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Chiropractic adjustment

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https://www.readbyqxmd.com/read/27760504/relationship-between-craniocervical-orientation-and-center-of-force-of-occlusion-in-adults
#1
Curtis D Westersund, Jeffrey Scholten, Raymond J Turner
OBJECTIVE: Clinical observation and anecdotal reports suggest changes can occur to dental occlusion following intervention with the National Upper Cervical Chiropractic Association (NUCCA) procedure. This case controlled study discerned if occlusion changes are measurable using a dental force plate (T-Scan®) following an adjustment to the craniocervical junction (CCJ). METHODS: A degree of case control was established by active patients being assessed twice prior to and following intervention...
October 20, 2016: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/27713581/multiple-seizure-induced-thoracic-vertebral-compression-fractures-a-case-report
#2
Peter Stilwell, Katherine Harman, William Hsu, Brian Seaman
BACKGROUND: Musculoskeletal injuries stemming from forceful muscular contractions during seizures have been documented in the literature. Reports of multiple seizure-induced spinal fractures, in the absence of external trauma and without risk factors for fracture, are rare. CASE PRESENTATION: A 28-year-old male, newly diagnosed with epilepsy, presented to a chiropractic clinic with the complaint of mid-thoracic pain beginning after a tonic-clonic seizure with no associated external trauma...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27638518/association-between-the-type-of-first-healthcare-provider-and-the-duration-of-financial-compensation-for-occupational-back-pain
#3
Marc-André Blanchette, Michèle Rivard, Clermont E Dionne, Sheilah Hogg-Johnson, Ivan Steenstra
Objective To compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers. Methods We analyzed data from a cohort of 5511 workers who received compensation from the Workplace Safety and Insurance Board for back pain in 2005. Multivariable Cox models controlling for relevant covariables were performed to compare the duration of financial compensation for the patients of each of the three types of first healthcare providers...
September 17, 2016: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/27385836/conservative-management-of-posterior-ankle-impingement-a-case-report
#4
Isabelle Senécal, Nadia Richer
OBJECTIVE: To describe the pain and functional improvements of a patient with posterior ankle impingement following a treatment plan incorporating soft tissue therapy, chiropractic adjustment and a progressive rehabilitation program. CLINICAL FEATURES: A 37-year- old male presented with posterolateral ankle pain exacerbated by plantar flexion two weeks after sustaining an inversion ankle sprain. Oedema was present and the patient was describing a sensation of instability while walking...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27215046/deep-transcranial-magnetic-stimulation-a-promising-drug-free-treatment-modality-in-the-treatment-of-chronic-low-back-pain
#5
Erin Yates, Ganesh Balu
UNLABELLED: Deep Transcranial Magnetic Stimulation (dTMS) is the next generation of technology used to treat Major Depressive Disorder (MDD). dTMS has been proven to be a safe and effective treatment modality for MDD and may have secondary benefits in patients with chronic low back pain by reducing pain related morbidity. We are presenting two case studies with MDD and chronic low back pain to demonstrate the effectiveness of both the antidepressant and analgesic effects of dTMS. BACKGROUND: Transcranial Magnetic Stimulation (rTMS) utilizes MRI-strength magnetic pulses outside the cranium to stimulate the brain to a depth of approximately 1 cm...
March 2016: Delaware Medical Journal
https://www.readbyqxmd.com/read/27180949/manual-and-instrument-applied-cervical-manipulation-for-mechanical-neck-pain-a-randomized-controlled-trial
#6
Lindsay M Gorrell, Kenneth Beath, Roger M Engel
OBJECTIVE: The purpose of this study was to compare the effects of 2 different cervical manipulation techniques for mechanical neck pain (MNP). METHODS: Participants with MNP of at least 1 month's duration (n = 65) were randomly allocated to 3 groups: (1) stretching (control), (2) stretching plus manually applied manipulation (MAM), and (3) stretching plus instrument-applied manipulation (IAM). MAM consisted of a single high-velocity, low-amplitude cervical chiropractic manipulation, whereas IAM involved the application of a single cervical manipulation using an (Activator IV) adjusting instrument...
