Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · May 1995
ReviewMisuse of the literature by medical authors in discussing spinal manipulative therapy injury.
This study was conducted to determine how the words chiropractic and chiropractor have been used in publications in relation to the reporting of complications from cervical spinal manipulation therapy (SMT). ⋯ The words chiropractic and chiropractor have been incorrectly used in numerous publications dealing with SMT injury by medical authors, respected medical journals and medical organizations. In many cases, this is not accidental; the authors had access to original reports that identified the practitioner involved as a nonchiropractor. The true incidence of such reporting cannot be determined. Such reporting adversely affects the reader's opinion of chiropractic and chiropractors.
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J Manipulative Physiol Ther · Mar 1995
Randomized Controlled Trial Comparative Study Clinical TrialSpinal manipulation vs. amitriptyline for the treatment of chronic tension-type headaches: a randomized clinical trial.
To compare the effectiveness of spinal manipulation and pharmaceutical treatment (amitriptyline) for chronic tension-type headache. ⋯ The results of this study show that spinal manipulative therapy is an effective treatment for tension headaches. Amitriptyline therapy was slightly more effective in reducing pain at the end of the treatment period but was associated with more side effects. Four weeks after the cessation of treatment, however, the patients who received spinal manipulative therapy experienced a sustained therapeutic benefit in all major outcomes in contrast to the patients that received amitriptyline therapy, who reverted to baseline values. The sustained therapeutic benefit associated with spinal manipulation seemed to result in a decreased need for over-the-counter medication. There is a need to assess the effectiveness of spinal manipulative therapy beyond four weeks and to compare spinal manipulative therapy to an appropriate placebo such as sham manipulation in future clinical trials.
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J Manipulative Physiol Ther · Feb 1995
Comparative StudyLow back pain outcome measurement assessment in chiropractic teaching clinics: responsiveness and applicability of two functional disability questionnaires.
The major aims were to evaluate responsiveness and clinical/research applicability of the Revised Oswestry Disability Questionnaire (ODQ) and the Dallas Pain Questionnaire (DPQ). Construct and content validity were assessed. Patient characteristics and outcomes were also documented. ⋯ The ODQ and the activities of daily living and work/leisure scales from the DPQ appear appropriate for monitoring LBP patients returning for care to chiropractic teaching clinics. The social and anxiety/depression dimensions of the DPQ do not appear to be responsive in this population. The latter scale may be unsuitable on the grounds of misinterpretations.
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J Manipulative Physiol Ther · Feb 1995
Case ReportsChiropractic manipulation of anteriorly displaced temporomandibular disc with adhesion.
This AB, single-subject case study was conducted to investigate the capability of chiropractic manipulation of the temporomandibular joint (TMJ) in treating unilateral anterior displacement of the articular disc with adhesion to the articular eminence. A specific joint manipulation was designed to reduce the anteriorly displaced and adhered TMJ disc. ⋯ The findings of this study show this specific manipulation of the TMJ may be appropriate for the conservative treatment of adhered anteriorly dislocated disc.
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J Manipulative Physiol Ther · Nov 1994
Case ReportsManipulation under anesthesia combined with epidural steroid injection.
To demonstrate the benefit of cooperation between medical and chiropractic specialists and the usefulness of combining chiropractic and epidural injection in particular cases of back pain. ⋯ Cooperation between medical and chiropractic specialists is to be encouraged. These cases demonstrate cooperation between an anesthesiologist and a chiropractor. By using a single treatment of manipulation under epidural anesthesia/epidural steroid followed by continued chiropractic, we were able to lead our patients out of therapeutic dead ends and deal with the dilemma of a patient in too much pain to tolerate an initial chiropractic treatment.