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Why do ineffective treatments seem helpful? A brief reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
After any therapy, when symptoms improve, healthcare providers (and patients) are tempted to award credit to treatment. Over time, a particular treatment can seem so undeniably helpful that scientific verification of efficacy is judged an inconvenient waste of time and resources. Unfortunately, practitioners' accumulated, day to day, informal impressions of diagnostic reliability and clinical efficacy are of limited value. To help clarify why even treatments entirely lacking in direct effect can seem helpful, I will explain why real signs and symptoms often improve, independent of treatment. Then, I will detail quirks of h...
Source: Chiropractic & Osteopathy - October 12, 2009 Category: Complementary Medicine Authors: Steve Hartman Source Type: journals

Pain patterns and descriptions in patients with radicular pain: Does the pain necessarily follow a specific dermatome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In most cases nerve root pain should not be expected to follow along a specific dermatome, and a dermatomal distribution of pain is not a useful historical factor in the diagnosis of radicular pain. The possible exception to this is the S1 nerve root, in which the pain does commonly follow the S1 dermatome.
Source: Chiropractic & Osteopathy - September 21, 2009 Category: Complementary Medicine Authors: Donald MurphyEric HurwitzJonathan GerrardRonald Clary Source Type: journals

Cervical spondylosis with spinal cord encroachment: should preventive surgery be recommended?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There is insufficient evidence that individuals with spondylotic spinal cord encroachment are at increased risk of spinal cord injury from minor trauma. Prospective cohort or case-control studies are needed to assess this risk. There is no evidence that prophylactic decompression surgery is helpful in this patient population. Decompression surgery appears to be helpful in patients with cervical myelopathy, but the significant risks may outweigh the unknown benefit in asymptomatic individuals. Thus, broad recommendations for decompression surgery in suspected at-risk individuals cannot be made. Recommendations ...
Source: Chiropractic & Osteopathy - August 24, 2009 Category: Complementary Medicine Authors: Donald MurphyChristopher CoulisJonathan Gerrard Source Type: journals

The Nordic Maintenance Care Program: case management of chiropractic patients with low back pain - defining the patients suitable for various management strategiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These results confirm that there is a pattern among Nordic chiropractors in how they manage patients with LBP. More information is needed to define the "cut-point" for the indication of prolonged care.
Source: Chiropractic & Osteopathy - July 12, 2009 Category: Complementary Medicine Authors: Stefan MalmqvistCharlotte Leboeuf-Yde Source Type: journals

Cervicocephalic kinesthetic sensibility and postural balance in patients with nontraumatic chronic neck pain - a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In patients with nontraumatic chronic neck pain, we found statistically significant global repositioning errors in only one of six test movements. In this cohort, we found no evidence of impaired postural balance.Head repositioning accuracy and computerized static posturography are imperfect measures of functional proprioceptive impairments. Validity of (and procedures for using) these instruments demand further investigation.Trial registrationCurrent Controlled Trials ISRCTN96873990
Source: Chiropractic & Osteopathy - June 30, 2009 Category: Complementary Medicine Authors: Per PalmgrenDaniel AndreassonMagnus ErikssonAndreas Hagglund Source Type: journals

The Nordic Maintenance Care Program - An interview study on the use of maintenance care in a selected group of Danish chiropractorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: There seems to be relative agreement between chiropractors working in different countries and sampled through different methods in relation to their choice of management strategies in patients with low back pain. However, more precise information is needed on the indications for maintenance care and its treatment program, before proceeding to studying its clinical validity.
Source: Chiropractic & Osteopathy - June 17, 2009 Category: Complementary Medicine Authors: Lars MollerMichael HansenCharlotte Leboeuf-Yde Source Type: journals

A demographic and epidemiological study of a Mexican chiropractic college public clinicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Demographic results compared closer to studies conducted with private clinicians (females within the ages of 40-59). The primary complaint and duration was similar to previous studies (low back pain and chronic), except in this population the cause was usually initiated by trauma. The most striking features were the higher number of extremity complaints and the marked increased level of VAS score (20% rated as 8/10).
Source: Chiropractic & Osteopathy - March 19, 2009 Category: Complementary Medicine Authors: Daniel A Martinez, Ronald L Rupert and Harrison T Ndetan Source Type: journals

