Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · May 2007
Case ReportsChanges in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case series.
Our aim was to report changes in neck pain at rest, active cervical range of motion, and neck pain at end-range of cervical motion after a single thoracic spine manipulation in a case series of patients with mechanical neck pain. ⋯ The present results demonstrated a clinically significant reduction in pain at rest in subjects with mechanical neck pain immediately and 48 hours following a thoracic manipulation. Although increases in all tested ranges of motion were obtained, none of them reached statistical significance at either posttreatment point. The same was found for pain at the end of range of motion for all tested ranges, with the exception of pain at the end of forward flexion at 48 hours. More than one mechanism likely explains the effects of thoracic spinal manipulation. Future controlled studies comparing spinal manipulation vs spinal mobilization of the thoracic spine are required.
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J Manipulative Physiol Ther · May 2007
Comparative StudyComparison of the Neck Disability Index and the Neck Bournemouth Questionnaire in a sample of patients with chronic uncomplicated neck pain.
This study compares the sensitivity to change of the Neck Disability Index (NDI) and the Neck Bournemouth Questionnaire (NBQ) in patients with chronic uncomplicated neck pain. ⋯ The NDI and the NBQ performed comparably in this group of patients with chronic uncomplicated neck pain. Both are sensitive to change and would be efficient outcome tools in studies of chronic neck pain. Both had acceptable internal consistency and are appropriate for use as single-outcome scales.
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J Manipulative Physiol Ther · May 2007
Comparative StudyLow back pain: clinimetric properties of the Trendelenburg test, active straight leg raise test, and breathing pattern during active straight leg raising.
Classification of patients with low back pain (LBP) into subgroups is important as considerable variability exists in the LBP population. Clinical applicable, reliable, and valid tests to differentiate patients with LBP are therefore necessary. The purpose of this study is to examine the reliability, internal consistency, and clinical importance of 3 clinical tests that analyze motor control mechanisms of the lumbopelvic region in patients with nonspecific LBP. ⋯ These data provide evidence favoring the test-retest reliability of the Trendelenburg and ASLR tests in patients with LBP. The internal consistency of the outcome of these tests was high for both assessors, suggesting that these tests assess the same dimension. The interobserver reliability of the assessment of the breathing pattern was fair to moderate. Further research regarding the interobserver reliability, clinical importance, validity, and responsiveness of the Trendelenburg test, ASLR test, and breathing pattern during these tests is required.
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J Manipulative Physiol Ther · Mar 2007
ReviewChronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores in randomized clinical trials.
This study provides a systematic analysis of group change scores in randomized clinical trials of chronic neck pain not due to whiplash and not including headache or arm pain treated with manual therapy. ⋯ There is moderate- to high-quality evidence that subjects with chronic neck pain not due to whiplash and without arm pain and headaches show clinically important improvements from a course of spinal manipulation or mobilization at 6, 12, and up to 104 weeks posttreatment. The current evidence does not support a similar level of benefit from massage.
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J Manipulative Physiol Ther · Mar 2007
Case ReportsTwenty-year-old pathogenic "active" postsurgical scar: a case study of a patient with persistent right lower quadrant pain.
This case study describes a patient with persistent right lower quadrant and low back pain who experienced relief after manual mobilization techniques of an old appendectomy scar. ⋯ Assessment and treatment of "active" scar tissue may comprise an important component of the management of locomotor dysfunction and associated pain syndromes.