Abstract：
OBJECTIVES:The objectives of this study were to review the demographic characteristics of Veterans Affairs (VA) chiropractic patients and to determine the level of appropriateness of chiropractic consultation requests within a VA chiropractic clinic. Information regarding the volume of requests and wait times for appointments were obtained to provide insight on the demand for and access to VA chiropractic services. METHODS:A purposive sample of the first 100 chiropractic consultation requests received through the Computerized Patient Record System at the VA of Western New York Health Care System was selected for data collection and analysis. RESULTS:The VA chiropractic patients in this study were primarily older men with chronic low-back pain that had not responded to medical management and other treatment modalities. More than half of the patients had service-connected disabilities. Consultation requests came largely from primary care, and most requests were for patients for whom chiropractic was clinically indicated and requested preconsultation diagnostic studies had been performed. CONCLUSIONS:The VA chiropractic patients in this study differed from traditional non-VA chiropractic patients with regard to age and sex. A review of the chiropractic consultation requests that were considered inappropriate resulted in a revision of the instructions for requesting providers within the Computerized Patient Record System. Additional health systems research is indicated to evaluate chiropractic implementation on a larger scale within the VA Health Care System.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Dunn AS,Towle JJ,McBrearty P,Fleeson SMdoi
10.1016/j.jmpt.2006.06.002subject
Has Abstractpub_date
2006-07-01 00:00:00pages
448-54issue
6eissn
0161-4754issn
1532-6586pii
S0161-4754(06)00164-3journal_volume
29pub_type
杂志文章abstract：OBJECTIVE:This case report discusses the treatment of 2 patients with cervicogenic headache (CHA) attending the Outpatient Clinic of the Hungarian National Institute for Rheumatology and Physiotherapy (Budapest, Hungary) and reviews the pathophysiology, therapeutic strategy, and problems associated with the treatment o...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/j.jmpt.2009.08.006
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to evaluate interrater reliability in the diagnosis of myofascial trigger points (MTrPs) in the tibialis anterior, peroneus brevis, and extensor digitorum longus muscles. METHODS:A reliability research study was performed. Three physical therapists with clinical experience in my...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2016.09.002
更新日期：2016-01-01 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：OBJECTIVE:To analyze the clinical significance of herniated lumbar intervertebral nucleus pulposus (HNP) inside the spinal canal. STUDY DESIGN:This was a comparison study between patients with multiple lumbar disk herniation and those with single lumbar disk herniation receiving conservative treatment. METHODS:Four i...
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：1996-07-01 00:00:00
abstract：:With the advent of health care's "era of accountability", the chiropractic profession is now faced with generating implicit standards and guidelines for care or having it done for us by outside agencies. Already we see chiropractic groups in individual states and provinces being pressured into naive efforts of guideli...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 指南,杂志文章,评审
doi：
更新日期：1992-09-01 00:00:00
abstract：BACKGROUND:Resource-based relative value scales (RBRVS) have become a standard method for identifying costs and determining reimbursement for physician services. Development of RBRVS systems and methods are reviewed, and the RBRVS concept of physician "work" is defined. OBJECTIVE:Results of work and time inputs from c...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70060-6
更新日期：1999-06-01 00:00:00
abstract：:This editorial reviews the current health care marketplace in the United States as it relates to chiropractic and the complementary and alternative medicine community. A 4-part strategy of research, education, alliance-building, and politics, is offered to address current obstacles. ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 社论,评审
doi：10.1016/j.jmpt.2007.06.005
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:To describe the chiropractic care of a patient medically diagnosed with Bell's palsy and discuss issues clinically relevant to this disorder, such as its epidemiology, etiology, diagnosis, care, and prognosis. CLINICAL FEATURES:A 49-year-old woman with a medical diagnosis of Bell's palsy sought chiropractic ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(02)54112-9
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to compare ranges of motion (ROM) between dominant and nondominant sides for the joints of the upper and lower extremities. METHODS:Ninety healthy white women from 18 to 59 years of age were measured in this study. Active and passive ROM were measured for the ankle, knee, hip,...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2008.09.003
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:To discuss the clinical features of ganglioneuroma and to propose it as a differential diagnosis for a young patient suffering from chronic back pain. CLINICAL FEATURES:A 25-year-old patient suffered from chronic mid-thoracic pain and a history of scoliosis. The physical examination result was unremarkable; ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.123335
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:Nonspecific back pain is associated with high use of diagnostic imaging in primary care, yet current evidence suggests that routine imaging of the spine is unnecessary. The objective of this study is to describe current practice patterns in spine radiograph utilization among doctors of chiropractic enrolled i...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2013.04.002
更新日期：2013-03-01 00:00:00
abstract：OBJECTIVE:To present a case of cervical radiculopathy, caused by an MRI documented herniated cervical disc, which was treated with conservative care including chiropractic manipulative therapy. CLINICAL FEATURES:A 60-yr-old woman was treated by a chiropractor for symptoms including a deep, constant, burning ache in th...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1994-02-01 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：:The clinical course of low back pain (LBP) during chiropractic treatment has not previously been reported on the basis of a prospective survey. The prospective survey is based on patient questionnaires filled in before treatment was started, as well as 1, 3, 6 and 12 months later. Clinical examination was performed at...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1986-06-01 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 aims of this study were to determine (a) if the patients improved while under chiropractic care; (b) how many treatments were needed to reach improvement; and (c) which factors were associated with early improvement. DESIGN:Cohort, nonrandomized retrospective study. SETTING:Private chiropractic practice...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1996-03-01 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:The purpose of this study was to evaluate the effects of including 1 session of trigger point dry needling (TrP-DN) into a multimodal physiotherapy treatment on pain and function in postoperative shoulder pain. METHODS:Twenty patients (5 male; 15 female; age, 58 ± 12 years) with postoperative shoulder pain a...
