Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Oct 2005
Comparative StudyA cross-sectional study comparing pain and disability levels in patients with low back pain with and without transitional lumbosacral vertebrae.
To determine whether patients with transitional lumbosacral vertebrae report more pain and disability compared with patients with normal lumbar vertebrae. ⋯ The presence of a transitional lumbosacral vertebra in this group of patients was not related to an increased level of reported low back pain or disability.
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J Manipulative Physiol Ther · Oct 2005
Multicenter Study Comparative StudyCost-effectiveness of medical and chiropractic care for acute and chronic low back pain.
To identify relative provider costs, clinical outcomes, and patient satisfaction for the treatment of low back pain (LBP). ⋯ Chiropractic care appeared relatively cost-effective for the treatment of chronic LBP. Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulation efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapeusis. This evidence can guide physicians, payers, and policy makers in evaluating chiropractic as a treatment option for low back pain.
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J Manipulative Physiol Ther · Oct 2005
Effects of a managed chiropractic benefit on the use of specific diagnostic and therapeutic procedures in the treatment of low back and neck pain.
The aim of this study was to measure the effects of a managed chiropractic benefit on the rates of specific diagnostic and therapeutic procedures for the treatment of back pain and neck pain. ⋯ For the treatment of low back and neck pain, the inclusion of a chiropractic benefit resulted in a reduction in the rates of surgery, advanced imaging, inpatient care, and plain-film radiographs. This effect was greater on a per-episode basis than on a per-patient basis.
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J Manipulative Physiol Ther · Oct 2005
Case ReportsPathological cervical fracture after spinal manipulation in a pregnant patient.
To present the rare case of a displaced odontoid fracture after manipulative treatment. ⋯ Because of the weakening lesion in C2, the spinal manipulation most likely caused the displaced odontoid fracture. Special imaging should be performed, preferably with magnetic resonance imaging, when a patient experiences significant new symptoms after cervical manipulation.