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 subjects recruited from a chiropractic college were tested in this within-day repeated-measures design study. Gluteus medius containing a prominent TrP was indented for 4 sessions using a mechanoacoustic indentor system. A finite element optimization method extracted hyperelastic material constants of the gluteus medius. Load-deformation response on a standardized block was simulated. Area under the load-deformation curve from 0% to 25% deformation (A(FE)) and force at 25% deformation (F(FE)) were determined. No treatment was applied between the first and second sessions. Only the primary TrP in gluteus medius was treated between the second and third sessions. Full Nimmo treatment was used between the third and fourth sessions requiring treatment of all primary and secondary TrPs. The A(FE), F(FE), tissue thickness, subjective pain, and Oswestry Disability Index were compared between sessions. RESULTS:After full Nimmo treatment, A(FE) and F(FE) were significantly smaller than baseline (P = .021 and .027, respectively) and focal TrP treatment only (P = .003 and .001, respectively). The changes accompanied concomitant improvement in subjective pain and disability. It appears that focal TrP treatment resolves TrP, but full Nimmo treatment further reduces electrogenic spasm. CONCLUSIONS:Immediate effect of a single full Nimmo treatment appears to reduce muscle tone, subjective pain, and disability and be more beneficial than focal TrP treatment.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Koo TK,Cohen JH,Zheng Ydoi
10.1016/j.jmpt.2011.09.013subject
Has Abstractpub_date
2012-01-01 00:00:00pages
45-53issue
1eissn
0161-4754issn
1532-6586pii
S0161-4754(11)00231-4journal_volume
35pub_type
杂志文章abstract:BACKGROUND:Recent research has shown that Mulligan's Mobilization With Movement treatment technique for the elbow (MWM), a peripheral joint mobilization technique, produces a substantial and immediate pain relief in chronic lateral epicondylalgia (48% increase in pain-free grip strength).([1]) This hypoalgesic effect 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:10.1016/j.jmpt.2003.12.022
更新日期:2004-03-01 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:PURPOSE:The aim of this study was to determine the accuracy in measuring the pelvic orientations of a phantom model using the PosturePrint method. METHODS:In the Université du Québec à Trois-Rivières biomechanics laboratory, Trois-Rivières, Quebec, Canada, a mannequin was fixed on a rotating platform. For a set of 3 p...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2007.12.009
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:This article evaluates reliability and diagnostic validity of the cervical flexion-rotation test (FRT) to discriminate subjects with headache because of C1/2 dysfunction. In addition, this study evaluates agreement between experienced and inexperienced examiners. METHODS:These were 2 single blind comparative...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
doi:10.1016/j.jmpt.2008.03.012
更新日期:2008-05-01 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:STUDY DESIGN:Best evidence synthesis. OBJECTIVE:To perform a best evidence synthesis on the course and prognostic factors for neck pain and its associated disorders in Grades I-III whiplash-associated disorders (WAD). SUMMARY OF BACKGROUND DATA:Knowledge of the course of recovery of WAD guides expectations for recove...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2008.11.014
更新日期:2009-02-01 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: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: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: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 aim of this study was to evaluate body posture and the distribution of plantar pressure at physiologic rest of the mandible and during maximal intercuspal positions in subjects with and without temporomandibular disorder (TMD). METHODS:Fifty-one subjects were assessed by the Diagnostic Criteria for Resea...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.04.003
更新日期:2014-07-01 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::In this study, 58 subjects with myofascial low back pain and 26 asymptomatic controls were evaluated according to a protocol of biomechanical analysis involving the plumbline, lateral bending dynamic roentgenograms, sacro-iliac motion palpation, lumbar motion palpation and straight-leg-raising. The outcomes of each te...
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::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: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 determine the characteristics of Australian adults who seek care for low back pain (LBP), including the type of care they choose and any factors associated with making those choices. DESIGN:A population-based mailed survey. SUBJECTS:An age, gender, and state stratified random sample of 2768 Australian ad...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2004.04.006
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:In this observational study, we evaluated the effects of chest and neck mobilization on spirometric parameters in healthy subjects. METHODS:We conducted an observational, quantitative, and experimental study in a sample of 100 healthy subjects. We evaluated spirometric parameters before and after pompage mo...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2011.08.004
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To establish the mechanism of the thoracolumbar spine during trunk rotation and its restriction. DESIGN:Patients with one-sided rotation restriction were examined seated on a chair with the pelvis fixed in neutral position, at maximum right and left trunk rotations, before and after mobilization of movement ...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1997-09-01 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: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: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
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:The objective of this study was to determine the effect of a standard 3-point lap-and-shoulder seat belt and car seat on the electromyogram (EMG) response of the cervical muscles to increasing low-velocity impacts in comparison with that of a rigid seat and 5-point restraint. METHODS:Seventeen healthy volunt...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.12.008
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Measurement of cervical motion (CM) is probably the most commonly applied functional outcome measure in assessing the status of patients with cervical pathology. In general terms, CM refers to motion of the head relative to the trunk as well as conjunct motions within the cervical spine. SPECIAL FEATURES:Mu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2008.08.004
更新日期:2008-09-01 00:00:00
abstract::This review of the clinical management and health care for spinal disorders focuses on nonspecific low back pain. It is set against the historical background and epidemiology of low back pain and current health care in both the United States and the United Kingdom. Recent U.S. and U.K. Clinical Guidelines for low back...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:A comprehensive review of the literature concerning the etiology, diagnosis, and the natural history of primary nocturnal enuresis is presented. Contemporary treatment options are discussed in light of the documented annual remission rate of this disorder. DATA SOURCE:Articles reviewed were obtained by condu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to research the distribution of stresses and displacements in cervical nuclei pulposi during simulated cervical spine manipulation (CSM). METHODS:A 3-dimensional finite element model of C3/4~C6/7 was established. The detailed mechanical parameters of CSM were analyzed and simu...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.05.007
更新日期:2014-10-01 00:00:00
abstract::The posteroanterior view of the lumbar spine has important features including radiation protection and image quality; these have been studied by various investigators. Investigators have shown that sensitive tissues receive less radiation dosage in the posteroanterior view of the spine for scoliosis screening and intr...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1990-03-01 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:OBJECTIVE:This study systematically reviewed the published evidence regarding chiropractic care, including spinal manipulation, for pregnancy-related low back pain (LBP). METHODS:A multimodal search strategy was conducted, including multiple database searches along with reference and journal hand searching. Studies we...
journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:10.1016/j.jmpt.2008.06.009
更新日期:2008-07-01 00:00:00