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.2014.11.007
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVE:To investigate the primary care, health promotion activities associated with what has historically been called "maintenance care" (MC) as used in the practice of chiropractic in the United States. This includes issues such as investigating the purpose of MC, what conditions and patient populations it best ser...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(00)90107-6
更新日期：2000-01-01 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：OBJECTIVE:To determine phobic and nonphobic subject response to a provocative threat stimulus and to determine variables that confound the response. DESIGN:Randomized blind examiner test-retest of randomized phobic and control subjects with qualitative, semistructured, informal postint-ervention interview. SETTING:Pr...
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：1996-06-01 00:00:00
abstract：OBJECTIVES:This study aimed to describe patients' perspectives on their experience in osteopathic treatment, to contribute toward developing interpretative models on effectiveness. METHODS:A descriptive phenomenological approach was used. The data were collected through a semistructured interview. To capture the varia...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2020.02.003
更新日期：2020-01-01 00:00:00
abstract：:This issue of the Journal of Manipulative and Physiological Therapeutics (JMPT) includes the publication of the scientific papers that won the 3 major open awards at the International Conference on Chiropractic Research (ICCR) held at the Hilton Bonaventure Hotel, Montreal, Canada, from April 30 to May 2, 2009. ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 社论
doi：10.1016/j.jmpt.2010.05.011
更新日期：2010-06-01 00:00:00
abstract：STUDY DESIGN:Best evidence synthesis. OBJECTIVE:To critically appraise and synthesize the literature on assessment of neck pain. SUMMARY OF BACKGROUND DATA:The published literature on assessment of neck pain is large and of variable quality. There have been no prior systematic reviews of this literature. METHODS:The...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2008.11.016
更新日期：2009-02-01 00:00:00
abstract：:Although numerous clinical thermographic studies are available, few basic science studies using thermography have been performed. As such, evidence suggesting the diagnostic use of thermography is often mired in the complexity of human ailments. This study thermographically evaluated the hind paws of rats. Rats acted ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1990-06-01 00:00:00
abstract：:Preference for treatment protocols used in the care of spine disorders are based more upon clinical impressions than upon systematic study of the pathology or treatment efficacy. As social emphasis moves to cost containment strategies, quantitative data is necessary to give guidance for rational policy decisions. This...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To investigate (1) whether thoracolumbar posteroanterior (PA) stiffness differs between 2 conditions of ribcage movement: unconstrained and constrained, and (2) whether the effect of ribcage constraint on PA stiffness varies according to where the PA force is applied. DESIGN:Two-factor within-subjects design...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/S0161-4754(02)54131-2
更新日期：2003-03-01 00:00:00
abstract：PURPOSE:To investigate differences in cervical spine posture and range of motion and self-reported neck pain and headache between patients with nontoxic goiter compared with a matched control group. DESIGN:An observational, controlled, blinded study. SETTING:The ambulatory outpatient facility of a university hospital...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:The use of static-postural and dynamic-bending roentgenography by the medical and chiropractic professions was reviewed and a retrospective study of 30 symptomatic subjects was conducted to compare the diagnostic discrimination of dynamic lateral bending (DLB) procedures to that of a previously-reported static-postura...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1982-12-01 00:00:00
abstract：OBJECTIVE:To discuss intraspinal synovial cysts caused by degenerative changes involving the posterior articular facets in the lumbar spine and to provide differential considerations for patients with low-back pain. CLINICAL FEATURES:A 70-year-old man with low-back and gluteal pain demonstrating eventual progression o...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
