Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Oct 2007
Case ReportsAcute spinal cord compression from an extraosseous vertebral hemangioma with hemorrhagic components: a case report.
This case report presents a patient with acute compression myelopathy caused by acute hemorrhage of a thoracic vertebral hemangioma extending into the epidural space. ⋯ The presence of acute or subacute myelopathic symptoms is usually suggestive for malignancy or metastasis. However, in young patients, vertebral hemangioma, causing acute hemorrhage, should be considered in the differential diagnosis. Decompression surgery should be done in such cases before neurological symptoms become irreversible.
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J Manipulative Physiol Ther · Sep 2007
Case ReportsAcute intracranial subdural hematoma after epidural steroid injection: a case report.
Conservative treatment of lumbar radiculopathy includes bed rest, oral medications, physical therapy, spinal manipulation, mobilization, and epidural steroid injections. Intracranial subdural hematoma after accidental dural puncture is a rare and life-threatening complication of epidural steroid injections. In this report, we present a case of subacute intracranial subdural hematoma that developed after epidural steroid injection. ⋯ Intracranial subdural hematoma after accidental dural puncture during epidural steroid injection is a rare complication. Persistent headache should be evaluated carefully for possible intracranial hematomas.
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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.