Journal of manipulative and physiological therapeutics
-
J Manipulative Physiol Ther · Feb 1998
Sensibility testing in patients with a lumbosacral radicular syndrome.
To examine whether there is a significant difference in gnostic sensibility between affected and unaffected legs of patients suffering from lumbosacral radicular syndrome (LRS) resulting from a disc herniation and to determine the validity of the sensibility test for detecting a disc herniation. ⋯ The gnostic sensibility of the affected leg is hypoesthetic compared with the unaffected leg. The specificity of the sensibility test using monofilaments is acceptable, but the sensitivity is not. The monofilament test is a useful and practical tool for excluding the presence of a disc herniation at dermatomes L4, L5 and S1 and disc herniations at the L4-L5, L5-S1 level.
-
J Manipulative Physiol Ther · Feb 1998
Comparative StudyPsychometric properties of the neck disability index.
To determine if a response set bias existed, to assess the factor structure and internal consistency, and to compare Neck Disability Index (NDI) scores with visual analogue scale (VAS) scores for pain intensity. ⋯ The NDI possesses stable psychometric properties and provides an objective means of assessing the disability of patients suffering from neck pain.
-
J Manipulative Physiol Ther · Jan 1998
Comparative StudyResponsiveness of pain scales: a comparison of three pain intensity measures in chiropractic patients.
To compare the responsiveness of three pain scales. ⋯ Given the relative ease of use and scoring of the 11-point NRS, and the obvious advantages of using responsive evaluative measures, this scale is recommended for pain intensity measurement in most types of outcome studies. Furthermore, asking patients to report their usual pain levels, rather than current levels, enhances the responsiveness of the measures and is a more representative perspective of their pain experience. The findings of this study have important implications for investigators who wish to select the most appropriate pain scale for use an outcome measure in treatment evaluative trials.
-
J Manipulative Physiol Ther · Jan 1998
A pilot study of the purchase of manipulation services for acute low back pain in the United Kingdom.
The purchasing arrangements for acute low back pain recommended to UK health ministers by the Clinical Standards Advisory Group (CSAG) in 1994 as a cost-neutral way of reducing back pain disability have not been tested in practice. ⋯ GPs complied with CSAG management recommendations when funding of manipulation services was made available. Implementation was associated with better outcomes generally. A fully funded study including chronic back patients is justified.
-
J Manipulative Physiol Ther · Nov 1997
ReviewThe sacroiliac joint: a review of anatomy and biomechanics with clinical implications.
To examine the biomedical literature pertaining to the anatomy and biomechanics of the sacroiliac (SI) joint to update current concepts and treatment of SI joint dysfunctions. ⋯ Treatment of the SI articulation is difficult and all known SI joint tests have questionable validity, with the exception of pain provocation tests. Clinical treatment should be aimed at improving the stability of the surrounding soft tissues and at reducing mechanical stresses and strains from poor posture or using orthotics to level the sacral base. Much more research is needed in the treatment of this area.