Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Feb 2005
ReviewStatus of activator methods chiropractic technique, theory, and practice.
To provide an historical overview, description, synthesis, and critique of the Activator Adjusting Instrument (AAI) and Activator Methods Chiropractic Technique of clinical assessment. ⋯ A body of basic science and clinical research has been generated on the AAI since its first peer-reviewed publication in 1986. The Activator analysis may be a clinically useful tool, but its ultimate scientific validation requires testing using sophisticated research models in the areas of neurophysiology, biomechanics, and statistical analysis.
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J Manipulative Physiol Ther · Feb 2005
Multicenter StudyThe Nordic back pain subpopulation program: a 1-year prospective multicenter study of outcomes of persistent low-back pain in chiropractic patients.
The aims of the study are to describe the low-back pain and disability status at baseline, the fourth visit, and at 3 and 12 months in Norwegian patients treated by chiropractors for persistent low back pain (LBP) and to describe movements between various subgroups over time. ⋯ The outcome pattern is similar to that found in other clinical studies. Treatment outcome should be measured early with follow-up at 3 rather than at 12 months, because patients will improve or recover quickly but may experience recurring problems. Numbers "cured" appear to be a feasible outcome variable in this type of study population.
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J Manipulative Physiol Ther · Feb 2005
Reliability of McKenzie classification of patients with cervical or lumbar pain.
In the McKenzie system, patients are classified first into syndromes, then into subsyndromes. At present, the reliability of classification with this system is unclear. No study has included patients with cervical pain, and the studies to date have reported conflicting results. ⋯ The McKenzie assessment performed by persons trained in the McKenzie method may allow for reliable classification of patients with lumbar and cervical pain.
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J Manipulative Physiol Ther · Jan 2005
Autonomic nervous system function among individuals with acute musculoskeletal injury.
To determine differences in peripheral and cardiovascular autonomic function between individuals with acute musculoskeletal injury (<1 week) and healthy controls. ⋯ These findings suggest that interaction between cutaneous and vasomotor sympathetic neurons in response to acute musculoskeletal injury, reflected as increased afferent input from sensitized nociceptors and other sensory neurons, results in alterations in autonomic function.