Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Oct 2012
Prevalence of modic changes in active duty military men with lumbar disk herniation who were scheduled for surgery.
The purpose of this study was to report on the prevalence of Modic changes (MCs) in a group of Netherlands military men who were scheduled for surgery (lumbar discectomy). ⋯ For the subjects in this study, MCs were most common at the lower lumbar spine segments, with a predominance of type II. In this study, the presence of a disk herniation and MC at the same level was 37.7%; however, a significant association was not demonstrable.
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J Manipulative Physiol Ther · Oct 2012
Modulation of pain-induced neuromuscular trunk responses by pain expectations: a single group study.
The purpose of this study was to investigate the alteration of pain-induced neuromuscular trunk responses by expectations in healthy volunteers. ⋯ These results confirm previous findings and indicate that experimental pain can alter neuromuscular responses during a trunk flexion-extension task. Furthermore, this study suggests that expectations can alter some of these alterations. Future studies should determine whether neuromuscular changes induced by expectations may contribute to the transition from acute to chronic low-back pain.
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J Manipulative Physiol Ther · Oct 2012
Comparative StudyMyofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain.
The purpose of this study was to investigate the presence of active myofascial trigger points (MTrPs) in a greater number of muscles than previous studies and the relation between the presence of MTrPs, the intensity of pain, disability, and sleep quality in mechanical neck pain. ⋯ The referred pain elicited by active MTrPs in the neck and shoulder muscles contributed to symptoms in mechanical neck pain. Patients exhibited higher disability and worse sleep quality than controls. Sleep quality was associated with pain intensity and disability. No association between active MTrPs and the intensity of pain, disability, or sleep quality was found.
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J Manipulative Physiol Ther · Sep 2012
EditorialChiropractic care and public health: answering difficult questions about safety, care through the lifespan, and community action.
The purpose of this collaborative summary is to document current chiropractic involvement in the public health movement, reflect on social ecological levels of influence as a profession, and summarize the relationship of chiropractic to the current public health topics of: safety, health issues through the lifespan, and effective participation in community health issues. The questions that are addressed include: Is spinal manipulative therapy for neck and low-back pain a public health problem? What is the role of chiropractic care in prevention or reduction of musculoskeletal injuries in children? What ways can doctors of chiropractic stay updated on evidence-based information about vaccines and immunization throughout the lifespan? Can smoking cessation be a prevention strategy for back pain? Does chiropractic have relevance within the VA Health Care System for chronic pain and comorbid disorders? How can chiropractic use cognitive behavioral therapy to address chronic low back pain as a public health problem? What opportunities exist for doctors of chiropractic to more effectively serve the aging population? What is the role of ethics and the contribution of the chiropractic profession to public health? What public health roles can chiropractic interns perform for underserved communities in a collaborative environment? Can the chiropractic profession contribute to community health? What opportunities do doctors of chiropractic have to be involved in health care reform in the areas of prevention and public health? What role do citizen-doctors of chiropractic have in organizing community action on health-related matters? How can our future chiropractic graduates become socially responsible agents of change?
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J Manipulative Physiol Ther · Sep 2012
Shoulder pain in Iranian elite athletes: the prevalence and risk factors.
Shoulder sports injuries are relatively common in athletes who perform highly repetitive motions. The purposes of this study were to determine the prevalence of and risk factors for shoulder injuries and to analyze how individual and other sport characteristics contribute to the risk of shoulder injuries among 6 overhead sports, those being swimming, rowing, wrestling, basketball, volleyball, and handball. ⋯ The prevalence of shoulder pain in athletes with highly repetitive overhead motions seems to be high.