June 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27175285/cost-effectiveness-of-chiropractic-care-versus-self-management-in-patients-with-musculoskeletal-chest-pain
#7
Mette Jensen Stochkendahl, Jan Sørensen, Werner Vach, Henrik Wulff Christensen, Poul Flemming Høilund-Carlsen, Jan Hartvigsen
AIMS: To assess whether primary sector healthcare in the form of chiropractic care is cost-effective compared with self-management in patients with musculoskeletal chest pain, that is, a subgroup of patients with non-specific chest pain. METHODS AND RESULTS: 115 adults aged 18-75 years with acute, non-specific chest pain of musculoskeletal origin were recruited from a cardiology department in Denmark. After ruling out acute coronary syndrome and receiving usual care, patients with musculoskeletal chest pain were randomised to 4 weeks of community-based chiropractic care (n=59) or to a single information session aimed at encouraging self-management as complementary to usual care (n=56)...
2016: Open Heart
https://www.readbyqxmd.com/read/27166406/variations-in-patterns-of-utilization-and-charges-for-the-care-of-low-back-pain-in-north-carolina-2000-to-2009-a-statewide-claims-data-analysis
#8
Eric L Hurwitz, Dongmei Li, Jenni Guillen, Michael J Schneider, Joel M Stevans, Reed B Phillips, Shawn P Phelan, Eugene A Lewis, Richard C Armstrong, Maria Vassilaki
OBJECTIVES: The purpose of the study was to compare utilization and charges generated by medical doctors (MD), doctors of chiropractic (DC) and physical therapists (PT) by patterns of care for the treatment of low back pain in North Carolina. METHODS: This was an analysis of low-back-pain-related closed claim data from the North Carolina State Health Plan for Teachers and State Employees from 2000 to 2009. Data were extracted from Blue Cross Blue Shield of North Carolina for the North Carolina State Health Plan using International Classification of Diseases, 9th Revision diagnostic codes for uncomplicated low back pain (ULBP) and complicated low back pain (CLBP)...
May 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27166405/variations-in-patterns-of-utilization-and-charges-for-the-care-of-neck-pain-in-north-carolina-2000-to-2009-a-statewide-claims-data-analysis
#9
Eric L Hurwitz, Dongmei Li, Jenni Guillen, Michael J Schneider, Joel M Stevans, Reed B Phillips, Shawn P Phelan, Eugene A Lewis, Richard C Armstrong, Maria Vassilaki
OBJECTIVES: The purpose of the study was to compare utilization and charges generated by medical doctors (MD), doctors of chiropractic (DC) and physical therapists (PT) by provider patterns of care for the treatment of neck pain in North Carolina. METHODS: This was an analysis of neck-pain-related closed claim data from the North Carolina State Health Plan for Teachers and State Employees (NCSHP) from 2000 to 2009. Data were extracted from Blue Cross Blue Shield of North Carolina for the NCSHP using ICD-9 diagnostic codes for uncomplicated neck pain (UNP) and complicated neck pain (CNP)...
May 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27166404/variations-in-patterns-of-utilization-and-charges-for-the-care-of-headache-in-north-carolina-2000-2009-a-statewide-claims-data-analysis
#10
Eric L Hurwitz, Maria Vassilaki, Dongmei Li, Michael J Schneider, Joel M Stevans, Reed B Phillips, Shawn P Phelan, Eugene A Lewis, Richard C Armstrong
OBJECTIVES: The purpose of the study was to compare patterns of utilization and charges generated by medical doctors (MDs), doctors of chiropractic (DCs), and physical therapists (PTs) for the treatment of headache in North Carolina. METHODS: Retrospective analysis of claims data from the North Carolina State Health Plan for Teachers and State Employees from 2000 to 2009. Data were extracted from Blue Cross Blue Shield of North Carolina for the North Carolina State Health Plan using International Classification of Diseases, Ninth Revision, diagnostic codes for headache...