How to select a chiropractor for the management of athletic conditionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionBest practice guidelines are increasingly suggesting that musculoskeletal injuries should be managed with multimodal active and passive care strategies. Broadly speaking chiropractors may be subdivided into "modern multimodal" or "classical" (unimodal) in nature. The modern multimodal practitioner is better suited to managing sporting injuries by incorporating passive and active care management strategies to address three important phases of care in the continuum of injury from the acute inflammation/ pain phase to the chronic/ rehabilitation phase to the injury prevention phase. In contrast, the unimodal, manipu...
Source: Chiropractic & Osteopathy - March 10, 2009 Category: Complementary Medicine Authors: Wayne Hoskins, Henry Pollard and Peter Garbutt Source Type: journals

The clinical aspects of the acute facet syndrome: results from a structured discussion among European chiropractorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The chiropractors attending the workshop described the characteristics of an acute, uncomplicated lumbar facet syndrome in much the same way as chronic pain from the facet joints has been described in the literature. Furthermore, the acute, uncomplicated facet syndrome was considered to have an uncomplicated clinical course, responding quickly to spinal manipulative therapy.
Source: Chiropractic & Osteopathy - February 5, 2009 Category: Complementary Medicine Authors: Lise Hestbaek, Alice Kongsted, Tue Secher Jensen and Charlotte Leboeuf-Yde Source Type: journals

The Nordic Maintenance Care Program: when do chiropractors recommend secondary and tertiary preventive care for low back pain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The vast majority of our respondents believe that chiropractic treatment can prevent relapses of back pain. When recommending secondary preventive care, past frequency of the problem is considered. For tertiary preventive care, the patient needs to improve considerably before a recommendation of maintenance care is made.
Source: Chiropractic & Osteopathy - January 22, 2009 Category: Complementary Medicine Authors: Iben Axen, Irene B Jensen, Andreas Eklund, Laszlo Halasz, Kristian Jorgensen, Fredrik Lange, Peter W Lovgren, Annika Rosenbaum and Charlotte Leboeuf-Yde Source Type: journals

Common errors and clinical guidelines for manual muscle testing: "the arm test" and other inaccurate proceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Practitioners who employ the MMT should use these clinical guidelines for improving their use of the MMT in their assessments of muscle dysfunction in patients with musculoskeletal pain.
Source: Chiropractic & Osteopathy - December 19, 2008 Category: Complementary Medicine Authors: Walter H Schmitt and Scott C Cuthbert Source Type: journals

Rehabilitation program for traumatic chronic cervical pain associated with unsteadiness: a single case studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This case report indicates that an 8-week rehabilitation program combining therapeutic exercises with spinal manipulative therapy may have had an effect on improvement of postural control in a trauma CNP patient with unsteadiness. These results warrant further studies to investigate the relationships between pain amelioration, sensorimotor control of the cervical spine, muscle fitness and postural steadiness.
Source: Chiropractic & Osteopathy - November 17, 2008 Category: Complementary Medicine Authors: Danik Lafond, Annick Champagne, Rosalie Cadieux and Martin Descarreaux Source Type: journals

Through the rear view mirror: a content evaluation of the journal Chiropractic & Osteopathy for the years 2005-2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this review article we examine publication from the journal of Chiropractic & Osteopathy from the years 2005 through 2008 in relationship to the goals and objectives at by the journal's original editorial board. The results show that chiropractic as a single profession has published more articles in this journal compared to other professional groups; that articles that originated in the United Stated dominate; and over 30% of the articles published fall into the category primary research studies.
Source: Chiropractic & Osteopathy - November 13, 2008 Category: Complementary Medicine Authors: Ian D Coulter and Raheleh Khorsan Source Type: journals

The Nordic back pain subpopulation program: predicting outcome among chiropractic patients in FinlandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: When treating patients with LBP, at the first visits, the treatment strategy should be different for overweight/obese patients with leg pain as it should be for all patients who fail to improve by the 2nd visit. The number of predictors is also important.
Source: Chiropractic & Osteopathy - November 7, 2008 Category: Complementary Medicine Authors: Stefan Malmqvist, Charlotte Leboeuf-Yde, Tuomo Ahola, Olli Andersson, Kristian Ekstrom, Markku Turpeinen, Harri Pekkarinen and Niels Wedderkopp Source Type: journals

