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 burning pains in the lower extremities and poor balance. Disturbance of vibration, joint position, coarse and fine touch and pinprick sensation was found along with extensive trophic changes, mild motor weakness and absent Achilles reflexes. Joint dysfunction was detected in the mortise and intertarsal joints and myofascial trigger points were found in the quadratus plantae muscles. INTERVENTION AND OUTCOME:The patient was treated with manipulation to the intertarsal and mortise joints and myofascial therapy to the quadratus plantae muscles 18 times over 4 months. This treatment brought about dramatic improvement in both symptoms and clinical signs of nerve function. CONCLUSIONS:It is possible that joint and/or myofascial dysfunction may play a role in the susceptibility to diabetic polyneuropathy and that treatment of these dysfunctional conditions may bring about improvement in the neuropathy. Possible mechanisms by which this may occur include impaired afferent stimulation from the intertarsal joint receptors due to loss of joint play and disturbance of axoplasmic flow along the nerves affected by the neuropathy. Reporting similar cases as well as conducting clinical trials with large populations may shed light on whether there is a relationship between diabetic polyneuropathy and joint and myofascial dysfunction of the feet.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Murphy DRsubject
Has Abstractpub_date
1994-01-01 00:00:00pages
29-37issue
1eissn
0161-4754issn
1532-6586journal_volume
17pub_type
杂志文章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
更新日期：2015-01-01 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:The purposes of this study were to survey Council on Chiropractic Education-accredited chiropractic colleges in North America and to describe curricular details on the teaching of bioethics. METHODS:A custom-designed survey was sent to chiropractic colleges. Total number of contact hours, whether the ethics ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2012.07.005
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:This AB, single-subject case study was conducted to investigate the capability of chiropractic manipulation of the temporomandibular joint (TMJ) in treating unilateral anterior displacement of the articular disc with adhesion to the articular eminence. A specific joint manipulation was designed to reduce the ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:To demonstrate the errors in surface electromyogram (EMG) interpretation that can be made when the EMG signal is not normalized. DESIGN:A case study as a proof of principle. MAIN OUTCOME MEASURES:The EMG amplitude between the upper and lower portions of the rectus abdominis in one subject during a trunk cur...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/s0161-4754(99)70032-1
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:To determine the effectiveness of chiropractic treatment for patients with low back pain by means of a systematic review of the literature. DATA SOURCES:Randomized clinical trials (RCTs) on chiropractic were identified with a Medline and Embase search (1966-1995), by citation tracking, and by hand searching ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,meta分析
doi：
更新日期：1996-10-01 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：: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:The purpose of this study was to investigate the changes in passive ankle dorsiflexion range of motion (ROM), maximum plantar force, force-time integral, and time to heel off during walking between pre- and postapplication of modified mobilization with movement (MWM) using talus glide taping in people with li...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2014.01.007
更新日期：2014-06-01 00:00:00
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 examinatio...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1988-08-01 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:To discuss the chiropractic management of a patient who sustained a unilateral lamina fracture of the sixth cervical vertebra. CLINICAL FEATURES:The patient had suffered cervical trauma from a motor vehicle accident. Clinical evaluation revealed acute global neck pain with associated left arm radiculitis and...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1997-02-01 00:00:00
abstract：OBJECTIVE:This case report presents a simple systematic approach consisting of a 10-week specific sequential multimodal conservative management approach to chronic lateral epicondylitis. CLINICAL FEATURES:A 57-year-old female science teacher experiencing elbow pain for 5 months presented to our multidisciplinary clini...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2008.12.007
更新日期：2009-02-01 00:00:00
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 positio...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2007.07.001
更新日期：2007-09-01 00:00:00
abstract：:A very rare case of traumatic avulsion fracture of the fabella in a middle-age lady, presented as intermittent posterolateral localized knee pain accentuated by compression against the lateral femoral condyle and by active and passive knee extension, is illustrated. The accumulated chronic microtrauma of the osteoarth...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1988-10-01 00:00:00
abstract：OBJECTIVE:A qualitative review of the scientific literature on thermographic instrumentation for detecting neuromusculoskeletal abnormalities of the spinal column was made. Electronic infrared instrumentation (telethermography), liquid crystal thermography and various hand-held devices were scrutinized in terms of reli...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：
更新日期：1992-07-01 00:00:00
abstract：OBJECTIVE:Sitting has been identified as a cause of mechanical low back pain. The purpose of this study was to use plain film x-rays to measure lumbar spine and pelvic posture differences between standing and sitting. METHODS:Eight male subjects were radiographed standing and sitting in an automobile seat. Measures of...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2009.11.008
更新日期：2010-01-01 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: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：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
更新日期：2001-10-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to compare clinical and ultrasound findings of thumb joints in young adults with and without thumb pain associated with text messaging. METHODS:In this case-control study, 117 students with thumb pain associated with text messaging were evaluated clinically and with ultrasound analy...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2017.11.001
更新日期：2018-01-01 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:This case report discusses the treatment of 2 patients with cervicogenic headache (CHA) attending the Outpatient Clinic of the Hungarian National Institute for Rheumatology and Physiotherapy (Budapest, Hungary) and reviews the pathophysiology, therapeutic strategy, and problems associated with the treatment o...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章,评审
doi：10.1016/j.jmpt.2009.08.006
更新日期：2009-09-01 00:00:00
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
更新日期：2021-01-08 00:00:00
abstract：OBJECTIVE:Transfer capability represents the changes in performance in one task that result from practice or experience in other related tasks. Increased transfer capability has been associated with expertise in several motor tasks. The purpose of this study was to investigate if expertise in spinal manipulation therap...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2015.02.001
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:Cervicogenic cephalic syndrome (CCS), a group of diseases, consists of cervicogenic headache and dizziness. These symptoms may cause loss of physical function compared with other headache and dizziness disorders. The purpose of this case-control study was to assess the clinical effects of ischemic compression...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2012.04.009
更新日期：2012-05-01 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：BACKGROUND:The purpose of this study was to investigate outcomes of chronic patients unresponsive to previous spinal manipulative therapy subsequently treated with manipulation under anesthesia (MUA). METHODS:A prospective outcome cohort study was performed on 30 patients who had not improved with previous treatment a...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2014.05.002
更新日期：2014-07-01 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：: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
