Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Mar 2012
Comparative StudyAgreement and correlation between the self-report leeds assessment of neuropathic symptoms and signs and Douleur Neuropathique 4 Questions neuropathic pain screening tools in subjects with low back-related leg pain.
The self-report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) and Douleur Neuropathique 4 Questions (DN4) neuropathic pain screening tools have been shown to be reliable, valid, and able to differentiate neuropathic pain from inflammatory or mixed pain syndromes. However, no studies have compared these tools to determine whether their outcomes are similar. This study evaluated agreement and correlation between the S-LANSS and DN4 in the identification of neuropathic pain in subjects with low back-related leg pain. ⋯ The finding of fair agreement suggests that despite the moderate to good correlation between scores, the cutoff points for the classification of neuropathic pain of the 2 tools may not be congruent.
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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 · Mar 2012
Comparative StudyThe association between self-reported cardiovascular disorders and troublesome neck pain: a population-based cohort study.
The purpose of this population-based cohort study was to investigate the association between self-reported cardiovascular disorders and troublesome neck pain. ⋯ Our analysis suggests that self-reported cardiovascular disorders that moderately or severely impact one's health are a risk factor for developing troublesome neck pain.
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J Manipulative Physiol Ther · Mar 2012
Comparative StudyReconstruction of the decision-making process in assessing musculoskeletal chest pain: an exploratory study using recursive partitioning.
The purposes of this study were to identify the most important determinants from the patient history and clinical examination in diagnosing musculoskeletal chest pain (MSCP) in patients with acute noncardiac chest pain when supported by a structured protocol and to construct a decision tree for identification of MSCP in acute noncardiac chest pain. ⋯ Clinicians use a combination of indicators including systematic palpation of the spine and chest wall and items from the case history to diagnose MSCP. However, the high negative predictive values of the main determinants suggest that the MSCP diagnosis may be a diagnosis by exclusion.
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J Manipulative Physiol Ther · Feb 2012
Randomized Controlled Trial Comparative StudyThe influence of patient attitude toward massage on pressure pain sensitivity and immune system after application of myofascial release in breast cancer survivors: a randomized, controlled crossover study.
The purpose of this study was to evaluate the influence of patient's attitudes toward massage on pressure pain sensitivity and the immune effects of myofascial release in breast cancer survivors (BCS). ⋯ The current study suggests that myofascial release may lead to an immediate increase in salivary flow rate in BCS with cancer-related fatigue. We also found that the effect of myofascial release on immune function was modulated by a positive patient's attitude toward massage.