Abstract:
OBJECTIVE:There has been much discussion about the role of chiropractic care in the evaluation, management, and treatment of pediatric patients. To date, no specific guidelines have been adopted that address this issue from an evidence based perspective. Previous systematic reviews of the chiropractic literature concluded that there is not yet a substantial body of high quality evidence from which to develop standard clinical guidelines. The purpose of this project was to develop recommendations on "best practices" related primarily to the evaluation and spinal manipulation aspects of pediatric chiropractic care; nonmanipulative therapies were not addressed in detail. METHODS:Based on both clinical experience and the results of an extensive literature search, a set of seed documents was compiled to inform development of the seed statements. These were circulated electronically to the Delphi panel until consensus was reached, which was considered to be present when there was agreement by at least 80% of the panelists. RESULTS:A multidisciplinary panel of 37 was made up primarily of doctors of chiropractic with a mean of 18 years in practice, many with post-graduate training in pediatrics. The panel represented 5 countries and 17 states; there were members of the American Chiropractic Association, the International Chiropractors Association, and the International Chiropractic Pediatric Association. The panel reached a minimum of 80% consensus on the 51 seed statements after 4 rounds. CONCLUSIONS:A broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to clinical evaluation, management, and manual treatment for pediatric patients, based on both scientific evidence and clinical experience.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Hawk C,Schneider M,Ferrance RJ,Hewitt E,Van Loon M,Tanis Ldoi
10.1016/j.jmpt.2009.08.018subject
Has Abstractpub_date
2009-10-01 00:00:00pages
639-47issue
8eissn
0161-4754issn
1532-6586pii
S0161-4754(09)00204-8journal_volume
32pub_type
杂志文章abstract:OBJECTIVE:Back pain has consistently ranked among the top general health complaints among college students, but few studies have examined risk factors for back pain in this age group. This cross-sectional survey evaluated the association between the self-reported annual low back pain with the estimated usual backpack w...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2010.06.003
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the short-term effects of Mulligan's mobilization with movement (MWM) on pain, physical function, emotional aspects, and proprioceptive acuity after a 2-week treatment period and throughout a 3-week follow-up period. METHODS:A single group of 30 participants (60.96 ± 5.16 years) with symptomatic ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2019.04.011
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To demonstrate the concept of integrated dental orthopedic and cranio-chiropractic care for treating structural disorders of the jaw, neck and spine. CLINICAL FEATURES:A 33-yr-old woman sought chiropractic care for centralized lumbosacral pain that had persisted for 3 months. She exhibited pain on lumbopelvi...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine influences of cervical spine positions, turning times, and cervical segments on cadaver intradiscal pressure (IDP) during cervical spinal manipulative therapy (SMT). METHODS:We simulated cervical SMT with stretching and rotation on 7 fresh adult cadaver specimens in...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2012.06.005
更新日期:2012-07-01 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: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: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:OBJECTIVES:The purpose of this study was to compare the effectiveness of cryotherapy with mobilization (CM) vs cryotherapy with mobilization reinforced with home stretching exercises (CMS) on pain and disability. METHOD:A randomized clinical trial with 2-arm parallel design, concealed allocation, assessor blinding, an...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2018.11.030
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate trunk repositioning sense after an acute muscle fatigue protocol and during a 30-minute recovery period. METHODS:Twenty healthy participants were asked to reproduce a 20° and 30° angle in trunk extension. Participants were tested before and after a Biering-Sorensen fatig...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2012.10.003
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify the external and internal reliability and responsiveness of the validated patient-reported outcome measures (PROMs) of neck pain to a standardized regimen of physiotherapy administered acutely after mild whiplash injury using the clinically significant improvement com...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2019.03.007
更新日期:2019-02-01 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: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: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:A systematic review was performed to evaluate the existing evidence related to the prevalence, incidence, localization, and pathophysiology of myofascial trigger points (MTrPs) in patients with spinal (back and neck) pain. METHODS:A systematic review following Preferred Reporting Items for Systematic Reviews...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2015.08.004
更新日期:2015-10-01 00:00:00
abstract::This article discusses a case of osteochondroma suffered by a female patient. The typical clinical and radiographic signs and symptoms are presented. Osteochondromas may be pedunculated or sessile. Malignant transformation ranges from 1% for solitary lesions to 20% for hereditary multiple exostoses. If transformation ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:This study evaluates age- and sex-specific reference values for neck muscle endurance (NME). METHODS:In this cross-sectional study, 116 randomly selected, healthy volunteers (ages 25-64 years) stratified according to age and gender participated. Dorsal and ventral NME was measured in seconds until exhaustion...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2007.01.008
更新日期:2007-03-01 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 evaluate musculoskeletal injury rate and physical fitness before and 6 months after an endurance, strength, and motor control exercise program in preprofessional dancers. METHODS:This uncontrolled trial was completed at a college offering a professional bachelor degree in dan...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:10.1016/j.jmpt.2012.04.014
更新日期:2012-06-01 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:OBJECTIVE:The purpose of this study was to determine the prevalence of musculoskeletal disorders among Iranian physical therapists. METHODS:A cross-sectional study was carried out. An online survey was completed by Iranian physiotherapists from June 2017 to August 2017. A total of 333 online questionnaires were sent, ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2018.02.003
更新日期:2018-01-01 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:OBJECTIVE:To discuss an unusual presentation of spina bifida occulta (SBO) mimicking an aggressive bone lesion. CLINICAL FEATURES:A 59-yr-old man suffered from intermittent neck pain. The plain film radiographs revealed rarefaction of the C6 spinous process that mimicked an aggressive bone lesion. Computed tomography ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:The aim of the current study was to investigate changes in the intrinsic inhibitory interactions within the somatosensory system subsequent to a session of spinal manipulation of dysfunctional cervical joints. METHOD:Dual peripheral nerve stimulation somatosensory evoked potential (SEP) ratio technique was u...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2010.01.005
更新日期:2010-03-01 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:Few studies exist on the prognostic value of demographic, clinical, or psychosocial factors on long-term outcomes for patients with chronic low back pain. OBJECTIVE:This study reports on long-term pain and disability outcomes for patients with chronic low back pain, evaluates predictors of long-term outcome...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to describe 2 representative cases of patients presenting to an osteopathic pain practice with signs and symptoms consistent with the fourth thoracic (T4) syndrome. In addition, this article reports the application of quantitative thermosensory testing and dynamometer strength testing...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2006.04.003
更新日期:2006-06-01 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: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::This time-series case study was designed to determine whether manipulating the spine can be an effective method of relief from dysmenorrhea. A patient suffering from dysmenorrhea monitored her monthly menstrual cramps by using pain diaries. She rated her pain levels during 4 months of a baseline phase and 3 months of ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to review the literature concerning distraction manipulation of the lumbar spine, particularly regarding physiological effects, clinical efficacy, and safety. DATA SOURCES:A search of the English language literature was conducted using the MEDLINE, Embase, CINAHL, Chiropractic Re...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2005.03.012
更新日期:2005-05-01 00:00:00