Spinal Manipulative Therapy versus Graston Technique in the treatment of Non-specific Thoracic Spine Pain: Design of a randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this trial is to determine the efficacy of SMT and GT compared to a placebo for the treatment of non specific thoracic spine pain. Methods: Eighty four eligible people with non specific thoracic pain mid back pain of six weeks or more will be randomised to one of three groups, either SMT, GT, or a placebo (de-tuned ultrasound). Each group will receive up to 10 supervised treatment sessions at the Murdoch University Chiropractic student clinic over a 4-week period. Treatment outcomes will be measured at baseline, one week after their first treatment, upon completion of the 4-week intervention period and at...
Source: Chiropractic & Osteopathy - October 30, 2008 Category: Complementary Medicine Authors: Amy L Crothers, Bruce F Walker and Simon D French Source Type: journals

Chiropractic manipulation in pediatric health conditions - an updated systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ObjectiveOur purpose was to review the biomedical literature from January 2004 to June 2007 inclusive to determine the extent of new evidence related to the therapeutic application of manipulation for pediatric health conditions. This updates a previous systematic review published in 2005. No critical appraisal of the evidence is undertaken. Data Sources: We searched both the indexed and non-indexed biomedical manual therapy literature. This included PubMed, MANTIS, CINAHL, ICL, as well as reference tracking. Other resources included the Cochrane Library, CCOHTA, PEDro, WHO ICTRP, AMED, EMBASE and AHRQ databases, as well ...
Source: Chiropractic & Osteopathy - September 12, 2008 Category: Complementary Medicine Authors: Allan Gotlib and Ron Rupert Source Type: journals

Chiropractic manipulation in pediatric health conditions – an updated systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ObjectiveOur purpose was to review the biomedical literature from January 2004 to June 2007 inclusive to determine the extent of new evidence related to the therapeutic application of manipulation for pediatric health conditions. This updates a previous systematic review published in 2005. No critical appraisal of the evidence is undertaken.Data SourcesWe searched both the indexed and non-indexed biomedical manual therapy literature. This included PubMed, MANTIS, CINAHL, ICL, as well as reference tracking. Other resources included the Cochrane Library, CCOHTA, PEDro, WHO ICTRP, AMED, EMBASE and AHRQ databases, as well as r...
Source: Chiropractic & Osteopathy - September 12, 2008 Category: Complementary Medicine Authors: Allan Gotlib and Ron Rupert Source Type: journals

How can chiropractic become a respected mainstream profession? The example of podiatryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The chiropractic profession has great promise in terms of its potential contribution to society and the potential for its members to realize the benefits that come from being involved in a mainstream, respected and highly utilized professional group. However, there are several changes that must be made within the profession if it is going to fulfill this promise. Several lessons can be learned from the podiatric medical profession in this effort.
Source: Chiropractic & Osteopathy - August 29, 2008 Category: Complementary Medicine Authors: Donald R Murphy, Michael J Schneider, David R Seaman, Stephen M Perle and Craig F Nelson Source Type: journals

Chiropractors in Finland - a demographic surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The Finnish chiropractic profession is relatively young. Consequently, many of the practitioners have a university-degree, which reflects recent developments in undergraduate chiropractic education. Their practice profile and the manner in which they practice appear to be fairly traditional.
Source: Chiropractic & Osteopathy - August 27, 2008 Category: Complementary Medicine Authors: Stefan Malmqvist and Charlotte Leboeuf-Yde Source Type: journals

Lung cancer metastasis to the scapula and spine: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Musculoskeletal symptoms are commonly encountered in chiropractic practice. It is important to recognize that primary lung cancer may be unidentified, and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease. Thoughtful evaluative procedure and clinical decision making, combined with the use of appropriate diagnostic tests may allow timely identification of primary or metastatic disease.
Source: Chiropractic & Osteopathy - August 12, 2008 Category: Complementary Medicine Authors: James Demetrious and Gregory J Demetrious Source Type: journals

A diagnosis-based clinical decision rule for spinal pain: review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Regarding some aspects of the DBCDR, there are a number of studies that allow the clinician to have a reasonable degree of confidence in his or her findings. This is particularly true for centralization signs, neurodynamic signs and psychological perpetuating factors. There are other aspects of the DBCDR in which a lesser degree of confidence is warranted, and in which further research is needed.
Source: Chiropractic & Osteopathy - August 11, 2008 Category: Complementary Medicine Authors: Donald R Murphy, Eric L Hurwitz and Craig F Nelson Source Type: journals

