Abstract:
BACKGROUND:Force-displacement properties of spinal tissues assessed by blunt indentation are thought to have clinical relevance; however, numerous variables with respect to spinal indentation have yet to be identified or characterized completely. OBJECTIVE:To identify and quantify, where possible, previously unidentified or incompletely characterized variables with respect to spinal indentation. DESIGN:Multiprotocol design. METHODS:Four experiments were performed: (1) Twelve asymptomatic subjects were indented with concurrent electromyography during conditions of rest, held inspiration, increased intraabdominal pressure and lumbar extension. (2) Changes in the recumbent position of 12 subjects were measured while a series of movements was performed in restrained and unrestrained conditions. (3) Ten clinicians attempted to locate, and to relocate, a subcutaneous anatomical landmark through visualization/palpation and ultrasonic imaging. (4) Performances of 3 methods of force-displacement curve modeling were compared with respect to stiffness estimation. RESULTS:(1) Spinal stiffness increased significantly in a minority of subjects awaiting indentation and in a majority of subjects during increases in intraabdominal pressure. (2) Changes in subject position were significantly reduced by a restraint system. (3) With respect to interclinician error in locating and relocating an indentation site, there was significant improvement with the use of ultrasonic visualization. (4) The error associated with linear techniques used to model curvilinear force-displacement data plots increased with increasing linear intervals. CONCLUSION:Several sources of variation in spinal indentation were identified: indentation site relocation, intraabdominal pressure, subject movement, muscular response, and stiffness estimation. These variables, which have been unaccounted for in previous indentation studies, might be responsible for the change or lack of change in force-displacement properties between preintervention and postintervention indentation trials.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Kawchuk GN,Fauvel ORdoi
10.1067/mmt.2001.112566subject
Has Abstractpub_date
2001-02-01 00:00:00pages
84-91issue
2eissn
0161-4754issn
1532-6586pii
S0161-4754(01)19694-6journal_volume
24pub_type
临床试验,杂志文章abstract::This article presents a critique of the concept of marginal role as applied to chiropractors by examining the area of structural role theory from which the concept has been drawn. It suggests that the concept role was itself a reified concept and that its "metaphorical extension" to cover chiropractors constitutes a d...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:The aims of this study were to evaluate the center of pressure (CoP) in individuals with chronic low back pain (LBP) compared with matched controls and perform discriminant analysis to detect which CoP variables differentiate the groups. METHODS:Thirty-two participants with LBP and 33 matched controls were e...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2019.01.002
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to document the quantity and type of research conducted on the chiropractic management of lower extremity conditions. METHODS:A review of the literature was conducted using the CINAHL, MEDLINE, MANTIS, and Science Direct databases (each from inception to December 15, 2005). Sear...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2006.08.004
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To describe the chiropractic management of a patient suffering from a right lateral meniscus tear concurrent with calcium pyrophosphate dihydrate (CPPD) deposition disease. CLINICAL FEATURES:A 51-yr-old bus driver suffered from right knee pain (7 on a 1-10 pain scale). The onset of the pain was gradual and i...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::Presented is a case report of chiropractic manipulative therapy and transcutaneous neuromuscular stimulation utilized in the treatment of progressive adolescent idiopathic scoliosis. The curvature was shown to be progressing at the rate of 1.0 degrees/month for the 9 previous months. The patient's curvature was succes...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
abstract:OBJECTIVE:Nerve palpation is a method of clinically identifying mechanosensitivity of neural tissue by means of pressure algometry and manual palpation. There are few investigations of the reliability of lower limb nerve palpation, and femoral nerve palpation has never been previously reported. The aim of this study wa...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2013.12.006
更新日期:2014-02-01 00:00:00
abstract::A triple blinded, multiple-measure, experimental protocol was employed in order to investigate the effectiveness of unilateral cervical adjustments on goniometrically assessed cervical lateral-flexion asymmetries. On pretest, subjects selected for the experiments exhibited mean left-right lateral-flexion differences o...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:
更新日期:1989-12-01 00:00:00
abstract:BACKGROUND:Minor side effects associated with chiropractic are common. However, little is known about their predictors or the effects of reactions on satisfaction and clinical outcomes. OBJECTIVE:The objectives of this study are to compare the relative effects of cervical spine manipulation and mobilization on adverse...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.jmpt.2003.11.002
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Finite helical axis parameters (FHAP) of the cervical spine and clinical measures were obtained to evaluate neck function and the clinical effects of spinal manipulative therapy in patients with "whiplash" (WL) type neck injury. DESIGN:Descriptive case series, 1 yr follow-up. SETTING:Three private chiroprac...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:To demonstrate the errors in surface electromyogram (EMG) interpretation that can be made when the EMG signal is not normalized. DESIGN:A case study as a proof of principle. MAIN OUTCOME MEASURES:The EMG amplitude between the upper and lower portions of the rectus abdominis in one subject during a trunk cur...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/s0161-4754(99)70032-1
更新日期:1999-09-01 00:00:00
abstract::There is evidence in the literature that tension-type and migraine headaches do not exist as discrete pathophysiologic entities but form a continuum. The mechanisms for tension and migraine headaches are discussed and the evidence for this continuum, both basic scientific and clinical, is reviewed. A model for chronic...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:The reliability of a test depends on its standardization. Instrumental measurement of the reproducibility of the test is an effective way to evaluate the level of standardization obtained. Improved standardization is believed to yield greater reliability. OBJECTIVE:The objectives of this study were to measu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2002.126472
