Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Nov 2008
ReviewChiropractic management of low back disorders: report from a consensus process.
Although a number of guidelines addressing manipulation, an important component of chiropractic professional care, exist, none to date have incorporated a broad-based consensus of chiropractic research and clinical experts representing mainstream chiropractic practice into a practical document designed to provide standardized parameters of care. The purpose of this project was to develop such a document. ⋯ A broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for patients with low back pain, based on both the scientific evidence and their clinical experience.
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J Manipulative Physiol Ther · Nov 2008
ReviewChiropractic management of low back pain and low back-related leg complaints: a literature synthesis.
The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). ⋯ As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy.
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J Manipulative Physiol Ther · Nov 2008
Randomized Controlled TrialImmediate hypoalgesic and motor effects after a single cervical spine manipulation in subjects with lateral epicondylalgia.
The purpose of this study is to investigate the immediate effects of a single cervical spine manipulation and a manual contact intervention (MCI) on pressure pain thresholds (PPTs) and thermal pain thresholds over the elbow region and pain-free grip (PFG) force in patients with lateral epicondylalgia (LE). ⋯ The application of a manipulation at the cervical spine produced an immediate bilateral increase in PPT in patients with LE. No significant changes for HPT and CPT were found. Finally, cervical manipulation increased PFG on the affected side, but not the maximum grip force on the unaffected arm. Future studies with larger sample sizes are required to examine the effects of thrust manipulation on PPT, HPT, CPT, or PFG.
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J Manipulative Physiol Ther · Nov 2008
Literature syntheses for the Council on Chiropractic Guidelines and Practice Parameters: methodology.
The purpose of this project was to initiate an iterative process for systematic review of the literature involving a broad spectrum of individuals with experience across multiple domains (clinicians, educators, clinical scientists, and politically active) within the chiropractic profession. ⋯ Although all literature in health care is challenged by complex methodological issues that limit how the information may be generalized, the preponderance of evidence in any of the domains can be informative to the clinician as well as give guidance to new scientific efforts to improve the quality of care.