Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Sep 2005
Randomized Controlled Trial Comparative StudyA randomized clinical trial of manual versus mechanical force manipulation in the treatment of sacroiliac joint syndrome.
To investigate the effect of instrument-delivered compared with traditional manual-delivered thrust chiropractic adjustments in the treatment of sacroiliac joint syndrome. ⋯ The results indicate that a short regimen of either mechanical-force, manually-assisted or high-velocity, low-amplitude chiropractic adjustments were associated with a beneficial effect of a reduction in pain and disability in patients diagnosed with sacroiliac joint syndrome. Neither mechanical-force, manually-assisted nor high-velocity, low-amplitude adjustments were found to be more effective than the other in the treatment of this patient population.
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J Manipulative Physiol Ther · Sep 2005
Case ReportsPossible generators of retrotrochanteric gluteal and thigh pain: the gemelli-obturator internus complex.
To investigate and correlate the anatomy of the gluteal region with the clinical findings of retrotrochanteric and posterior thigh pain, as seen in clinical chiropractic practice, and describe potential treatment options. ⋯ In patients with persistent gluteal and sciatica-like pain, especially when centered in the retrotrochanteric region, the gemelli-obturator internus muscle complex and associated bursae should be considered as a possible source of the pain.
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J Manipulative Physiol Ther · Sep 2005
Multicenter Study Clinical TrialThe Nordic back pain subpopulation program: the long-term outcome pattern in patients with low back pain treated by chiropractors in Sweden.
(1) To describe the low back pain (LBP) pattern at baseline; (2) to describe the long-term outcome pattern; (3) to investigate the presence of distinct subgroups in relation to outcome; (4) to establish whether short-term outcome is a predictor of long-term outcome. ⋯ Knowledge of specific subgroups may improve the quality of care and the selection of homogeneous study populations in clinical trials.
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J Manipulative Physiol Ther · Sep 2005
ReviewChiropractic manipulation and acute neck pain: a review of the evidence.
The aim of this study was to review the chiropractic and medical literature in an effort to determine the extent of current evidence supporting the use of chiropractic manipulation for the treatment of acute neck pain. ⋯ There has been scant investigative research into the treatment of acute neck pain with chiropractic manipulation. Consequently, more data are needed and appropriate studies should be initiated.
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J Manipulative Physiol Ther · Jul 2005
Multicenter StudyThe Nordic Back Pain Subpopulation Program: validation and improvement of a predictive model for treatment outcome in patients with low back pain receiving chiropractic treatment.
The aim of this study was to develop a predictive model for treatment outcome in patients with low back pain (LBP) receiving chiropractic treatment. ⋯ In this study, patients with LBP who also had leg pain and LBP occurring sufficiently frequently or having lasted sufficiently long to add up to at least 30 days in the past year, and who did not report definite general improvement by the second treatment were not good candidates for short-term recovery. It is suggested that patients who fit the criteria of potential nonresponders should be carefully monitored to allow a selective approach of care.