Abstract:
BACKGROUND:Lumbar pathologies may cause the perception of leg pain, but the character of this pain has not been described. Diagnosis is often based on dermatomal charts, but observations reveal that the pain is not typically perceived on the skin. OBJECTIVE:To document the incidence of superficial versus deep pain localization among patients with lumbar radicular pain. METHODS:Twenty-five patients with lower limb radicular pain were questioned to determine the specific localization of their pain. The investigator categorized the pain location into general areas (eg, posterior thigh or anterior leg). Patients were asked if their pain was perceived as being on the skin or deep, as a forced choice question. These data were gathered in 2 conditions: at rest (spontaneous pain) and during a straight leg raise test (mechanically evoked pain). Data were recorded using a standardized form for later analysis. RESULTS:In all cases, symptoms were reported to be in deep structures. Pain was typically reported at sites correlated with multiple spinal levels. CONCLUSION:Because radicular pain symptoms are perceived in deep structures rather than on the skin, the diagnostic value of dermatomal charts is questioned. Clinicians are advised to be specific when questioning patients with radicular pain symptoms and to refer to myotomal and sclerotomal charts when making diagnoses.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Bove GM,Zaheen A,Bajwa ZHdoi
10.1016/j.jmpt.2004.12.011subject
Has Abstractpub_date
2005-01-01 00:00:00pages
12-4issue
1eissn
0161-4754issn
1532-6586pii
S0161475404002659journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:When designing prediction models by complete case analysis (CCA), missing information in either baseline (predictors) or outcomes may lead to biased results. Multiple imputation (MI) has been shown to be suitable for obtaining unbiased results. This study provides researchers with an empirical illustration of...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2012.07.002
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To establish the mechanism of the thoracolumbar spine during trunk rotation and its restriction. DESIGN:Patients with one-sided rotation restriction were examined seated on a chair with the pelvis fixed in neutral position, at maximum right and left trunk rotations, before and after mobilization of movement ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1997-09-01 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:OBJECTIVE:Postural assessment through photography is a simple method that allows the acquisition of quantitative values to define the alignment of body segments. The purpose of this study was to quantitatively assess the postural alignment of several body segments in standing through anterior, posterior, and lateral vi...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2011.05.018
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:With the start of a new chiropractic program in the faculty of medicine, University of Zürich, an in-depth look at chiropractic practice in Switzerland was needed to help direct the undergraduate and postgraduate education. The purposes of this study were (1) to identify specific characteristics of chiropract...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2010.08.003
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to present information from a series of patients with imaging findings of encroachment on the cervical spinal cord who were treated with chiropractic cervical manipulation. CASE SERIES:There were 27 patients (18 females, 9 males; age range, 23-65, mean age, 44.3 years) with neck ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2006.01.001
更新日期:2006-03-01 00:00:00
abstract::Hyaline articular cartilage from 102 thoracolumbar junction zygapophyseal joints was examined using light microscopy. One section from the upper, middle and lower third of each joint at the T10-11, T11-12, T12-L1 and L1-2 spinal levels was photographed using 35 mm color film. Hyaline articular cartilage cross-sectiona...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:This study describes the opinions and behaviors of chiropractic patients in a large, western Canadian urban center regarding the sale of health products by doctors of chiropractic. METHODS:A brief, descriptive survey consisting of both fixed-choice and open-ended questions was distributed by clinic reception...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.10.015
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To present the diagnosis and differential diagnosis of diabetic polyneuropathy and report a case in which a patient with this disorder was successfully managed utilizing chiropractic procedures. CLINICAL FEATURES:An 80-year-old man with a history of diabetes mellitus complained of low back pain along with bu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to test validity of photogrammetry compared with radiography as a method of measuring the Cobb angle and the size of anterior-posterior spine curvatures in adults. METHODS:The study included 50 volunteers, 23 men and 27 women whose mean age was 52.6 years. The average weight of ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2015.01.001
更新日期:2015-03-01 00:00:00
abstract:Objective:The purpose of this study was to measure the acute (1 session) and chronic effects (6 sessions) and the follow-up (2 weeks) of anteroposterior articular mobilization of the talus, grade III of Maitland, on the dorsiflexion range of motion (ROM), pain, and functional capacity of individuals with subacute and c...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.02.003
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to analyze pain intensity in patients with myofascial pain syndrome (MPS) following a multimodal rehabilitation protocol. METHODS:A prospective study was carried out following the Template for Intervention Description and Replication criteria. Patients were recruited from the re...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.06.001
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The aims of this study were to investigate the possible prognostic value of disk-related magnetic resonance imaging (MRI) findings in relation to recovery at 14 months in patients with severe sciatica, and whether improvement of disk herniation and/or nerve root compromise is concurrent with recovery. METHOD...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2006.12.004
