Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Jul 2007
Meta AnalysisThe benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study.
This study describes both positive clinical outcomes and adverse events in patients treated for neck pain by a chiropractor. ⋯ Adverse events may be common, but are rarely severe in intensity. Most of the patients report recovery, particularly in the long term. Therefore, the benefits of chiropractic care for neck pain seem to outweigh the potential risks.
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J Manipulative Physiol Ther · Jul 2007
Comparative StudyReliability and normative database of the Zebris cervical range-of-motion system in healthy controls with preliminary validation in a group of patients with neck pain.
The first aim of this study was to determine the reliability of the Zebris (Achen, Germany) ultrasound-based testing of cervical range of motion (ROM). The second aim was to develop a normative database in a healthy sample of 96 volunteers. The third aim was to evaluate, with the Zebris system, the ROM in a sample of patients with chronic neck pain compared to healthy controls to determine if cervical ROM could discriminate between these groups and between subgroups of pain patients (with or without whiplash injury). ⋯ Results demonstrate a high degree of test-retest reliability in measuring cervical ROM. The use of normative data for ROM when evaluating patients with neck disorders needs to take age into account. The current study has demonstrated that patients with chronic neck pain demonstrate reduced ROM, which differs between patients with idiopathic neck pain and those with chronic whiplash.
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J Manipulative Physiol Ther · Jul 2007
Randomized Controlled TrialEffectiveness of traditional bone setting in chronic neck pain: randomized clinical trial.
This study evaluates the effectiveness of traditional bone setting (TBS) in chronic neck pain (cNP) compared with conventional physiotherapy (PT) and massage (M). ⋯ Traditional bone setting, which is a soft manual mobilization technique focusing on the muscles, joints, and ligaments, appears to be effective in cNP. Two thirds of subjects experienced it as beneficial, and it seems to be able to improve disability and pain in patients with cNP. Subjective and partially objective benefits of TBS were found in those patients more than after other interventions, and the effects lasted at least for 1 year.
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J Manipulative Physiol Ther · Jul 2007
Responsiveness of the short-form 36 and oswestry disability questionnaire in chronic nonspecific low back and lower limb pain treated with customized foot orthotics.
This study reports the responsiveness of the Short-Form 36 (SF-36) and Oswestry Disability Questionnaire (ODQ) to treatment with customized foot orthotics. ⋯ In this cohort, the ODQ and the physical component of the SF-36 appear to be responsive to treatment effects, with the ODQ having the highest responsiveness. The ODQ may be a useful outcome measure in trials of the effectiveness of customized foot orthotics in patients with nonspecific, chronic low back and/or soft tissue lower limb pain.
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J Manipulative Physiol Ther · Jul 2007
Case ReportsA case of vertebral metastasis with pathologic c2 fracture.
This report discusses a patient with a pathologic fracture of the C2 vertebra secondary to osteolytic metastasis from squamous cell carcinoma of the lung. ⋯ Patients with a history of cancer complaining of new onset of back or neck pain should be assumed to have vertebral metastasis until proven otherwise. Trivial trauma should be taken seriously in these cases and investigated with appropriate clinical, laboratory, and imaging examinations. Vertebral malignancies may be a contraindication to spinal manipulation; however, the chiropractic physician plays a significant role in early detection and diagnosis.