Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Sep 2001
Pain, disability, and satisfaction outcomes and predictors of outcomes: a practice-based study of chronic low back pain patients attending primary care and chiropractic physicians.
Few studies exist on the prognostic value of demographic, clinical, or psychosocial factors on long-term outcomes for patients with chronic low back pain. ⋯ Chiropractic care compared favorably to medical care with respect to long-term pain and disability outcomes. Further study is required to explore the advantage seen for chiropractic care in patients with leg pain below the knee and in the area of patient satisfaction. Identification of patient and treatment characteristics associated with better or worse outcomes may foster changes in physicians' practice activities that better serve these patients' needs.
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J Manipulative Physiol Ther · Sep 2001
Rating specific chiropractic technique procedures for common low back conditions.
To rate specific chiropractic technique procedures used in the treatment of common low back conditions. ⋯ The ratings for the effectiveness of chiropractic technique procedures for the treatment of common low back conditions are not equal. Those procedures rated highest are supported by the highest quality of literature. Much more evidence is necessary for chiropractors to understand which procedures maximally benefit patients for which conditions.
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J Manipulative Physiol Ther · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness of spinal manipulative therapy in the treatment of mechanical thoracic spine pain: a pilot randomized clinical trial.
To date, no substantiated studies have been performed to investigate the efficacy of spinal manipulative therapy on thoracic spinal syndromes. ⋯ This pilot study suggests that spinal manipulative therapy has greater benefits than placebo treatment. The sample size was small, therefore the findings of this trial study should not be considered conclusive but rather should be used as a foundation for planning future studies. In further studies a larger sample size will be necessary to identify subtle changes in measurement parameters and to add to the validity of the results.
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J Manipulative Physiol Ther · Jul 2001
Effects of a mechanical pain stimulus on erector spinae activity before and after a spinal manipulation in patients with back pain: a preliminary investigation.
Several recent studies in animal models of spinal pain have shown changes in sensory processing and in reflex muscular responses. One group of researchers reported consistent electromyographic responses in the paraspinal muscles of healthy men after spinal manipulation, and they speculated that such responses may underlie some of the observed clinical effects of spinal manipulation (namely, reduction in pain and muscular hypertonicity). ⋯ This study suggests that motion segments identified as a problem in subjects with chronic low back pain have an exaggerated local muscular response to a painful stimulus compared with that observed in problem segments. In addition, spinal manipulation appears to attenuate the electromyographic response to a painful stimulus.
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J Manipulative Physiol Ther · Jul 2001
Review Randomized Controlled Trial Clinical TrialChiropractic technique procedures for specific low back conditions: characterizing the literature.
Many original clinical trials and several review papers have come to the conclusion that manipulation is safe and effective for the treatment of low back pain. However, it is necessary to determine which specific types of manipulation and nonmanipulative types of chiropractic adjustive care are most effective for particular types of low back pain across both tissue-specific and functional classifications. ⋯ The 3 most studied adjustive procedures are side-posture high-velocity, low-amplitude; distraction (mostly flexion distraction); and mobilization, respectively. The clinical condition most commonly addressed by the included studies is low back pain. The procedure with the widest base of evidence support is side posture manipulation for low back pain.