Clinical assessment and treatment of leg length inequalities.

Abstract:

:Controversy persists regarding the significance of leg length inequality, the diagnostic approach to the use of heel lifts, and the implementation of proper orthopedic support in treatment of anatomical leg length inequalities. The purpose of this paper is to review the literature and formulate a sequential examination for a patient with leg length discrepancy, then outline a formula for the treatment of the patient. The initial problem a practitioner faces in examining a patient with leg length inequality is to determine if a true (anatomical) leg deficiency exists. Through a series of measurements and pelvic assessments, an effective screening process can be accomplished before radiography (scanogram) is required. An understanding of the mechanics along the kinetic chain, anywhere from the foot to the lumbar spine, coupled with the information gained from radiographs, can provide a treatment plan detailing the size of the lift and location.

authors

Danbert RJ

subject

Has Abstract

pub_date

1988-08-01 00:00:00

pages

290-5

issue

4

eissn

0161-4754

issn

1532-6586

journal_volume

11

pub_type

杂志文章,评审
  • Is it possible to differentiate people with or without low-back pain on the basis of test of lumbopelvic dysfunction?

    abstract:OBJECTIVE:To determine the prevalence of positive chiropractic test results in relation to low back pain status and to determine the sensitivity, specificity, and predictive (positive and negative) values of these tests. DESIGN:Study subjects were examined by a chiropractor who was unaware of their low back pain statu...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/s0161-4754(00)90245-8

    authors: Leboeuf-Yde C,Kyvik KO

    更新日期:2000-03-01 00:00:00

  • Survey of faulty postures and associated factors among Chinese adolescents.

    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

    authors: Cho CY

    更新日期:2008-03-01 00:00:00

  • The effects of combined x-axis translations and y-axis rotations on projected lamina junction offset.

    abstract:OBJECTIVES:To quantify the projection errors caused by the combining of selected x-axis translations with selected y-axis rotations as seen on plain film anteroposterior (AP) radiographs. STUDY DESIGN:A computer was used to model the projection of the lamina junction and points on the lateral body margins of a 2-dimen...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1067/mmt.2001.118206

    authors: Coleman RR,Harrison DE,Bernard BB

    更新日期:2001-10-01 00:00:00

  • Myelopathy: a report of two cases.

    abstract:OBJECTIVE:To present diagnostic imaging findings of two cases of cervical myelopathy, with different etiologies, presenting to a chiropractic office. CLINICAL FEATURES:The patient with acute transverse myelitis had neck and upper back pain and nonspecific headaches for 40 years. The patient with posttraumatic syringom...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2005.07.013

    authors: Patel SN,Kettner NW,Osbourne CA

    更新日期:2005-09-01 00:00:00

  • Are Swiss chiropractors different than other chiropractors? Results of the job analysis survey 2009.

    abstract:OBJECTIVE:With the start of a new chiropractic program in the faculty of medicine, University of Zürich, an in-depth look at chiropractic practice in Switzerland was needed to help direct the undergraduate and postgraduate education. The purposes of this study were (1) to identify specific characteristics of chiropract...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2010.08.003

    authors: Humphreys BK,Peterson CK,Muehlemann D,Haueter P

    更新日期:2010-09-01 00:00:00

  • Chiropractic treatment of pregnancy-related low back pain: a systematic review of the evidence.

    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

    authors: Stuber KJ,Smith DL

    更新日期:2008-07-01 00:00:00

  • Shared decision making through informed consent in chiropractic management of low back pain.

    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

    authors: Dagenais S,Brady O,Haldeman S

    更新日期:2012-03-01 00:00:00

  • Exposure margin in skeletal radiography and its effect on tube tilt compensation.

    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:

    authors: Andersen KK,Carstensen HM

    更新日期:1998-05-01 00:00:00

  • An exploratory, descriptive study of consumer opinions and behaviors regarding health products sales at 4 chiropractic practices in a large, western Canadian urban center.

    abstract:OBJECTIVE:This study describes the opinions and behaviors of chiropractic patients in a large, western Canadian urban center regarding the sale of health products by doctors of chiropractic. METHODS:A brief, descriptive survey consisting of both fixed-choice and open-ended questions was distributed by clinic reception...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2014.10.015

    authors: Page SA,Mbadiwe C,McMorland DG,Grod JP

    更新日期:2015-01-01 00:00:00

  • Award-winning papers and abstracts from the International Conference on Chiropractic Research 2009.

