Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Jan 2007
Prevalence of modic degenerative marrow changes in the cervical spine.
The prevalence and distribution of Modic degenerative marrow changes as seen on magnetic resonance imaging scans have been reported for the lumbar spine, and research suggests that type 1 Modic changes are linked to low back pain. The purpose of this study was to report on the prevalence, types, and distribution of the changes found for the cervical spine. ⋯ Modic degenerative bone marrow changes are observed in the cervical spine, with the C5-6 level being the most commonly involved. Unlike in the lumbar spine in which Modic type 2 changes predominate, type 1 marrow changes were far more common in the cervical spine. Further studies should focus on the clinical relevance of these findings.
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J Manipulative Physiol Ther · Jan 2007
Patient perceptions of chiropractic treatment for primary care disorders.
Although some surveyed groups of chiropractors consider themselves qualified as primary care providers, consumer attitudes of such may affect practice success. The purpose of this study is to determine chiropractic patients' perception of chiropractors as primary care providers and to determine what disorders patients believe chiropractors can treat. ⋯ Patients have varied views of what chiropractors can and cannot treat. Further studies are needed to determine the effectiveness of chiropractic treatment for specific primary care disorders. The results of such studies may be the determining influence for public and physician opinion on the appropriateness of chiropractic care for these conditions.
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J Manipulative Physiol Ther · Oct 2006
Case ReportsIntracranial hypotension causing headache and neck pain: a case study.
The purpose of this study is to discuss the presentation, examination, diagnosis, and treatment of a case of intracranial hypotension presenting to a chiropractic office as acute severe headache and neck pain. ⋯ Intracranial hypotension can cause headache and neck pain that may appear to be musculoskeletal in nature. The key symptom is the orthostatic nature of the headache.
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J Manipulative Physiol Ther · Oct 2006
ReviewChiropractic treatment of lower extremity conditions: a literature review.
The purpose of this study was to document the quantity and type of research conducted on the chiropractic management of lower extremity conditions. ⋯ Literature on the chiropractic management of lower extremity conditions has a large number of case studies (level 4 evidence) and a smaller number of higher-level publications (level 1-3 evidence). The management available in the peer-reviewed literature is predominantly multimodal and contains combined spinal and peripheral components. Future chiropractic research should use higher-level research designs, such as randomized controlled trials.
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J Manipulative Physiol Ther · Oct 2006
Coping and back problems: a prospective observational study of Danish military recruits.
The aim of this study was to investigate if Antonovsky's coping questionnaire ("sense of coherence" [SOC]-13) can be used to predict self-reported low back pain (LBP) and associated leg pain in young men subjected to the first 3 months of military service and to challenge such a link with a number of biosocial variables. ⋯ In these young Danish conscripts, coping or elements of coping (as defined with the help of the SOC-13 questionnaire) could predict LBP and leg pain occurring during a 3-month period. Biological and psychological variables dominated the final models, but none of the social variables could significantly predict LBP or leg pain.