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To assess the effect of a personalized newsletter compared with a standard newsletter on patient recruitment in physiotherapy research. METHODS:We performed a cluster-randomized trial including 120 physiotherapists who recruited patients for a prospective cohort and were randomly assigned to either receiving...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2019.12.002
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To assess, through qualitative studies of 4 medically underserved communities, the receptivity of chiropractors, other health care providers, and consumers to the idea of chiropractors' assuming a focal role in primary care. METHOD:Visits by a team of 2 researchers to 4 medically underserved communities: (1)...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2000.110945
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to compare transcutaneous electrical nerve stimulation (TENS) and stabilization exercises in an attempt to prevent fatigue and improve muscle activation in patients with lumbar disk herniation associated with low back pain. METHODS:This study involved 29 patients (age range 25-5...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jmpt.2017.10.010
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To present the case of a woman with previously asymptomatic os odontoideum (OO) who developed chronic neck pain after a car accident. CLINICAL FEATURES:A 32-yr-old woman developed slight constant neck pain following a car accident. Radiographs revealed OO with 12-mm atlantoaxial subluxation on neck flexion. ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::Many patients with low back pain demonstrate pelvic symptomatology attributable to lower sacral nerve root compression. Lower sacral nerve root compression has been identified as a cause of pelvic pain and pelvic organ dysfunction. Pelvic symptomatology secondary to lower sacral nerve root compression is given. Lower ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1987-06-01 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::The purpose of this article is to discuss comparative effectiveness research (CER) as it relates to the chiropractic profession. This article reviews CER priorities as determined by the Institute of Medicine and suggests actions for the chiropractic profession to become more involved in CER. ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 社论
doi:10.1016/j.jmpt.2010.04.001
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to investigate whether grade III passive lumbar rotational mobilization on L2-3 can improve hip flexor strength and performance in the single-leg triple-hop test in asymptomatic young adults. METHODS:Twenty-four participants (12 men, 12 women) aged from 19 to 26 years who were p...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jmpt.2017.07.003
更新日期:2017-10-01 00:00:00
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 unidentif...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:10.1067/mmt.2001.112566
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:To present diagnostic imaging findings of two cases of cervical myelopathy, with different etiologies, presenting to a chiropractic office. CLINICAL FEATURES:The patient with acute transverse myelitis had neck and upper back pain and nonspecific headaches for 40 years. The patient with posttraumatic syringom...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.07.013
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this preliminary study was to demonstrate the feasibility of a study that measures the short-term effects of a course of manual therapy (MT) and exercise (Ex) in people with moderate chronic obstructive pulmonary disease (COPD). METHODS:Fifteen participants (9 males; mean age, 56.1 years), wit...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jmpt.2013.05.028
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Edge light pupil cycle time (ELPCT) is one of the eye's light reflexes. Studies have shown ELPCT to be a measurable constant, unaffected by visual acuity, refractive error, eye color, pupil size, or sex. Control of this reflex occurs through the autonomic nervous system. Various authors suggest that spinal m...
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:10.1067/mmt.2000.108820
更新日期:2000-09-01 00:00:00
abstract::There remains a lack of definitive evidence regarding the etiology of pars defects, though evidence is mounting in favor of micro-trauma. Approximation of the articular facets, as occurs in subjects with increased sacral base angles, may result in greater stress to this area, leading to the development of pars defects...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVE:To investigate whether a more sophisticated and detailed analysis of both simple and complex tasks may yield more information regarding the short-term influence of an adjustment on spine biomechanics. METHODS:The study used a single-subject, before-after design. Three-dimensional spine kinematics and trunk m...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/s0161-4754(99)70017-5
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:This study aimed to develop a tailored elastic band exercise program for aged adults (persons 65 years and older), to evaluate the feasibility of a program, and to determine appropriate elastic band exercise frequencies and preferences of aged adults. METHODS:This study had 2 phases. In phase I, 11 professio...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2013.08.002
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Full recoil golf swings have been implicated in back pain and injury in golfers. Evidence suggests that a restricted backswing may reduce the potential for injury without compromising performance. OBJECTIVE:To examine both golf swing performance and selected muscular actions of the trunk and shoulder during...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2001.118982
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate survey data from a national cross-sectional sample of 1427 urban and nonurban Australian women focusing on the relationship between the use of specific complementary and alternative medicine (CAM) practitioner types and the levels of CAM use across urban and nonurban...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2012.12.010
更新日期:2013-01-01 00:00:00