Abstract:
OBJECTIVE:The purpose of this study was to perform an interexaminer reliability evaluation of the prone leg length analysis procedure. METHODS:Two chiropractors each examined a series of 45 patients with a history of low back pain. Patients were in the prone position, with the knees in both extended and flexed positions, and with the head rotated right and left. The clinicians were asked to determine the side of the short leg with knees extended and if a change in leg length occurred with head rotation or when the knees were flexed. They were also asked to visually judge the amount of leg length differential by categorizing the difference as either less than 0.25, 0.25 to 0.5, 0.5 to 0.75, or more than 0.75 in. The head rotation portion of the test was performed only with patients (n = 22) in whom the leg length differential was determined to be less than 0.25 in. RESULTS:kappa statistics and frequency distributions were calculated for each of the respective observations. Reliability of determining the side of the short leg with knees extended was good at 82% agreement (kappa = 0.65) but fair for determining the amount of leg length difference at 67% agreement (kappa = 0.28). Reliability of the head rotation testing procedure was extremely poor, with only 50% and 45% agreement about the observed change in leg length with the head rotated left and right, respectively (kappa = 0.04, kappa = -0.195). There was no significant correlation found between the side of reported pain by the patient and the side of the short leg as noted by either clinician (chi2 = 0.55, P = .91, and chi2 = 1.55, P = .67). All of the patients (100%) were judged to have a leg length difference by both clinicians. When the knees were flexed, there was 93% agreement that the short leg became longer (43/45 cases), with no reported cases of the short leg getting shorter. Calculation of kappa statistics was confounded for these last 2 observations because of extremely high prevalence bias. CONCLUSIONS:The results indicate that 2 clinicians show good reliability in determining the side of the short leg in the prone position with knees extended but show poor reliability when determining the precise amount of that leg length difference. The head rotation test for assessing changes in leg length was unreliable in this sample of patients. There does not appear to be any correlation between the side of pain noted by the patient and the side of the short leg as observed by the clinicians; all 45 patients in this sample were found to have a short leg by both clinicians.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Schneider M,Homonai R,Moreland B,Delitto Adoi
10.1016/j.jmpt.2007.07.001subject
Has Abstractpub_date
2007-09-01 00:00:00pages
514-21issue
7eissn
0161-4754issn
1532-6586pii
S0161-4754(07)00207-2journal_volume
30pub_type
杂志文章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: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:This study evaluated the effects of spinal manipulation on spatiotemporal flexion-relaxation phenomenon parameters in individuals with chronic low back pain. METHODS:Twenty-seven adults with chronic low back pain participated in this study and first performed a block of 5 complete trunk flexion-extensions. T...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2009.02.010
更新日期:2009-03-01 00:00:00
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: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 loc...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2004.12.011
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:This study investigates the prevalence of common faulty postures among adolescents and identify if significant relationships existed among the number of faulty postures, psychologic distress, and musculoskeletal symptoms. METHODS:The Musculoskeletal Questionnaire and Chinese Health Questionnaire were randoml...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2008.02.003
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To identify what has been theorized and/or written about the manual techniques generically classified as manual force, mechanically assisted articular chiropractic technique that utilize either short-lever contacts or a combination of short- and long-lever contacts. DATA SOURCES:A search of the Medline bibli...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine and interpret the concordance, accuracy, and reliability of photogrammetric protocols available in the literature for evaluating cervical lordosis in an adult population aged 18 to 59 years. METHODS:A systematic search of 6 electronic databases (MEDLINE via PubMed, LILACS...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.08.004
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To systematically review current literature to determine the effectiveness of the ischemic compression (IC) technique on pain and function in individuals with shoulder pain. METHODS:This review was conducted according to recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses an...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2019.10.013
更新日期:2020-01-01 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::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::The paper describes the history, symptoms and clinical findings of a typical spinal segmental strain with joint blocking. Also provided are an overview and discussion of joint blocking theories. A mechanism is hypothesized whereby joint blocking may be viewed as an actively maintained, reversible, biomechanical phenom...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract:BACKGROUND:There are numerous clinical tests used in the evaluation of patients with symptoms arising from the cervical spine. It is necessary to use clinical tests with high validity and reliability. Previous studies of reliability of clinical tests used in the evaluation of the cervical spine have come to various con...
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:1997-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). METHODS:A search strategy modified from the Cochrane Collaboration review for LBP was conducted through the following databases: PubMed, Mantis, and the Cochrane Database. Invitations to subm...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2008.10.007
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to propose questions that may be helpful to educate patients considering treatment approaches to manage low back pain (LBP) and to determine if the information currently presented in informed consent (IC) documents at chiropractic colleges is sufficient to help a patient consider...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jmpt.2012.01.004
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to measure the interexaminer reliability of scoring pain distribution using paper and electronic body pain diagrams in patients with acute whiplash-associated disorder and to assess the intermethod reliability of measuring pain distribution and location using paper and electron...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2013.05.023
更新日期:2013-09-01 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:BACKGROUND:Social class, including educational level, is a strong predictor for health-related perceptions and behavior and for health outcomes in general. It is not known whether parental education has an effect on back pain in their offspring. OBJECTIVES:To establish whether parents' educational level is associated ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2002.123172
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:Although some surveyed groups of chiropractors consider themselves qualified as primary care providers, consumer attitudes of such may affect practice success. The purpose of this study is to determine chiropractic patients' perception of chiropractors as primary care providers and to determine what disorders...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2006.11.007
更新日期:2007-01-01 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: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: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:The purpose of this study was to compare the relative movements between adjacent vertebrae that were accompanied by a cavitation sound to those relative movements wherein no cavitation sound was recorded, during spinal manipulative treatments (SMTs) to T12 of an unembalmed human cadaver. SETTING:The experime...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::The interaction of the body and mind in stress syndromes; the input from the mind which influences the neurological functions regulating physiological responses; and the metabolic changes that result are discussed. Treatment direction is based on clinical experience and previously published theories. The synergistic e...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:OBJECTIVE:To look for differences in mobility in randomly selected patients without shoulder complaints depending on age, gender and left- or right-handedness; to investigate in the patient group whether specific differences exist, depending on the diagnosis made or the afflicted side; and to detect differences between...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1997-05-01 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::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:OBJECTIVE:To investigate the recovery pattern in chiropractic patients being treated for long-lasting or recurrent low back pain; in particular, to identify the minimum number of required treatments and the minimum number of days from the beginning of treatment to the occurrence of improvement. DESIGN:Prospective, unc...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,多中心研究
doi:10.1067/mmt.2001.114362
更新日期:2001-05-01 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 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