Journal of manipulative and physiological therapeutics
-
J Manipulative Physiol Ther · Feb 1994
Case ReportsChiropractic treatment of cervical radiculopathy caused by a herniated cervical disc.
To present a case of cervical radiculopathy, caused by an MRI documented herniated cervical disc, which was treated with conservative care including chiropractic manipulative therapy. ⋯ Conservative treatment including chiropractic manipulative therapy seems to be a reasonable alternative to surgery, for cervical radiculopathy caused by a herniated cervical disc. Clinical trials should be performed to evaluate long term success rate, risk of permanent disability, rate of recovery and cost effectiveness of this and other forms of treatment for cervical radiculopathy caused by herniated nucleus pulposus.
-
J Manipulative Physiol Ther · Jan 1993
Case ReportsOsteomyelitis of the femur head in a pediatric patient.
A case of posttraumatic osteomyelitis of the femur head is discussed. This article emphasizes the importance of radiographic examination in posttraumatic cases. We describe the common radiographic appearance of osteomyelitis, and then the appropriate mode of treatment for the patient via antibiotic therapy and surgical debridement/curettage.
-
J Manipulative Physiol Ther · Jan 1993
Randomized Controlled Trial Clinical TrialThe Hmax/Mmax ratio as an outcome measure for acute low back pain.
To evaluate the use of the Hmax/Mmax (H/M) ratio as an outcome measure for acute low back pain and to determine the change of this ratio in acute low back pain patients treated with spinal manipulation. ⋯ The H/M ratio was found to be within normal limits in subjects with acute low back pain. The H/M ratio showed greater change in the group which received spinal manipulation, but the change was subtle. The results indicate that the H/M ratio may be of limited value in clinical practice.
-
J Manipulative Physiol Ther · Jan 1993
Comparative StudyThe relationship between the St. Thomas and Oswestry disability scores and the severity of low back pain.
To investigate the relationship between the two disability questionnaires and low back pain severity using the visual analog scale (VAS). ⋯ The consequence of pain (disability) appears to have a weak relationship to pain severity. Despite the moderate correlation between the two disability questionnaires, it is suggested that they are not interchangeable.