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 of the relevant chiropractic reference systems (CRAC and Index to Chiropractic Literature). STUDY SELECTION:All RCTs on low back pain that involved chiropractors as therapists. DATA EXTRACTION:Methodological quality was assessed independently by two reviewers on 14 items covering internal validity, informativeness and study size. Data were extracted on: patients (initial referral, duration of complaints, radiation of pain); outcomes (four different types); and timing of follow-up (short-term, intermediate and long-term). Statistical pooling was intended, according to a preset analysis plan, to include subgroup analysis. DATA SYNTHESIS:Eight RCTs were identified. All RCTs had serious flaws in their design, execution and reporting. Because of the great variety of outcome measures and follow-up timing, there was insufficient data to enable statistical pooling of the RCTs. A narrative review, however, did not provide convincing evidence for the effectiveness of chiropractic for acute or chronic low back pain. CONCLUSIONS:There is certainly a need for correctly executed trials. In future research on the effectiveness of chiropractic, guidelines for uniform execution and reporting of RCTs should first be established to enable subsequent statistical pooling in systematic reviews of chiropractic trials.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Assendelft WJ,Koes BW,van der Heijden GJ,Bouter LMsubject
Has Abstractpub_date
1996-10-01 00:00:00pages
499-507issue
8eissn
0161-4754issn
1532-6586journal_volume
19pub_type
杂志文章,meta分析abstract：BACKGROUND:There are conflicting views about whether expectation plays a role in patient satisfaction. No studies regarding the importance of patient expectations have been done in the chiropractic field. OBJECTIVE:To investigate the expectations of new patients consulting a chiropractor and to evaluate differences an...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.124422
更新日期：2002-06-01 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：OBJECTIVE:To assess the effect of a personalized newsletter compared with a standard newsletter on patient recruitment in physiotherapy research. METHODS:We performed a cluster-randomized trial including 120 physiotherapists who recruited patients for a prospective cohort and were randomly assigned to either receiving...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2019.12.002
更新日期：2020-06-01 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：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: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：
更新日期：1994-07-01 00:00:00
abstract：BACKGROUND:Clinicians apply posteroanterior (PA) forces to the spine for both mobility assessment and certain spinal mobilization and manipulation treatments. Commonly applied forces include low-frequency sinusoidal oscillations (<2 Hz) as used in mobilization, single haversine thrusts (<0.5 seconds) as imparted in hig...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1067/mmt.2002.127079
更新日期：2002-10-01 00:00:00
abstract：STUDY DESIGN:Best evidence synthesis. OBJECTIVE:To report on gaps in the literature and make methodologic recommendations based on our review of the literature on frequency and risk factors, assessment, intervention, and course and prognostic factors for neck pain and its associated disorders. SUMMARY OF BACKGROUND D...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2008.11.024
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:To determine if chiropractic manipulation could relieve carpal tunnel syndrome (CTS). CLINICAL FEATURES:A 42-yr-old female suffered from pain, tingling and numbness in the right wrist. Paresthesia along the C6 dermatome, a positive Phalen's test and Tinel's sign was present. EMG testing confirmed the clinica...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1994-05-01 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: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：OBJECTIVE:The purpose of this study was to evaluate the effects of including 1 session of trigger point dry needling (TrP-DN) into a multimodal physiotherapy treatment on pain and function in postoperative shoulder pain. METHODS:Twenty patients (5 male; 15 female; age, 58 ± 12 years) with postoperative shoulder pain a...
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.2014.11.007
更新日期：2015-03-01 00:00:00
abstract：STUDY DESIGN:Best evidence synthesis. OBJECTIVE:To critically appraise and synthesize the literature on assessment of neck pain. SUMMARY OF BACKGROUND DATA:The published literature on assessment of neck pain is large and of variable quality. There have been no prior systematic reviews of this literature. METHODS:The...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2008.11.016
更新日期：2009-02-01 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 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：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 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：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：:The paper describes the history, symptoms and clinical findings of a typical spinal segmental strain with joint blocking. Also provided are an overview and discussion of joint blocking theories. A mechanism is hypothesized whereby joint blocking may be viewed as an actively maintained, reversible, biomechanical phenom...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1985-03-01 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：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
更新日期：2005-09-01 00:00:00
abstract：:The use of static-postural and dynamic-bending roentgenography by the medical and chiropractic professions was reviewed and a retrospective study of 30 symptomatic subjects was conducted to compare the diagnostic discrimination of dynamic lateral bending (DLB) procedures to that of a previously-reported static-postura...
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：OBJECTIVES:Post-traumatic stress disorder (PTSD) is thought to complicate pain management outcomes, which is consistent with the impact of other psychosocial factors in the biopsychosocial model of pain. This study aimed to identify patient sociodemographic and clinical characteristics associated with PTSD prevalence a...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：10.1016/j.jmpt.2019.10.016
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:Reports of complications after chiropractic adjustments were administered to the lumbar spine and/or pelvis are rare. This case report provides the events associated with a sacral fracture that was not identified before a side-posture sacroiliac adjustment. CLINICAL FEATURES:The patient suffered from blunt, ...
journal_title：Journal of manipulative and physiological therapeutics
pub_type： 杂志文章
doi：
更新日期：1996-09-01 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：: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：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 investigate whether grade III passive lumbar rotational mobilization on L2-3 can improve hip flexor strength and performance in the single-leg triple-hop test in asymptomatic young adults. METHODS:Twenty-four participants (12 men, 12 women) aged from 19 to 26 years who were p...
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.2017.07.003
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:To determine phobic and nonphobic subject response to a provocative threat stimulus and to determine variables that confound the response. DESIGN:Randomized blind examiner test-retest of randomized phobic and control subjects with qualitative, semistructured, informal postint-ervention interview. SETTING:Pr...
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：1996-06-01 00:00:00
abstract：:Functional nocturnal enuresis is a common problem which causes a great deal of stress to the suffering children and their families. Some chiropractors advocate chiropractic care as a mode of therapy for this complaint. One hundred and seventy-one enuretic children, aged 4 to 15, were treated with chiropractic adjustme...
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：1991-02-01 00:00:00