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:Objectives of this study were to (1) quantify the immediate effect of Nimmo technique on muscle elasticity, pain perception, and disability and (2) evaluate comparative effectiveness of treating all primary and secondary trigger points (TrPs) vs primary TrP only. METHODS:Fourteen chronic low back pain subjec...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2011.09.013
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to compare pericranial tenderness of females with episodic cervical headache vs matched asymptomatic controls. METHODS:Through a single-blind, cross-sectional study, pericranial tenderness was compared between 20 females with episodic cervical headaches (29.4 ± 13.2 years) and ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.11.005
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:A qualitative review of the scientific literature on thermographic instrumentation for detecting neuromusculoskeletal abnormalities of the spinal column was made. Electronic infrared instrumentation (telethermography), liquid crystal thermography and various hand-held devices were scrutinized in terms of reli...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1992-07-01 00:00:00
abstract::A reliability study was conducted to determine whether palpatory findings on the cervical spine, obtained under normal chiropractic clinical conditions were reproducible. Forty normal freshman chiropractic students underwent static and motion palpation of their cervical spines by three different chiropractors. Intra- ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:To assess the intraexaminer and interexaminer reliability of clinicians trained in flexion-distraction technique to determine the need for chiropractic adjustment of each segment of the lumbar spine. DESIGN:This was an intraexaminer and interexaminer reliability study of commonly used chiropractic assessment...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0161-4754(99)70083-7
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To discuss the management of a patient suffering from an anterior sternoclavicular joint dislocation secondary to blunt trauma from a motor vehicle accident. CLINICAL FEATURES:A 75-yr-old woman suffered from difficulty in swallowing and chest pain after release from a foreign medical facility. Anteroposterio...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Motor evoked potentials (MEPs) obtained from magnetic stimulation allow the measurement of the excitability of motor nerve cells. Although this technique is becoming widely used, its reliability has yet to be established. OBJECTIVE:To determine the reliability of MEPs and evaluate their stability. DESIGN:S...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2003.12.004
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVES:To explore the views of chiropractors about timely return-to-work in treating patients with musculoskeletal injuries, to identify the approaches used by chiropractors when treating injured workers with musculoskeletal disorders, and to learn about chiropractors' perspectives on the barriers and facilitators ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,多中心研究
doi:10.1067/mmt.2001.115267
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Most of the studies of physical examinations of the cervical spine have shown poor reliability. PURPOSE:To assess the interexaminer reliability in physical examinations of the cervical spine. SUBJECTS:Forty-eight subjects, age range 18 to 63 years. METHODS:Two physiotherapists independently evaluated a nu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/s0161-4754(99)70002-3
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To discuss the chiropractic management of a patient who sustained a unilateral lamina fracture of the sixth cervical vertebra. CLINICAL FEATURES:The patient had suffered cervical trauma from a motor vehicle accident. Clinical evaluation revealed acute global neck pain with associated left arm radiculitis and...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To investigate patient response to multiple impulse therapy provided by the PulStarFRAS (Sense Technology, Inc, Murrysville, Pa) for a variety of musculoskeletal symptoms encountered in clinical practice. METHODS:A retrospective analysis of patient files was used to determine symptomatic improvement over the...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.11.007
更新日期:2006-01-01 00:00:00
abstract::Radiation dosages to sensitive organs in full spine radiography have in recent years been a concern of physicians as well as the general public. The spine is the prime target for exposure in scoliosis radiography, though the exposure usually necessitates irradiation of several radio-sensitive organs. In recent studies...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract:OBJECTIVE:This case report presents a simple systematic approach consisting of a 10-week specific sequential multimodal conservative management approach to chronic lateral epicondylitis. CLINICAL FEATURES:A 57-year-old female science teacher experiencing elbow pain for 5 months presented to our multidisciplinary clini...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2008.12.007
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Rehabilitation has been a part of chiropractic almost since the beginning of the profession. Yet today, relatively few chiropractors provide rehabilitation in any systematic way in their practices. The modern era of health care calls for all spine specialists to emphasize exercise in their management strateg...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1067/mmt.2000.108143
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:The purposes of this study were to survey Council on Chiropractic Education-accredited chiropractic colleges in North America and to describe curricular details on the teaching of bioethics. METHODS:A custom-designed survey was sent to chiropractic colleges. Total number of contact hours, whether the ethics ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2012.07.005
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to test an educational intervention designed to increase hand and treatment table sanitizing on 3 chiropractic college campuses using a theory-based intervention. The second purpose is to see if an increase in observed hand hygiene would be noted as a result of the intervention. ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2009.06.007
更新日期:2009-07-01 00:00:00
abstract::A very rare case of traumatic avulsion fracture of the fabella in a middle-age lady, presented as intermittent posterolateral localized knee pain accentuated by compression against the lateral femoral condyle and by active and passive knee extension, is illustrated. The accumulated chronic microtrauma of the osteoarth...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract:BACKGROUND:Clinicians apply posteroanterior (PA) forces to the spine for both mobility assessment and certain spinal mobilization and manipulation treatments. Commonly applied forces include low-frequency sinusoidal oscillations (<2 Hz) as used in mobilization, single haversine thrusts (<0.5 seconds) as imparted in hig...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2002.127079
更新日期:2002-10-01 00:00:00