The Nordic maintenance care program – case management of chiropractic patients with low back pain: A survey of Swedish chiropractorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: To a reasonable extent, Swedish chiropractors participating in this survey appear to agree on the clinical management for different cases of LBP.
Source: Chiropractic & Osteopathy - June 18, 2008 Category: Complementary Medicine Authors: Iben Axén, Annika Rosenbaum, Andreas Eklund, Laszlo Halasz, Kristian Jørgensen, Peter W Lövgren, Fredrik Lange and Charlotte Leboeuf-Yde Source Type: journals

Enhancement of in vitro interleukin-2 production in normal subjects following a single spinal manipulative treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The present study demonstrates that, the in vitro T lymphocyte response to a conventional mitogen (SPA), as measured by IL-2 synthesis, can become enhanced following SMT. Furthermore, within a period of time following the manipulative intervention, this effect may be independent of joint cavitation. Thus the results of this study suggest that, under certain physiological conditions, SMT might influence IL-2-regulated biological responses.
Source: Chiropractic & Osteopathy - May 28, 2008 Category: Complementary Medicine Authors: Julita A Teodorczyk-Injeyan, H STEPHEN Injeyan, Marion McGregor, Glen M Harris and Richard Ruegg Source Type: journals

Neuro Emotional Technique for the treatment of trigger point sensitivity in chronic neck pain sufferers: A controlled clinical trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to investigate whether the mind/body treatment of Neuro Emotional Technique (NET) could significantly relieve pain sensitivity of trigger points presenting in a cohort of chronic neck pain sufferers.MethodSixty participants presenting to a private chiropractic clinic with chronic cervical pain as their primary complaint were sequentially allocated into treatment and control groups. Participants in the treatment group received a short course of Neuro Emotional Technique which consists of muscle testing, general semantics and Traditional Chinese Medicine. The control group received a sham NET protocol. Outco...
Source: Chiropractic & Osteopathy - May 21, 2008 Category: Complementary Medicine Authors: Peter Bablis, Henry Pollard and Rod Bonello Source Type: journals

Maintenance care in chiropractic - what do we know?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: There is no evidence-based definition of maintenance care and the indications for and nature of its use remain to be clearly stated. It is likely that many chiropractors believe in the usefulness of maintenance care but it seems to be less well accepted by their patients. The prevalence with which maintenance care is used has not been established. Efficacy and cost-effectiveness of maintenance care for various types of conditions are unknown. Therefore, our conclusion is identical to that of a similar review published in 1996, namely that maintenance care is not well researched and that it needs to be investiga...
Source: Chiropractic & Osteopathy - May 8, 2008 Category: Complementary Medicine Authors: Charlotte Leboeuf-Yde and Lise Hestbaek Source Type: journals

Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropracticEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Upton and McComas claimed that most patients with carpal tunnel syndrome not only have compressive lesions at the wrist, but also show evidence of damage to cervical nerve roots. This double crush hypothesis has gained some popularity among chiropractors because it seems to provide a rationale for adjusting the cervical spine in treating carpal tunnel syndrome. Here I examine use of the concept by chiropractors, summarize findings from the literature, and critique several studies aimed at supporting or refuting the hypothesis. Although the hypothesis also has been applied to nerve compressions other than those leading to c...
Source: Chiropractic & Osteopathy - April 21, 2008 Category: Complementary Medicine Authors: Brent S Russell Source Type: journals

Breast size, bra fit and thoracic pain in young women: a correlational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In young, nulliparous women, thoracic pain appears unrelated to breast size. Bra fit is moderately related to stage of menstrual cycle suggesting that this research may be somewhat confounded by hormonal changes or reproductive stage. Further research is needed to clarify whether there is a relationship between breast size or bra fit and thoracic pain in women during times of hormonal change.
Source: Chiropractic & Osteopathy - March 13, 2008 Category: Complementary Medicine Authors: Katherine Wood, Melainie Cameron and Kylie Fitzgerald Source Type: journals

Post-traumatic upper cervical subluxation visualized by MRI: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This case highlights the identification of upper cervical ligamentous injury that produced vertebral subluxation following a traumatic incident. MRI evaluation provided visualization of previously undetected injury. The patient experienced improvement through chiropractic care.
Source: Chiropractic & Osteopathy - December 19, 2007 Category: Complementary Medicine Authors: James Demetrious Source Type: journals