    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

    authors: Haldeman S,Chapman-Smith D

    更新日期:2010-06-01 00:00:00

  • Pelvic sagittal torsion caused by induced leg length discrepancy: geometrical illusion may influence measures based on superior-iliac spines positions.

    abstract:OBJECTIVE:To investigate whether a common measure of sagittal pelvic torsion based on the superior iliac spines behave similarly to predictions of a rigid (non-torsioned) plane, when leg length discrepancies (LLD) are induced. METHOD:Twenty-four young asymptomatic participants were subjected to pelvic posture measurem...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2018.11.038

    authors: Souza TR,Almeida RP,Pires CV,Pinto VA,Gonçalves BT,Carvalho DS,Barsante LD,Fonseca ST

    更新日期:2021-01-08 00:00:00

  • Developing a clinical competency examination in radiology: part I--test structure.

    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

    authors: Marchiori DM,Adams TL,Henderson CN

    更新日期:1999-02-01 00:00:00

  • Reliability of the Goutallier classification in quantifying muscle fatty degeneration in the lumbar multifidus using magnetic resonance imaging.

    abstract:OBJECTIVE:The purpose of this study was to investigate the reliability of the Goutallier classification system (GCS) for grading muscle fatty degeneration in the lumbar multifidus (LM) using magnetic resonance imaging (MRI) examinations. METHODS:Lumbar spine MRI scans were obtained retrospectively from the radiology d...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2013.12.010

    authors: Battaglia PJ,Maeda Y,Welk A,Hough B,Kettner N

    更新日期:2014-03-01 00:00:00

  • Resolution of a double Crush syndrome.

    abstract:OBJECTIVE:To discuss the evaluation and treatment used in the resolution of a case of double crush syndrome. CLINICAL FEATURES:A 63-yr-old male suffered from a 36-month history of right anterior leg numbness and recurrent lower back pain. Onset of initial complaint followed a slip and fall on ice. A clinical diagnosis...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Flatt DW

    更新日期:1994-07-01 00:00:00

  • Effect of unilateral spinal adjustments on goniometrically-assessed cervical lateral-flexion end-range asymmetries in otherwise asymptomatic subjects.

    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:

    authors: Nansel DD,Cremata E,Carlson J,Szlazak M

    更新日期:1989-12-01 00:00:00

  • Reliability of the motor evoked potentials elicited through magnetic stimulation at three sites.

    abstract:BACKGROUND:Motor evoked potentials (MEPs) obtained from magnetic stimulation allow the measurement of the excitability of motor nerve cells. Although this technique is becoming widely used, its reliability has yet to be established. OBJECTIVE:To determine the reliability of MEPs and evaluate their stability. DESIGN:S...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2003.12.004

    authors: Lefebvre R,Pépin A,Louis PF,Boucher JP

    更新日期:2004-02-01 00:00:00

  • Effect of chiropractic care on heart rate variability and pain in a multisite clinical study.

    abstract:OBJECTIVE:The purpose of this study is to investigate the effect of chiropractic care in a multiclinic setting on sympathetic and parasympathetic nervous system activities using heart rate variability (HRV) analysis. METHODS:Physicians of chiropractic in private practice were provided with an HRV device to perform ana...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmpt.2006.03.010

    authors: Zhang J,Dean D,Nosco D,Strathopulos D,Floros M

    更新日期:2006-05-01 00:00:00

  • Pelvic pain and organic dysfunction in a patient with low back pain: response to distractive manipulation: a case presentation.

    abstract::Many patients with low back pain demonstrate pelvic symptomatology attributable to lower sacral nerve root compression. Lower sacral nerve root compression has been identified as a cause of pelvic pain and pelvic organ dysfunction. Pelvic symptomatology secondary to lower sacral nerve root compression is given. Lower ...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Browning JE

    更新日期:1987-06-01 00:00:00

  • Neurofibromatosis type I: clinical and imaging features of Von Recklinghausen's disease.

