Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Feb 2006
ReviewTrunk-strengthening exercises for chronic low back pain: a systematic review.
The objective of this systematic review was to determine the effect of lumbar spine-strengthening exercises on outcomes for people with chronic low back pain. ⋯ Trunk strengthening appears effective compared with no exercise. Increasing exercise intensity and adding motivation increase treatment effects. Trunk strengthening, compared with aerobics or McKenzie exercises, showed no clear benefit of strengthening. It is unclear whether observed benefits are due to tissue loading or movement repetition.
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J Manipulative Physiol Ther · Feb 2006
Randomized Controlled TrialImprovement after chiropractic care in cervicocephalic kinesthetic sensibility and subjective pain intensity in patients with nontraumatic chronic neck pain.
The objective of this study was to examine alteration in head repositioning accuracy (HRA), range of motion, and pain intensity in patients with chronic cervical pain syndrome without a history of cervical trauma. ⋯ The results of this study suggest that chiropractic care can be effective in influencing the complex process of proprioceptive sensibility and pain of cervical origin. Short, specific chiropractic treatment programs with proper patient information may alter the course of chronic cervical pain.
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J Manipulative Physiol Ther · Feb 2006
The relative responsiveness of 3 different types of clinical outcome measures on chiropractic patients with low back pain.
The purpose of this study is to compare the responsiveness/sensitivity of 3 fundamentally different types of outcome measures in low back pain. ⋯ More research is needed in this area, and caution must be taken in choosing outcome measures for randomized clinical trials on low back pain.
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J Manipulative Physiol Ther · Feb 2006
The effect of seat belt use on the cervical electromyogram response to whiplash-type impacts.
The objective of this study was to determine the effect of a standard 3-point lap-and-shoulder seat belt and car seat on the electromyogram (EMG) response of the cervical muscles to increasing low-velocity impacts in comparison with that of a rigid seat and 5-point restraint. ⋯ Compared with previously reported impact studies with a rigid seat and 5-point harness, the use of a 3-point lap-and-shoulder seat belt with a standard car seat did not appear to adversely affect cervical muscle response. In very-low-velocity and low-velocity impact experiments, seat belt and seat type may not significantly alter cervical EMG and kinematics.
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J Manipulative Physiol Ther · Jan 2006
Spinal manipulation reduces pain and hyperalgesia after lumbar intervertebral foramen inflammation in the rat.
To document potential mediating effects of the Activator-assisted spinal manipulative therapy (ASMT) on pain and hyperalgesia after acute intervertebral foramen (IVF) inflammation. ⋯ These studies show that ASMT can significantly reduce the severity and shorten the duration of pain and hyperalgesia caused by lumbar IVF inflammation. This effect may result from ASMT-induced faster elimination of the inflammation and recovery of excitability of the inflamed DRG neurons by improving blood and nutrition supplement to the DRG within the affected IVF. Manipulation of a specific spinal segment may play an important role in optimizing recovery from lesions involving IVF inflammation.