Effects of body position on autonomic regulation of cardiovascular function in young, healthy adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Cardiac autonomic activity was not measurably different in prone and supine postures, but heart rate and blood pressure were. Although heart rate variability parameters indicated sympathetic dominance during sitting (supporting work of others), blood pressure was higher in the prone posture. These differences should be considered when autonomic regulation of cardiovascular function is studied in different postures.
Source: Chiropractic & Osteopathy - November 28, 2007 Category: Complementary Medicine Authors: Nobuhiro Watanabe, John Reece and Barbara I Polus Source Type: journals

A case report of bilateral synovial chondromatosis of the ankleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The clinical and imaging findings, along with potential differential diagnoses, are described. Since this condition tends to be progressive but self-limiting, indications for surgery depend on the level of symptomatic presentation in addition to the functional demands of the patient. Following a surgical consultation, it was decided that it was not appropriate to pursue surgery at the present time.
Source: Chiropractic & Osteopathy - November 24, 2007 Category: Complementary Medicine Authors: Heather Shearer, Paula Stern, Andrew Brubacher and Tania Pringle Source Type: journals

Severe aberrant glenohumeral motor patterns in a young female rower: A case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This paper presents an unusual case of aberrant shoulder movement. It highlights the need for careful examination and thought regarding the anatomical structures and normal motor patterns associated with the manoeuvre being tested. It also emphasised the use of co-contraction during examination in an attempt to immediately improve a regional dysrythmia if there is suspicion of a regional aberrant motor pattern. Further research may be warranted to test this approach.
Source: Chiropractic & Osteopathy - November 13, 2007 Category: Complementary Medicine Authors: Timothy W Stark, Jessica Seebauer, Bruce Walker, Neal McGurk and Jeff Cooley Source Type: journals

An unusual case of gout in the wrist: the importance of monitoring medication dosage and interaction. A case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: It is important for clinicians treating joint conditions to be aware of patients' comorbidities, medication usage and changes in dosages. Education of patients with gout is of prime importance. Clinicians should educate patients that gout may occur at any joint in the body not only the lower limb. Patients should be aware of the signs and symptoms of an acute gouty attack and be made aware that changes in certain medication dosages may precipitate an attack. Awareness of radiographic changes associated with gout is still of importance although these changes are not seen as frequently as they have been in the p...
Source: Chiropractic & Osteopathy - October 9, 2007 Category: Complementary Medicine Authors: Craig L Jacobs and Paula J Stern Source Type: journals

Three dimensional evaluation of posture in standing with the PosturePrint: an intra- and inter-examiner reliability studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: For the PosturePrint system, the combined inter-examiner and intra-examiner correlation coefficients were in the good (14/44) and excellent (30/44) ranges. SEMs and mean absolute differences within and between examiners' measurements were small. Thus, this posture digitizer is reliable for clinical use.
Source: Chiropractic & Osteopathy - September 24, 2007 Category: Complementary Medicine Authors: Martin C Normand, Martin Descarreaux, Donald D Harrison, Deed E Harrison, Denise L. Perron, Joseph R Ferrantelli and Tadeusz J Janik Source Type: journals

Australian chiropractic sports medicine: half way there or living on a prayer?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines the historical and current challenges, both internal and external, faced by sports chiropractic within Australia and proposes positive changes that will assist in recognition and inclusion of sports chiropractic in both chiropractic and multi-disciplinary sports medicine alike.
Source: Chiropractic & Osteopathy - September 19, 2007 Category: Complementary Medicine Authors: Henry Pollard, Wayne Hoskins, Andrew McHardy, Rod Bonello, Peter Garbutt, Mike Swain, George Dragasevic, Mario Pribicevic and Andrew Vitiello Source Type: journals

Xiphodynia: A diagnostic conundrumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid, as well as the incidence, aetiology, symptoms, diagnosis, and treatment. A brief overview of the mechanism of referred pain is presented.
Source: Chiropractic & Osteopathy - September 15, 2007 Category: Complementary Medicine Authors: J Keith Simpson and Erin Hawken Source Type: journals

