Manual Therapy: Art or Science? While the current main limitation of Manual Therapy is the production of predominantly short-term responses, these observations are primarily based on studies that have investigated the effectiveness of individual techniques. However, we know that the therapeutic relationship in clinical practice is also made up of other things, such as the therapeutic alliance between practitioner and patient, understood as a person [70]. For this reason, a healthcare professional trained in Manual Therapy according to an evidence-based approach can produce results even in the long term by exploiting the immediate reduction of the symptom and the rapid improvement of the functionality as a bridge to reduce the fear of movement and the related anxiety in the patient and stimulate an active coping towards their disorder [116], thereby making them gain confidence in their ability to perform “thoughtless, fearless movement” [129] through an especially active rehabilitation process.
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