Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Nov 2002
Is the sagittal configuration of the cervical spine changed in women with chronic whiplash syndrome? A comparative computer-assisted radiographic assessment.
To reveal whether women with chronic whiplash-associated disorder (WAD) symptoms, grade I-II, demonstrate regional and/or segmental radiographic signs of altered cervical lordosis. ⋯ The whiplash group exhibited a different configuration of cervical lordosis. This is clinically important and needs to be studied more closely.
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J Manipulative Physiol Ther · Oct 2002
Randomized Controlled Trial Clinical TrialEvaluation of a specific home exercise program for low back pain.
The prescription of exercise as a conservative treatment for lumbar pain is frequent and seems effective for the chronic cases of nonspecific low back pain. However, there is no evidence favoring one type of exercise over another. Often, exercise programs are prescribed without adequate evaluation of the individual characteristics like posture, muscular force, and extensibility. Patients with totally different causes of low back pain will often be given the same type of exercises. ⋯ The results of this study suggest that applying a specific physical evaluation and exercise prescription is an appropriate treatment for people having subacute or chronic nonspecific pain. Thus clinicians should prescribe exercise programs based on individual muscular deficits rather than most commonly prescribed exercise programs.
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J Manipulative Physiol Ther · Jun 2002
Clinical Trial Controlled Clinical TrialClinical considerations in the use of surface electromyography: three experimental studies.
The validity and applicability of erector spinae electromyogram (EMG) use in clinical practice is questionable. Differences in the amplitude of the EMG signal between populations with low back pain (LBP) and controls have been hypothesized but not sufficiently documented. ⋯ Repeatability of the EMG signal during quiet stance is acceptable; however, bilateral asymmetry may not be a definitive indicator of dysfunction.
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J Manipulative Physiol Ther · May 2002
Case ReportsMissed cervical spine fracture-dislocations: the importance of clinical and radiographic assessment.
To review the case of a patient who suffered a cervical spine fracture-dislocation missed at a hospital emergency department. ⋯ Cervical spine fracture-dislocations are often missed during standard radiographic examinations in emergency department settings. Chiropractors are encouraged to perform a comprehensive evaluation of patients presenting with cervical trauma even if they have had prior x-ray films reported as normal. Standard x-ray films taken at emergency department facilities are not entirely reliable for detecting or revealing cervical spine fracture-dislocations. This case stresses the importance of careful clinical assessment and imaging procedures on patients who have encountered cervical spine trauma.
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J Manipulative Physiol Ther · May 2002
Clinical Trial Controlled Clinical TrialEndogenous opioid effects on motoneuron pool excitability: potential analgesic effect of acute exercise.
Metabolic and thermal stresses of exercise mediate the release of endogenous opioids depressing motoneuron activation (MNA). Although exercise is routinely presented as a coequal treatment for management of acute and chronic low back pain (LBP), it is not clear that exercise-induced endogenous opioid release can play a role in the analgesic and treatment outcomes for patients with LBP. Furthermore, if opioid involvement is present, it is not clear what level of exercise might be beneficial in the suppression of MNA and possibly LBP. ⋯ Endogenous opioids do not appear to modulate motoneuron responses to exercise under these experimental conditions.