The use of chiropractors by older adults in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Chiropractic use among older adults is less prevalent than has been consistently reported for the United States as a whole, and is most common among Whites, those reporting pain, and those with geographic, financial, and transportation access.
Source: Chiropractic & Osteopathy - September 6, 2007 Category: Complementary Medicine Authors: Fredric D Wolinsky, Li Liu, Thomas R Miller, John F Geweke, Elizabeth A Cook, Barry R Greene, Kara B Wright, Elizabeth A Chrischilles, Claire E Pavlik, Hyonggin An, Robert L Ohsfeldt, Kelly K Richardson, Gary E Rosenthal and Robert B Wallace Source Type: journals

Disentangling manual muscle testing and Applied Kinesiology: critique and reinterpretation of a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cuthbert and Goodheart recently published a narrative review on the reliability and validity of manual muscle testing (MMT)in the Journal. The authors should be recognized for their effort to synthesize this vast body of literature. However, the review contains critical errors in the search methods, inclusion criteria, quality assessment, validity definitions, study interpretation, literature synthesis, generalizability of study findings, and conclusion formulation that merit a reconsideration of the authors findings. Most importantly, a misunderstanding of the review could easily arise because the authors did not distingu...
Source: Chiropractic & Osteopathy - August 23, 2007 Category: Complementary Medicine Authors: Mitchell Haas, Robert Cooperstein and David Peterson Source Type: journals

A case report of a patient with upper extremity symptoms: differentiating radicular and referred painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this case a thorough physical evaluation was able to differentiate between radicular and referred pain. By accurately identifying the pain generating structures, the appropriate rehabilitative protocol was prescribed and led to a successful outcome for each condition. Conservative manual therapy and rehabilitative exercises may be an effective treatment for certain cases of cervical radiculopathy and myofascial referred pain.
Source: Chiropractic & Osteopathy - July 19, 2007 Category: Complementary Medicine Authors: Clifford W Daub Source Type: journals

The effectiveness of ENAR(R) for the treatment of chronic neck pain in Australian adults: a preliminary single-blind, randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Current evidence on electrotherapies for the management of chronic neck pain is either lacking or conflicting. New therapeutic devices being introduced to the market should be investigated for their effectiveness and efficacy. The ENAR(R) (Electro Neuro Adaptive Regulator) therapy device combines Western biofeedback with Eastern energy medicine. Methods: A small, preliminary randomised and controlled single-blinded trial was conducted on 24 participants (ten males, 14 females) between the ages of 18 to 50 years (median age of 40.5) Consent was obtained and participants were randomly allocated to one of three g...
Source: Chiropractic & Osteopathy - July 9, 2007 Category: Complementary Medicine Authors: Andrew L Vitiello, Rod P Bonello and Henry P Pollard Source Type: journals

Assessment and risk reduction of infectious pathogens on chiropractic treatment tablesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Pathogenic microbes may be present on chiropractic treatment tables and can be effectively killed with proper disinfecting. Hand washing/ sanitizing is an important measure in infection control as is table disinfecting. Rudimentary behavioral changes to improve chiropractic clinic infection control are needed. More comprehensive behavioral models are needed. All teaching clinics and private chiropractic offices should adopt infection control practices including routine table disinfecting and hand sanitizing. Effective measures can be put in place at minimal costs. Accrediting bodies of chiropractic institutions...
Source: Chiropractic & Osteopathy - June 7, 2007 Category: Complementary Medicine Authors: Marion Willard Evans, Jennell Breshears, Alan Campbell, Chris Husbands and Ronald Rupert Source Type: journals

Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionOnly one small randomized controlled trial and several lower level efficacy studies have been performed on spinal decompression therapy. In general the quality of these studies is questionable. Many of the studies were performed using the VAX-D(R) unit which places the patient in a prone position. Often companies utilize this research for their marketing although their units place the patient in the supine position. SummaryOnly limited evidence is available to warrant the routine use of non-surgical spinal decompression, particularly when many other well investigated, less expensive alternatives are available.
Source: Chiropractic & Osteopathy - May 18, 2007 Category: Complementary Medicine Authors: Dwain M Daniel Source Type: journals

A survey of chiropractors practicing in Germany: practice characteristics, professional reading habits, and attitudes and perceptions toward researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The results of this survey show that there is a general interest in supporting and participating in research activities among chiropractors practicing in Germany. Next steps could consist of educating practitioners about the resources available to read and interpret the scientific literature and thus further the understanding of research.
Source: Chiropractic & Osteopathy - May 4, 2007 Category: Complementary Medicine Authors: Ilke Schwarz and Maria A Hondras Source Type: journals