May 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27157678/effect-of-spinal-manipulation-of-upper-cervical-vertebrae-on-blood-pressure-results-of-a-pilot-sham-controlled-trial
#11
Christine M Goertz, Stacie A Salsbury, Robert D Vining, Cynthia R Long, Katherine A Pohlman, William B Weeks, Gervasio A Lamas
OBJECTIVE: The purpose of this pilot sham-controlled clinical trial was to estimate the treatment effect and safety of toggle recoil spinal manipulation for blood pressure management. METHODS: Fifty-one participants with prehypertension or stage 1 hypertension (systolic blood pressure ranging from 135 to 159 mm Hg or diastolic blood pressure ranging from 85 to 99 mm Hg) were allocated by an adaptive design to 2 treatments: toggle recoil spinal manipulation or a sham procedure...
June 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26987341/ankylosing-spondylitis-diagnosis-in-us-patients-with-back-pain-identifying-providers-involved-and-factors-associated-with-rheumatology-referral-delay
#12
Atul Deodhar, Manish Mittal, Patrick Reilly, Yanjun Bao, Shivaji Manthena, Jaclyn Anderson, Avani Joshi
This study aimed to identify providers involved in diagnosing ankylosing spondylitis (AS) following back pain diagnosis in the USA and to identify factors leading to the delay in rheumatology referrals. The Truven Health MarketScan® US Commercial Database was searched for patients aged 18-64 years with back pain diagnosis in a non-rheumatology setting followed by AS diagnosis in any setting during January 2000-December 2012. Patients with a rheumatologist visit on or before AS diagnosis were considered referred...
July 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/26837230/an-electronic-patient-reported-outcome-measures-system-in-uk-chiropractic-practices-a-feasibility-study-of-routine-collection-of-outcomes-and-costs
#13
Dave Newell, Emily Diment, Jenni E Bolton
OBJECTIVE: The purpose of this study was to test the feasibility of collecting valid and widely used health outcomes, including information concerning cost of care, using a Web-based patient-driven patient-reported outcome measure (PROM) collection process within a cohort of UK chiropractic practices. METHODS: A Web-based PROM system (Care Response) was used. Patients with low back and neck pain were recruited from a group of chiropractic practices located in the United Kingdom...
January 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26837229/attenuation-effect-of-spinal-manipulation-on-neuropathic-and-postoperative-pain-through-activating-endogenous-anti-inflammatory-cytokine-interleukin-10-in-rat-spinal-cord
#14
Xue-Jun Song, Zhi-Jiang Huang, William B Song, Xue-Song Song, Arlan F Fuhr, Anthony L Rosner, Harrison Ndtan, Ronald L Rupert
OBJECTIVES: The purpose of this study was to investigate roles of the anti-inflammatory cytokine interleukin (IL) 10 and the proinflammatory cytokines IL-1β and tumor necrosis factor α (TNF-α) in spinal manipulation-induced analgesic effects of neuropathic and postoperative pain. METHODS: Neuropathic and postoperative pain were mimicked by chronic compression of dorsal root ganglion (DRG) (CCD) and decompression (de-CCD) in adult, male, Sprague-Dawley rats. Behavioral pain after CCD and de-CCD was determined by the increased thermal and mechanical hypersensitivity of the affected hindpaw...
January 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26837228/clinical-outcomes-in-a-large-cohort-of-musculoskeletal-patients-undergoing-chiropractic-care-in-the-united-kingdom-a-comparison-of-self-and-national-health-service-referred-routes
#15
Jonathan R Field, Dave Newell
OBJECTIVE: An innovative commissioning pathway has recently been introduced in the United Kingdom allowing chiropractic organizations to provide state-funded chiropractic care to patients through referral from National Health Service (NHS) primary care physicians. The purpose of this study was to examine the outcomes of NHS and private patient groups presenting with musculoskeletal conditions to chiropractors under the Any Qualified Provider scheme and compare the clinical outcomes of these patients with those presenting privately...
