Key Features

  • Comprehensive overview helps provide an understanding of how and why MT techniques work.
  • Content is written in jargon-free, easy-to-read style, with most terms explained.
  • Text is enhanced by over 120 diagrams, photographs and tables.
  • Manual pain relief is extensively discussed throughout the book.
  • Section 1 examines the direct effects of manual therapy on connective tissue and muscle physiology, examining how MT can help assist repair and adaptation processes in these tissues.
  • Section 2 examines the effect of MT on the neuromuscular system, identifying conditions where neuromuscular dysfunctions can be treated by MT.
  • Section 3 examines the psychological, emotional and behavioral impacts of MT, in addition to the psychophysiological affects of MT, including psychomotor, neuroendocrine, and autonomic responses.
  • More than 1,000 references relevant to manual therapy are included, making this an essential source book for students and researchers of MT.

Table of Contents

1. Introduction

SECTION 1 The effect of manipulation on the tissue organization
2. Manual therapy in the tissue dimension
3. Assisting repair with manual therapy
4. Affecting fluid flow with manual therapy
5. Assisting adaptation: manual stretching
6. Pain relief by manual therapy: the local tissue dimension
7. Overview and summary of Section 1

SECTION 2 Neurological organization in manual therapy
8. Manual therapy in the neurological dimension
9. The motor system
10. Proprioceptive stimulation by manual therapy techniques
11. Affecting the lower motor system with manual therapy
12. The adaptive code for neuromuscular re-abilitation
13. Abilities, inability and re-abilitation
14. Treating the intact motor system: behavioural and psychomotor dysfunctions
15. Neuromuscular organisation in musculoskeletal damage
16. Re-abilitating the damaged motor system
17. Pain relief by manual therapy – neurological mechanisms
18. Muscle tone
19. Overview and summary of Section 2

SECTION 3 Psychological and psychophysiological processes in manual therapy
20. Manual therapy in the psychological/psychophysiological dimension
21. Origins of therapeutic potential of touch
22. Psychological influences of manual therapy
23. Psychophysiology of manual therapy
24. Manual therapy in the psychosomatic field
25. Touch as a therapeutic intervention
26. Pain relief by manual therapy: psychological processes
27. Overview and summary of Section 3

SECTION 4 Overview and clinical application
28. Overview and clinical application of the science


No. of pages:
© 2005
Churchill Livingstone
eBook ISBN:
Print ISBN:

About the author

Eyal Lederman

Dr Eyel Lederman is Director, Centre for Professional Development in Manual Therapy, London, UK and a practicing osteopath. Eyal completed his PhD in physiotherapy at King’s College London where he researched the neurophysiology of manual therapy. He is actively involved in manual therapy research at UCL, exploring the clinical use of functional stretching. Eyal regularly teaches manual therapy techniques and the physiological basis of manual therapy in different schools across the UK and abroad. He has published many articles in the area and is the author of Harmonic Technique, The Science and Practice of Manual Therapy, Neuromuscular Rehabilitation in Manual and Physical Therapies and Therapeutic Stretching: Towards a Functional Approach.

Affiliations and Expertise

Eyal Lederman, Director, Centre for Professional Development in Osteopathy and Manual Therapy, London, UK; Visiting Professor, University College London (UCL) Institute of Orthopaedics and Musculoskeletal Science; and Practising Osteopath