Psychosocial factors and their predictive value in chiropractic patients with low back pain: A prospective inception cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Patients attending a private UK chiropractic clinic for new episodes of non-specific LBP exhibited few psychosocial predictors of poor outcome, unlike other patient populations that have been studied. Despite considerable bothersomeness at baseline, scores were low at follow-up. In this independent health sector back pain population, general health and duration of episode before consulting appeared more important to outcome than psychosocial factors.
Source: Chiropractic & Osteopathy - March 29, 2007 Category: Complementary Medicine Authors: Jennifer M Langworthy and Alan C Breen Source Type: journals

On the reliability and validity of manual muscle testing: a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The MMT employed by chiropractors, physical therapists, and neurologists was shown to be a clinically useful tool, but its ultimate scientific validation and application requires testing that employs sophisticated research models in the areas of neurophysiology, biomechanics, RCTs, and statistical analysis.
Source: Chiropractic & Osteopathy - March 6, 2007 Category: Complementary Medicine Authors: Scott C Cuthbert and George J Goodheart Source Type: journals

Mathematical modeling of the so-called Allis Test: A field study in orthopedic confusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The original Allis (aka Galeazzi) test was developed to identify gross hip deformity in pediatric patients. The extension of this test to adults suspected of having anatomical leg length inequality is problematic, and needs refinement at the least. Our modeling questions whether this test can accurately identify aLLI, let alone distinguish a short tibia from a short femur.
Source: Chiropractic & Osteopathy - January 22, 2007 Category: Complementary Medicine Authors: Robert Cooperstein, Michael Haneline and Morgan Young Source Type: journals

Chiropractic and CAM Utilization: A Descriptive ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Studies looking at chiropractic utilization demonstrate that the rates vary, but generally fall into a range from around 6% to 12% of the population, most of whom seek chiropractic care for low back pain and not for organic disease or visceral dysfunction. CAM is itself used by people suffering from a variety of conditions, though it is often used not as a primary intervention, but rather as an additional form of care. CAM and chiropractic often offer lower costs for comparable results compared to conventional medicine.
Source: Chiropractic & Osteopathy - January 22, 2007 Category: Complementary Medicine Authors: Dana J Lawrence and William C Meeker Source Type: journals

Mathematical modeling of the socalled Allis test: a field study in orthopedic confusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The original Allis (aka Galeazzi) test was developed to identify gross hip deformity in pediatric patients. The extension of this test to adults suspected of having anatomical leg length inequality is problematic, and needs refinement at the least. Our modeling questions whether this test can accurately identify aLLI, let alone distinguish a short tibia from a short femur.
Source: Chiropractic & Osteopathy - January 22, 2007 Category: Complementary Medicine Authors: Robert Cooperstein, Michael Haneline and Morgan Young Source Type: journals

Postural development in school children: a cross-sectional studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: A significant linear trend for increasing sagittal plane postural translations of the head, thorax, pelvis, and knee was found as children age from 4 years to 12 years. These postural translations provide preliminary normative data for the alignment of a childs sagittal plane posture.
Source: Chiropractic & Osteopathy - January 4, 2007 Category: Complementary Medicine Authors: Danik Lafond, Martin Descarreaux, Martin C Normand and Deed E Harrison Source Type: journals

Do chiropractic college faculty understand informed consent: a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Palmer faculty have only modest understanding about institutional policies regarding the IRB and human subject research, especially pertaining to educational research. The institution needs to develop methods to provide knowledge and training to faculty. The results from this pilot study will be instrumental in developing better protocols for a study designed to survey the entire chiropractic academic community.
Source: Chiropractic & Osteopathy - December 21, 2006 Category: Complementary Medicine Authors: Dana J Lawrence and Maria A Hondras Source Type: journals

Accuracy of spinal orthopaedic tests: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There was a lack of quantity and quality of orthopaedic tests for the spine found in the literature. There is a lack of high quality research regarding the accuracy of spinal orthopaedic tests. Due to this lack of evidence it is suggested that over-reliance on single orthopaedic tests is not appropriate.
Source: Chiropractic & Osteopathy - October 31, 2006 Category: Complementary Medicine Authors: Rob Simpson and Hugh Gemmell Source Type: journals

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