Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Mar 2012
Multicenter StudyShared decision making through informed consent in chiropractic management of low back pain.
The purpose of this study was to propose questions that may be helpful to educate patients considering treatment approaches to manage low back pain (LBP) and to determine if the information currently presented in informed consent (IC) documents at chiropractic colleges is sufficient to help a patient considering chiropractic management of LBP make a fully informed decision. ⋯ Some information to help patients consider chiropractic management of LBP is currently included in the IC documents used in clinics of ACC institutions. However, many of the questions that could help achieve shared decision making are not included. Modifying IC documents may help patients understand the nature, benefits, harms, costs, and alternatives to LBP care.
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J Manipulative Physiol Ther · Sep 2011
Randomized Controlled Trial Multicenter StudyExamination of motor and hypoalgesic effects of cervical vs thoracic spine manipulation in patients with lateral epicondylalgia: a clinical trial.
The purpose of this study was to compare the effects of a cervical vs thoracic spine manipulation on pressure pain threshold (PPT) and pain-free grip strength in patients with lateral epicondylalgia (LE). ⋯ Cervical spine manipulation produced greater changes in PPT than thoracic spine manipulation in patients with LE. No differences between groups were identified for pain-free grip. Future studies with larger sample sizes are required to further examine the effects of manipulation on mechanisms of pain and motor control in upper extremity conditions.
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J Manipulative Physiol Ther · Feb 2008
Multicenter StudyPredictors of adverse events following chiropractic care for patients with neck pain.
This study examines which variables may predict adverse events in subjects undergoing chiropractic treatment for neck pain. ⋯ Of the 60 independent variables examined, only 4 were found to be predictive of adverse events after chiropractic treatment for neck pain, one of which was found to be protective. The chiropractic practitioner can identify 3 of these variables before initiating treatment.
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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 · Sep 2005
Multicenter Study Clinical TrialThe Nordic back pain subpopulation program: the long-term outcome pattern in patients with low back pain treated by chiropractors in Sweden.
(1) To describe the low back pain (LBP) pattern at baseline; (2) to describe the long-term outcome pattern; (3) to investigate the presence of distinct subgroups in relation to outcome; (4) to establish whether short-term outcome is a predictor of long-term outcome. ⋯ Knowledge of specific subgroups may improve the quality of care and the selection of homogeneous study populations in clinical trials.