Journal of manipulative and physiological therapeutics
-
J Manipulative Physiol Ther · Oct 1998
The Copenhagen Neck Functional Disability Scale: a study of reliability and validity.
To determine whether a newly developed disability scale for patients with neck pain demonstrated acceptable reliability and validity. ⋯ The disability scale demonstrated excellent practicality and reliability. The scale accurately reflects patient perceptions regarding functional status and pain as well as doctor's global assessment and is responsive to change over long periods of time. We feel that this scale can be a valuable tool for the assessment of patients in future clinical trials and quality of care studies.
-
J Manipulative Physiol Ther · Sep 1998
Randomized Controlled Trial Clinical TrialAn investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation.
To investigate a proposed model in which manipulative therapy produces a treatment-specific initial hypoalgesic and sympathoexcitatory effect by activating a descending pain inhibitory system. The a priori hypothesis tested was that manipulative therapy produces mechanical hypoalgesia and sympathoexcitation beyond that produced by placebo or control. Furthermore, these effects would be correlated, thus supporting the proposed model. ⋯ Manual therapy produces a treatment-specific initial hypoalgesic and sympathoexcitatory effect beyond that of placebo or control. The strong correlation between hypoalgesic and sympathoexcitatory effects suggests that a central control mechanism might be activated by manipulative therapy.
-
J Manipulative Physiol Ther · Sep 1998
Comparative StudyFurther analysis of the reliability of the posterior tangent lateral lumbar radiographic mensuration procedure: concurrent validity of computer-aided X-ray digitization.
To investigate the reliability of a specific method of radiographic analysis of the geometric configuration of the lumbopelvic spine in the sagittal plane, and to investigate the concurrent validity of a computer-aided digitization procedure designed to replace the more tedious and time-consuming manual measurement process. ⋯ The data tend to support the reliability of this method of radiographic analysis of the geometric configuration of the lumbopelvic spine as viewed on lateral lumbopelvic radiographs. The additional data presented here tend to support the concurrent validity of the computer-aided digitization method of analysis inasmuch as the measures determined by the digitizing examiners are essentially identical to those determined by the manual method plus or minus the average standard error of measure of each value.
-
J Manipulative Physiol Ther · May 1998
A study of referral patterns among Queensland general medical practitioners to chiropractors, osteopaths, physiotherapists and others.
In Queensland, Australia, patients with work-related injuries must receive a referral from a general medical practitioner to receive treatment from such "nontraditional" practitioners as physiotherapists, chiropractors or osteopaths, even though these nontraditional practitioners are primary care providers outside of the workers' compensation system. The Chiropractors' Association of Australia (Queensland Branch) (CAAQ) believed that injured workers wishing to receive chiropractic care stood little chance of obtaining a medical referral. On the other hand, the General Manager of the Workers' Compensation Board of Queensland maintained that injured workers had little difficulty obtaining such a referral for chiropractic care. ⋯ The survey results confirm that general medical practitioners are highly unlikely to have professional dealings with chiropractors and osteopaths, including referral of patients to said providers, even if the patient requests such a referral, and that general medical practitioners are much more likely to have professional dealings with physiotherapists than with any of the other nontraditional groups considered.
-
J Manipulative Physiol Ther · Mar 1998
Attachments of the ligamentum nuchae to cervical posterior spinal dura and the lateral part of the occipital bone.
To describe previously unrecorded attachments of the ligamentum nuchae to the cervical posterior spinal dura, and to posterolateral parts of the occipital bone in an anatomical study, with particular reference to the deep aspects of the suboccipital triangle and upper cervical region. ⋯ The present study is the first to describe the full morphology of the relationship between the ligamentum nuchae and the cervical posterior spinal dura and the lateral aspects of the occipital bone. This is of significance for understanding the biomechanics of the cervical spine, particularly rotational movements of the head in the sagittal or transverse planes. This may have implications in manipulative therapy for conditions as cervicogenic headache and for various degenerative disorders affecting the cervical spine.