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Updated: Jan 21, 2026

Behavioral Assessment of Manual Dexterity in Non-Human Primates
Published on: November 11, 2011
Manual therapy: Exploiting the role of human touch
Tommaso Geri1, Antonello Viceconti1, Marco Minacci1
1Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Campus of Savona. Via Magliotto, 2, 17100, Savona (SV), Italy.
Physiotherapy hands-on techniques are a vital form of patient touch, impacting analgesic, affective, and somatoperceptual responses. Understanding these mechanisms requires a multidisciplinary approach for evidence-based practice.
Area of Science:
- Musculoskeletal physiotherapy
- Human touch in therapy
Background:
- Current physiotherapy trends favor hands-off approaches like education and exercise for musculoskeletal pain.
- Despite this, hands-on techniques remain integral to physiotherapy practice, valued by patients and integrated into training.
Purpose of the Study:
- To explore hands-on techniques as a specific form of human touch.
- To deepen the understanding of the action mechanisms of manual therapy.
- To examine the analgesic, affective, and somatoperceptual aspects of touch in physiotherapy.
Main Methods:
- Literature review on the multifaceted mechanisms of hands-on techniques.
- Analysis of the physical and emotional properties of manual therapy stimuli.
- Consideration of the role of therapist-patient relationship and communication skills.
Main Results:
- Hands-on techniques involve both the physical properties of the stimulus and the emotional connection with the patient.
- Effective manual therapy requires therapists to possess strong relational and communicative skills.
- Investigating these techniques necessitates a multidisciplinary research team.
Conclusions:
- Reframing hands-on techniques as human touch necessitates a shift in perspective.
- Recognizing the therapeutic value of touch is crucial for evidence-based physiotherapy.
- This perspective enhances the understanding and application of manual therapy.
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