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 and/or arm pain with findings of cervical spinal cord encroachment on magnetic resonance imaging. None of these patients had severe or acute myelopathy or advanced signal changes in the spinal cord indicative of myelomalacia. These patients were treated with a variety of approaches that included some form of cervical manipulation. The mean number of treatments that included manipulation was 12 (range, 2-32). Nineteen patients were treated with high-velocity, low-amplitude "thrust" manipulation, 9 patients were treated with low-velocity muscle energy technique, and 1 patient was treated with both methods. The mean patient-rated subjective improvement at the last follow-up reexamination was 70.0% (range, 10%-100%). From baseline to the last follow-up examination, the mean improvements in outcome measures were as follows: Bournemouth Neck Disability Questionnaire, 23.7 points (31%); Neck Disability Index, 6.4 points; and Numerical Pain Rating Scale, 3.9 points. In 3 patients, there was increased pain after manipulation that lasted from 1 to 4 days. There were no major complications, and in no patient did any increased pain after treatment last more than 4 days. No new neurologic symptoms or signs were seen in any of these patients. CONCLUSION:The finding of cervical spinal cord encroachment on magnetic resonance imaging, in and of itself, should not necessarily be considered an absolute contraindication to manipulation. However, because radicular and myelopathic complications to cervical manipulation have been reported in the literature, great care should be taken in all cases, particularly those in which anatomic conditions such as cord encroachment are present.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Murphy DR,Hurwitz EL,Gregory AAdoi
10.1016/j.jmpt.2006.01.001subject
Has Abstractpub_date
2006-03-01 00:00:00pages
236-44issue
3eissn
0161-4754issn
1532-6586pii
S0161-4754(06)00024-8journal_volume
29pub_type
杂志文章abstract:STUDY DESIGN:Best evidence synthesis. OBJECTIVE:To report on gaps in the literature and make methodologic recommendations based on our review of the literature on frequency and risk factors, assessment, intervention, and course and prognostic factors for neck pain and its associated disorders. SUMMARY OF BACKGROUND D...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2008.11.024
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the psychometric properties of pressure pain threshold (PPT) testing in adults with and without neck-shoulder pain and tenderness and to compare the differences in PPT measurements between the seated and prone positions. METHODS:Thirty asymptomatic adults and 30 sym...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2018.11.021
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:A managed care organization (MCO) examined differences in allowed cost for managing low back pain by medical providers vs chiropractors in an integrated care environment. The purpose of this study is to provide a retrospective cost analysis of administrative data of chiropractic vs medical management of low b...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2009.10.001
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:This study was undertaken to determine the prevalence and types of work-related injuries among a nationwide sample of chiropractors and to identify factors associated with these injuries. METHODS:Using a survey, 1000 randomly selected doctors of chiropractic in the United States were asked to record their 3 mo...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2006.06.023
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability...