January 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26778936/management-of-mild-traumatic-brain-injury-symptoms-in-a-31-year-old-woman-using-cervical-manipulation-and-acupuncture-a-case-report
#16
Danielle M Gergen
OBJECTIVE: The objective was to describe chiropractic and acupuncture care of a patient with acute mild traumatic brain injury (mTBI) symptoms. CLINICAL FEATURES: A 31-year-old woman had acute neck pain, headache, dizziness, nausea, tinnitus, difficulty concentrating, and fatigue following a fall. She was diagnosed at an urgent care facility with mTBI immediately following the fall. Pharmaceutical intervention had been ineffective for her symptoms. INTERVENTION AND OUTCOME: The patient was treated with chiropractic adjustments characterized as high velocity, low amplitude thrusts directed to the cervical spine and local acupuncture points in the cervical and cranial regions...
September 2015: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/26644785/chiropractic-management-of-low-back-pain-in-a-75-year-old-man-with-bilateral-developmental-hip-dysplasia
#17
Kelvin J Murray, Michael F Azari
OBJECTIVE: The purpose of this case report is to describe chiropractic management of an elderly man with untreated bilateral hip joint dysplasia presenting with mild acute mechanical low back pain. CLINICAL FEATURES: A 75-year-old man presented with an insidious-onset intermittent low back pain of 3 days' duration. Physical examination findings supported a mechanical cause for mild acute low back pain. Plain radiography revealed dysplasia of hip joints with absence of femoral heads and necks and bilateral high dislocation...
March 2015: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/26612459/low-back-pain-patients-in-sweden-denmark-and-the-uk-share-similar-characteristics-and-outcomes-a-cross-national-comparison-of-prospective-cohort-studies
#18
COMPARATIVE STUDY
Alice Kongsted, Laura Davies, Iben Axen
BACKGROUND: Low back pain (LBP) is the world's leading cause of disability and yet poorly understood. Cross-national comparisons may motivate hypotheses about outcomes being condition-specific or related to cultural differences and can inform whether observations from one country may be generalised to another. This analysis of data from three cohort studies explored whether characteristics and outcomes differed between LBP patients visiting chiropractors in Sweden, Denmark and the UK...
November 26, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26600272/establishing-force-and-speed-training-targets-for-lumbar-spine-high-velocity-low-amplitude-chiropractic-adjustments
#19
Edward F Owens, Ronald S Hosek, Stephanie G B Sullivan, Brent S Russell, Linda E Mullin, Lydia L Dever
OBJECTIVE: We developed an adjusting bench with a force plate supporting the lumbar portion to measure loads transmitted during lumbar manual adjustment. It will be used to provide force-feedback to enhance student learning in technique labs. The study goal is to define the learning target loads and speeds, with instructors as expert models. METHODS: A total of 11 faculty members experienced in teaching Gonstead technique methods performed 81 simulated adjustments on a mannequin on the force plate...
March 2016: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/26600271/preceptor-doctors-assessment-of-the-clinical-skills-of-chiropractic-externs
#20
Roger J R Hynes, Alana K Callender, Rachelle A Hynes, Donald F Gran
OBJECTIVE: This study surveyed preceptor doctors' opinions of student competence before and after a chiropractic preceptorship. METHODS: The qualitative and quantitative survey asked doctors about the competence of externs in various skills and asked opened-ended questions about the strengths and weaknesses of the externs. The survey was conducted using a common Web-based platform called SurveyMonkey. RESULTS: A total of 125 doctors responded to the survey...
March 2016: Journal of Chiropractic Education
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