Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Jun 1996
Comparative StudyA radiographic comparison of neutral cervical posture with cervical flexion and extension ranges of motion.
To radiographically assess, using a pilot study, the relationship between the neutral cervical curve and cervical segmental ranges of motion (ROM) for flexion and extension in asymptomatic subjects. ⋯ Correlation between neutral cervical posture and flexion or extension ranges of motion was only strong at the C4 and C5 vertebral levels. Generally, there was not good predictability of ROM from neutral posture as indicated by the R2 values and the standard errors of estimate. Further investigation is needed to determine if other variables, such as angle of the facet joints, may be influential in these postural-functional relationships.
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J Manipulative Physiol Ther · May 1996
Comment Letter Randomized Controlled Trial Clinical TrialSpinal manipulation vs. amitriptyline for the treatment of chronic tension headache: a randomized clinical trial.
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J Manipulative Physiol Ther · Jul 1995
Review Comparative StudyTender points/fibromyalgia vs. trigger points/myofascial pain syndrome: a need for clarity in terminology and differential diagnosis.
This study reviews the clinical distinctions between fibromyalgia (FM) and myofascial pain syndrome (MPS), which represent two separate and distinct soft-tissue syndromes. The major aim of this article is to clarify the terminology associated with these syndromes and clearly define the parameters of differential diagnosis and treatment. ⋯ FM and MPS are two different clinical conditions that require different treatment plans. FM is a systemic disease process, apparently caused by dysfunction of the limbic system and/or neuroendocrine axis. It often requires a multidisciplinary treatment approach including psychotherapy, low dose antidepressant medication and a moderate exercise program. MPS is a condition that arises from the referred pain and muscle dysfunction caused by TrPs, which often respond to manual treatment methods such as ischemic compression and various specific stretching techniques. Both of these conditions are seen routinely in chiropractic offices; therefore, it is important for field practitioners to understand these distinctions.
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J Manipulative Physiol Ther · Jun 1995
The appropriateness of chiropractic spinal manipulation for low back pain: a pilot study.
Spinal manipulation is an efficacious therapy for some patients with low back pain (LBP). In this pilot study, we tested the feasibility of assessing the appropriateness of chiropractic spinal manipulation for patients with LBP. ⋯ In this geographic area, the rate of appropriate care is between 38% and 74% and the rate of inappropriate care is between 7% and 19%, depending on the criteria used to assess appropriateness. Data from other geographic areas of the U.S. will be needed before inferences to a larger population may be drawn, and we have demonstrated that such a study is feasible.