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.2015.06.013
更新日期:2015-07-01 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:OBJECTIVE:The purpose of this study was to evaluate the performance of 5 analysis methods in quantifying scoliotic deformity, using the spatial positions of SP tips acquired by a custom-developed ultrasound-based system, with different curve fitting methods and angle metrics in terms of their correlation with Cobb angl...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.09.007
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:To describe the origins of the anteroposterior (AP) open-mouth radiograph. METHODS:Searches in PubMed, standard radiography texts, and telephone interviews. RESULTS:The AP open-mouth radiograph has a long history of use in the chiropractic and medical professions. The view is taken to assess the upper cervi...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 历史文章,杂志文章
doi:10.1016/j.jmpt.2004.08.004
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:(1) To describe the low back pain (LBP) pattern at baseline; (2) to describe the long-term outcome pattern; (3) to investigate the presence of distinct subgroups in relation to outcome; (4) to establish whether short-term outcome is a predictor of long-term outcome. METHODS:A 3- to 6- and 12- to 18-month, m...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jmpt.2005.07.003
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the effects of the cervical rotation angle (CRA) on atherosclerotic internal carotid artery blood flow (ICA-BF) in an animal model. METHODS:Thirty healthy New Zealand white rabbits were included in the study. Twenty of the 30 rabbits were chosen randomly to be the mod...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2018.12.011
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate neck pain-related disability and cervical range of motion (CROM) in patients with episodic migraine (EM) and chronic migraine (CM) and to examine the correlation of both outcomes. METHODS:This cross-sectional study consisted of 91 patients with EM and 34 with CM. Cer...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.09.002
更新日期:2014-11-01 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: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::A 29-year-old male tennis player was examined for neck pain, limited mobility, and right elbow pain. The patient was treated for cervical facet syndrome by chiropractic manipulative therapy (CMT) for a period of 6 weeks. After this time the patient had a relapse of cervical pain, spinal myofascitis, dermatitis and mig...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1990-07-01 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:OBJECTIVE:The purpose of this study was to systematically review the literature evaluating the reliability and validity of all available methods for measuring active and passive cervical range of motion (CROM). METHODS:Electronic databases (PubMed, MEDLINE, CINAHL, EMBASE, and AMED) were searched through OVID from the...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2009.12.009
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:To determine whether a newly developed disability scale for patients with neck pain demonstrated acceptable reliability and validity. METHODS:Testing was conducted using three different samples of patients with neck pain (n = 162). Test-retest reliability of the scale was carried out on the same day with one...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare the effect of customized foot orthotics in addition to usual care (UC) compared with UC alone for the treatment of patients with chronic low back pain after work-related injury. METHODS:Sixty-two consecutive patients presenting with chronic (>3 months), nonspecific,...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:10.1016/j.jmpt.2013.06.002
更新日期:2013-07-01 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:OBJECTIVE:The main objective of the study was to measure the levels of plasma β-endorphin (PB) and plasma cortisol (PC) under lumbar core stabilization exercise (LCSE), placebo and control conditions in patients with chronic nonspecific low back pain. METHODS:Twenty-four participants with chronic nonspecific low back ...
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.2018.01.002
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to develop, assess the reliability of, and validate prediction equations that estimate the sagittal curves of the spine from the skin surface. METHODS:Forty digital panoramic radiographs were used to develop the prediction equation, and 59 radiographs were used to assess reliabi...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.06.015
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:The aim of this preliminary study was to investigate the immediate effects on pain and pressure pain threshold (PPT) of a scapular repositioning technique in patients with acute spasmodic torticollis. METHODS:A randomized, single blind pilot study was conducted. The subjects were 23 individuals (age 20-40 y...
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.2013.05.020
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Transfer capability represents the changes in performance in one task that result from practice or experience in other related tasks. Increased transfer capability has been associated with expertise in several motor tasks. The purpose of this study was to investigate if expertise in spinal manipulation therap...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2015.02.001
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To identify an analog waveform characteristic of smokers by Doppler sonography, which reflects their atherogenic state, and to determine if the presence of this aberrant waveform will increase the sensitivity of the ankle pressure index (API) peripheral Doppler examination. Also, to examine the relationship b...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1995-05-01 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:To determine if the lateral gliding test for the cervical spine is a valid clinical test compared with radiological assessment as a tool for the diagnosis of intervertebral joint dysfunctions in the lower cervical spine in patients presenting with mechanical neck pain. METHODS:Twenty-five patients with mecha...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:10.1016/j.jmpt.2005.08.014
更新日期:2005-10-01 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:OBJECTIVE:To provide a rationale for active chiropractic rehabilitative treatment that extends beyond the single goal of resolution of symptomatic complaints. DATA COLLECTION:A manual search of available reference texts and a search of MEDLINE were collected with an emphasis on tissue healing sequelae and the role of ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:The current protocol for judging posteroanterior (PA) spinal stiffness has been shown to provide unreliable estimates of PA stiffness. It is possible that a failure to standardize therapists' use of vision in the test protocol partly contributes to the disagreement between raters. This study sought to establi...
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:1996-05-01 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