, and pain perception. While manual therapy has shown promise in both symptom relief and functional restoration, the lack of standardized outcome measures and quantifiable methodologies has hindered its integration into evidence-based clinical practice. Emerging technologies such as Quantifiable Soft Tissue Manipulation (QSTM®) offer potential solutions by enabling real-time assessment of applied forces and tissue responses. This review highlights the need for rigorous, objective investigation into the biomechanical and neurophysiological impacts of manual therapy, with the aim of advancing clinical understanding and improving rehabilitation outcomes for individuals affected by musculoskeletal dysfunction.

Keywords

tissue stiffness, therapeutic, manipulation

Disciplines

Biomechanics | Other Kinesiology

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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