    abstract:OBJECTIVE:To discuss the case of a 45-year-old woman, with a prior diagnosis of neurofibromatosis type 1 (NF-1), complaining of low back and cervical spine pain with bilateral upper extremity paresthesias. CLINICAL FEATURES:The patient had a dull, achy, constant low-back pain of 4 months' duration, with mild headaches...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1067/mmt.2003.7

    authors: Gajeski BL,Kettner NW,Awwad EE,Boesch RJ

    更新日期:2003-02-01 00:00:00

  • Utilization of Low Back Pain Patient Reported Outcome Measures Within Chiropractic Literature: A Descriptive Review.

    abstract:OBJECTIVE:The purpose of this review was to determine the most commonly reported and utilized low back pain (LBP) Patient Reported Outcome Measures (PROMs) within the chiropractic literature and to investigate their temporal and methodological publication characteristics. METHODS:A systematic search of English-languag...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2017.11.007

    authors: Clohesy NC,Schneiders AG,Eaton S

    更新日期:2018-09-01 00:00:00

  • Hass' disease.

    abstract::A case of posttraumatic avascular necrosis of the humeral head (Hass' disease) is presented along with serial radiographs taken over a period of 4 1/2 y. The favorable response to conservative physical therapies is described. ...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Terrett AG,Molyneux TP

    更新日期:1988-02-01 00:00:00

  • Pain, disability, and satisfaction outcomes and predictors of outcomes: a practice-based study of chronic low back pain patients attending primary care and chiropractic physicians.

    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:

    authors: Nyiendo J,Haas M,Goldberg B,Sexton G

    更新日期:2001-09-01 00:00:00

  • Integrative health care under review: an emerging field.

    abstract:OBJECTIVE:The purpose of this study was to review the research literature for the emerging field of Integrative Medicine/Integrative Health Care (IM) using the methods of systematic review. METHODS:We conducted an electronic literature search using PubMed, Allied and Complementary Medicine, BIOSIS Previews, EMBASE, th...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmpt.2010.08.007

    authors: Coulter ID,Khorsan R,Crawford C,Hsiao AF

    更新日期:2010-11-01 00:00:00

  • Communication between general practitioners and chiropractors.

    abstract:OBJECTIVE:Good communication between health care professionals has proved to be important in ensuring high standards of care. Patients have shown an increased use of complementary medicine (eg, chiropractic) in addition to conventional medicine. However, this does not automatically guarantee good cooperation and commun...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1067/mmt.2001.112016

    authors: Brussee WJ,Assendelft WJ,Breen AC

    更新日期:2001-01-01 00:00:00

  • Reliability and Responsiveness of Patient-Reported Outcome Measures of Neck Disability to Physical Therapy: Comparison of the Copenhagen, Northwick Park, and Neck Bournemouth Questionnaires and the Neck Disability Index.

    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

    authors: Stefanovitch-Lawbuary N,Amirfeyz R,Lovell R,Bannister G

    更新日期:2019-02-01 00:00:00

  • Assessment of cervicogenic vertigo.

    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:

    authors: Fitz-Ritson D

    更新日期:1991-03-01 00:00:00

  • Cognitive Behavioral Therapy With Stabilization Exercises Affects Transverse Abdominis Muscle Thickness in Patients With Chronic Low Back Pain: A Double-Blinded Randomized Trial Study.

    abstract:OBJECTIVE:Nonspecific chronic low back pain (NCLBP) is a major public health and global socioeconomic burden with a variety of symptoms, such as fear-avoidance behaviors. This study aimed to evaluate the effect of cognitive behavioral therapy (CBT) associated with stabilization exercise (SE) on thickness of transverse ...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2019.03.015

    authors: Bagheri R,Hedayati R,Ehsani F,Hemati-Boruojeni N,Abri A,Taghizadeh Delkhosh C

    更新日期:2020-06-01 00:00:00

  • Physical examination of the cervical spine and shoulder girdle in patients with shoulder complaints.

    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:

    authors: Sobel JS,Winters JC,Groenier K,Arendzen JH,Meyboom de Jong B

    更新日期:1997-05-01 00:00:00

  • Nocturnal enuresis: treatment implications for the chiropractor.

    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:

    authors: Kreitz BG,Aker PD

    更新日期:1994-09-01 00:00:00

  • Subjective nature of lower limb radicular pain.

    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

    authors: Bove GM,Zaheen A,Bajwa ZH

    更新日期:2005-01-01 00:00:00