Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Mar 2015
Evaluation of palpation, pressure algometry, and electromyography for monitoring trigger points in young participants.
The aims of this study were to assess trigger points (TrPs), their pain threshold, and the activity of motor units in the neck and shoulder girdle muscles of young volunteers and to assess palpation, algometry, and surface electromyography (EMG) for their detection. ⋯ This study showed that the preliminary algometry and rEMG recordings monitored a decrease in PPT and an increase in muscle tension in all cases of TrPs in each of the 3 types detected in people younger than 30 years.
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J Manipulative Physiol Ther · Feb 2015
Comparative StudyRisk of stroke after chiropractic spinal manipulation in medicare B beneficiaries aged 66 to 99 years with neck pain.
The purpose of this study was to quantify risk of stroke after chiropractic spinal manipulation, as compared to evaluation by a primary care physician, for Medicare beneficiaries aged 66 to 99 years with neck pain. ⋯ Among Medicare B beneficiaries aged 66 to 99 years with neck pain, incidence of vertebrobasilar stroke was extremely low. Small differences in risk between patients who saw a chiropractor and those who saw a primary care physician are probably not clinically significant.
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J Manipulative Physiol Ther · Feb 2015
Development of the headache activities of daily living index: initial validity study.
The purpose of this study was to develop a novel instrument for assessing headache-related disability focusing solely on important activities of daily living. ⋯ The HADLI was created using theory and empirical-based methods. Face validity was assessed by focus group input and by first-level psychometrics. The HADLI has good face validity and is suitable for further reliability and validity testing.
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J Manipulative Physiol Ther · Feb 2015
Comparative StudyA comparison of lumbopelvic motion patterns and erector spinae behavior between asymptomatic subjects and patients with recurrent low back pain during pain-free periods.
The purpose of this study was to determine the patterns of lumbopelvic motion and erector spinae (ES) activity during trunk flexion-extension movements and to compare these patterns between patients with recurrent low back pain (LBP) in their pain-free periods and matched asymptomatic subjects. ⋯ This study showed that reduced maximum ranges of motion and absence of ES flexion-relaxation phenomenon were not useful to identify LBP patients in the absence of acute pain. However, these patients showed subtle alterations of their lumbopelvic motion and ES activity patterns, which may have important clinical implications.
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J Manipulative Physiol Ther · Feb 2015
Cadaveric validation of dry needle placement in the lateral pterygoid muscle.
The aim of this anatomical study was to determine if a needle is able to reach the lateral pterygoid muscle during the application of dry needling technique. ⋯ This anatomical study supports that dry needling technique for the lateral pterygoid muscle can be properly conducted with the proposed approach.