Abstract:
:Twenty-one with symptomatic cervical spondylosis or nonspecific neck pain were given an amnesic dose of diazepam before manipulation of the cervical spine. Eighteen patients served as controls and also received diazepam but no manipulation. Results were obtained in a randomized, double-blind fashion. Statements of outcome by patients and mean visual analog scales for pain and activity showed no significant differences between manipulation and control groups, though both tests favored manipulation. Control subjects subsequently treated by manipulation showed no consistent favorable response. Questionnaires dealing with personality, life events, social and medical histories, etc., provided no correlations with outcome, nor did radiographic findings. Diffuse local tenderness correlated with high pain scores after treatment. The authors conclude that the value of a single manipulation of the cervical spine has not been established and that further exploration of indications is needed. The use of intravenous diazepam should be considered because it allows a double-blind experimental design.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Sloop PR,Smith DS,Goldenberg E,Doré Cdoi
10.1097/00007632-198211000-00003subject
Has Abstractpub_date
1982-11-01 00:00:00pages
532-5issue
6eissn
0362-2436issn
1528-1159journal_volume
7pub_type
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