Abstract：
PURPOSE:The aim of this study was to determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction. METHODS:Sixty ambulatory women between the ages of 18 and 40 years with cervical facet joint pain of more than 30-day duration and normal neurologic examination were randomized to receive 1 of 3 treatment options: (1) CMT of the cervical spine, (2) LLLT applied to the cervical facet joints, or (3) a combination of CMT and LLLT. Each participant received 6 treatments in 3 weeks. The main outcome measures were as follows: the Numerical Pain Rating Scale, Neck Disability Index, Cervical Range of Motion Instrument, and Baseline Digital Inclinometer. Measurements were taken during weeks 1 (baseline), 2, 3, and 4. RESULTS:No differences existed between the 3 groups at baseline. A significant difference was seen between groups 1 (CMT) and 2 (LLLT) for cervical flexion, between groups 1 (CMT) and 3 (CMT + LLLT) for cervical flexion and rotation, and between groups 2 (LLLT) and 3 (CMT + LLLT) for pain disability in everyday life, lateral flexion, and rotation. CONCLUSION:All 3 groups showed improvement in the primary and secondary outcomes. A combination of CMT and LLLT was more effective than either of the 2 on their own. Both therapies are indicated as potentially beneficial treatments for cervical facet dysfunction. Further studies are needed to explore optimal treatment procedures for CMT and LLLT and the possible mechanism of interaction between therapies.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Saayman L,Hay C,Abrahamse Hdoi
10.1016/j.jmpt.2011.02.010subject
Has Abstractpub_date
2011-03-01 00:00:00pages
153-63issue
3eissn
0161-4754issn
1532-6586pii
S0161-4754(11)00039-Xjournal_volume
34pub_type
杂志文章,随机对照试验abstract：OBJECTIVES:To assess the feasibility of patient recruitment, the ability of patients and clinicians to comply with study protocols, and the use of data collection instruments to collect cost-effectiveness data, and to obtain variability estimates for sample-size calculations for a full-scale trial. STUDY DESIGN:Prospe...
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.2000.109678
更新日期：2000-10-01 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 date, there have been no reports of ethics board approval or informed consent within the chiropractic literature or within chiropractic research. The purpose of this study was to assess the reporting of ethics approval and informed consent in articles published during the 2008 volume year of 3 chiropractic...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2011.02.008
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:Alterations in the normal force-displacement (FD) properties of spinal tissues have been associated with specific forms of pathology, such as degenerative disk disease. Unfortunately, few current procedures exist that assess spinal FD properties in an accurate, reliable, and noninvasive manner. Consequently,...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：2001-03-01 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:To present the clinical and neurological features of a patient suffering from cervical spondylotic myelopathy. CLINICAL FEATURES:Cervical spondylotic myelopathy (CSM) is a condition in which the vascular and neural structures are compressed by bony spurring and soft tissue hypertrophy, causing ischemic damag...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to use scientific evidence to develop a practical diagnostic checklist and corresponding clinical exam for patients presenting with low back pain (LBP). METHODS:An iterative process was conducted to develop a diagnostic checklist and clinical exam for LBP using evidence-based di...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2019.08.003
更新日期：2019-11-01 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：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：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：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：OBJECTIVE:To describe the chiropractic management of a patient suffering from a right lateral meniscus tear concurrent with calcium pyrophosphate dihydrate (CPPD) deposition disease. CLINICAL FEATURES:A 51-yr-old bus driver suffered from right knee pain (7 on a 1-10 pain scale). The onset of the pain was gradual and i...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:This article presents a critique of the concept of marginal role as applied to chiropractors by examining the area of structural role theory from which the concept has been drawn. It suggests that the concept role was itself a reified concept and that its "metaphorical extension" to cover chiropractors constitutes a d...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:To examine the rationale for and necessity of adjusting the film focal distance when X-ray angulation is employed during a radiographic study, and to determine the sensitivity of human interpreters to overall differences in film density and the correlation, if any, with digital analysis of radiographic films....
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to test an educational intervention designed to increase hand and treatment table sanitizing on 3 chiropractic college campuses using a theory-based intervention. The second purpose is to see if an increase in observed hand hygiene would be noted as a result of the intervention. ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2009.06.007
更新日期：2009-07-01 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：BACKGROUND:Most of the studies of physical examinations of the cervical spine have shown poor reliability. PURPOSE:To assess the interexaminer reliability in physical examinations of the cervical spine. SUBJECTS:Forty-eight subjects, age range 18 to 63 years. METHODS:Two physiotherapists independently evaluated a nu...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70002-3
更新日期：1999-10-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to measure the relative movements of vertebrae during manipulative thrusts to unembalmed post-rigor mortis human cadavers. SETTING:The investigation was conducted in the gross anatomy laboratory at the University of Calgary. SUBJECTS:Two 77-yr-old, unembalmed, post-rigor mortis...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:A survey of 390 patients receiving care in the teaching clinics of the Northwestern College of Chiropractic (NWCC) was conducted to obtain information about patient satisfaction with their chiropractic care and about their prior or subsequent utilization of other types of health care services. Patients were contacted ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1984-09-01 00:00:00
abstract：OBJECTIVE:Our aim was to report changes in neck pain at rest, active cervical range of motion, and neck pain at end-range of cervical motion after a single thoracic spine manipulation in a case series of patients with mechanical neck pain. METHODS:Seven patients with mechanical neck pain (2 men, 5 women), 20 to 33 yea...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2007.03.007
更新日期：2007-05-01 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：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: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：:A new method for assessing cervicogenic vertigo is presented. This method can quickly assess the origins of vertigo. Preliminary data on 235 patients found that 112, (47.6%), were positive to the tests. After 18 treatments, 101 of the patients (90.2%) were symptom free. The patients responding best suffered acute uppe...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：BACKGROUND:Minor side effects associated with chiropractic are common. However, little is known about their predictors or the effects of reactions on satisfaction and clinical outcomes. OBJECTIVE:The objectives of this study are to compare the relative effects of cervical spine manipulation and mobilization on adverse...
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/j.jmpt.2003.11.002
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:There is a need for radiology educational outcome measures that evaluate clinical competency. This is the first of two articles introducing a clinical competency examination in radiology. This first article describes the evolution and structure of the examination. The second article presents the results of t...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/s0161-4754(99)70109-0
更新日期：1999-02-01 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：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 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: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
