Neurologic basis of manual medicine

W. G. Gilliar
Michael L. Kuchera, Philadelphia College of Osteopathic Medicine
D. A. Giulianetti

This article was published in Physical Medicine and Rehabilitation Clinics of North America, Volume 7, Issue 4, Pages 693-714.

The published version is available in print.

Copyright © 1996 The Clinics.


Recent advances in the basic sciences have moved forward our understanding of complex reflex pathways and the numerous neurotransmitters involved. This article proceeds along three broad levels of understanding, i.e., the peripheral (or infraspinal), spinal, and supraspinal aspects of the involved physiology. The different receptor types, innervation, and reflex mechanisms, including those of the autonomic nervous system, are addressed and clinically correlated with some of the observations encountered in the practice of manual medicine.