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chiropractic, back pain, neuromuscular

Vinicius T Francio, Ron Boesch, Michael Tunning
OBJECTIVE: Posterior cortical atrophy (PCA) is a rare progressive neurodegenerative syndrome which unusual symptoms include deficits of balance, bodily orientation, chronic pain syndrome and dysfunctional motor patterns. Current research provides minimal guidance on support, education and recommended evidence-based patient care. This case reports the utilization of chiropractic spinal manipulation, dynamic neuromuscular stabilization (DNS), and other adjunctive procedures along with medical treatment of PCA...
March 2015: Journal of the Canadian Chiropractic Association
Cynthia Chapman, Barclay W Bakkum
OBJECTIVE: The purpose of this article is to present the case of a patient with an anatomical anomaly of the piriformis muscle who had a piriformis syndrome and was managed with chiropractic care. CASE REPORT: A 32-year-old male patient presented to a chiropractic clinic with a chief complaint of low back pain that radiated into his right buttock, right posterior thigh, and right posterior calf. The complaint began 5 years prior as a result of injuries during Airborne School in the US Army resulting in a 60% disability rating from the Veterans Administration...
March 2012: Journal of Chiropractic Medicine
Pierre Langevin, Paul Michael J Peloso, Janet Lowcock, May Nolan, Jeff Weber, Anita Gross, John Roberts, Charles H Goldsmith, Nadine Graham, Stephen J Burnie, Ted Haines
BACKGROUND: Neck disorders are common, disabling and costly. Botulinum toxin (BoNT) intramuscular injections are often used with the intention of treating neck pain. OBJECTIVES: To systematically evaluate the literature on the treatment effectiveness of BoNT for neck pain, disability, global perceived effect and quality of life in adults with neck pain with or without associated cervicogenic headache, but excluding cervical radiculopathy and whiplash associated disorder...
2011: Cochrane Database of Systematic Reviews
Matthew J Schwab
OBJECTIVE: This case report describes the effect of exercise-based chiropractic treatment on chronic and intractable low back pain complicated by lumbar disk extrusion. CLINICAL FEATURES: A 47-year-old male firefighter experienced chronic, unresponsive low back pain. Pre- and posttreatment outcome analysis was performed on numeric (0-10) pain scale, functional rating index, and the low back pain Oswestry data. Secondary outcome assessments included a 1-rep maximum leg press, balancing times, push-ups and sit-ups the patient performed in 60 seconds, and radiographic analysis...
December 2008: Journal of Chiropractic Medicine
Eric L Hurwitz, Hal Morgenstern, Fei Yu
STUDY DESIGN: Observational study conducted within a randomized clinical trial. OBJECTIVES: The objective of this study is to estimate the effects of patient satisfaction on subsequent changes in pain and disability among low back pain patients randomized to chiropractic or medical care in a managed-care practice setting. SUMMARY OF BACKGROUND DATA: Recent studies of low back pain treatments have shown chiropractic patients to be more satisfied with their care than medical patients...
October 1, 2005: Spine
Mark P Jensen, Richard T Abresch, Gregory T Carter, Craig M McDonald
OBJECTIVE: To examine the nature and scope of pain in persons with neuromuscular disorder (NMD). DESIGN: Survey study. SETTING: University-based rehabilitation research programs. PARTICIPANTS: Adults with NMD (N=193). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Pain presence or absence, pain severity, pain quality (Neuropathic Pain Scale), pain interference (Brief Pain Inventory), pain site, quality of life (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]), and pain treatment...
June 2005: Archives of Physical Medicine and Rehabilitation
Clark R Konczak, Rick Ames
OBJECTIVE: To discuss the assessment, diagnosis and chiropractic management of a patient with sacroiliac joint dysfunction (SIJ) complicated by psoas major snapping hip syndrome (coxa saltans interna). CLINICAL FEATURES: A 32-year-old male marathon runner experienced low-back and left hip pain without radiation accompanied by a "popping" in the anterior hip. He ran approximately 100 to 150 km/wk for the prior 3 years. He had stopped running for the previous 3 weeks because of worsening and consistent pain...
January 2005: Journal of Manipulative and Physiological Therapeutics
Eric Bernstein, Timothy S Carey, Joanne Mills Garrett
STUDY DESIGN: Prospective cohort study. OBJECTIVES: To determine the characteristics of patients who take muscle relaxants for back pain after seeking care and to determine the relationship of muscle relaxant use with recovery from the episode of low back pain. SUMMARY OF BACKGROUND DATA: Low back pain is a common condition with a generally favorable short-term prognosis. Physicians in the acute setting commonly prescribe muscle relaxants...
June 15, 2004: Spine
Jan Hartvigsen, Ole Bolding-Jensen, Henning Hviid, Niels Grunnet-Nilsson
BACKGROUND: Little is known about changes in the chiropractic patient population over time. OBJECTIVE: To compare 2 surveys describing the Danish chiropractic patient population. DESIGN: Data concerning location of primary complaint and its duration for patients in Danish chiropractic offices between 1962 and 1999 were compared. SETTING: Private chiropractic practice and nonprofit research institution. OUTCOME MEASURES: Location of primary diagnosis/complaint, duration of complaint...
February 2003: Journal of Manipulative and Physiological Therapeutics
Eric L Hurwitz, Hal Morgenstern, Philip Harber, Gerald F Kominski, Thomas R Belin, Fei Yu, Alan H Adams
STUDY DESIGN: A randomized clinical trial. OBJECTIVES: To compare the effectiveness of medical and chiropractic care for low back pain patients in managed care; to assess the effectiveness of physical therapy among medical patients; and to assess the effectiveness of physical modalities among chiropractic patients. SUMMARY OF BACKGROUND DATA: Despite the burden that low back pain places on patients, providers, and society, the relative effectiveness of common treatment strategies offered in managed care is unknown...
October 15, 2002: Spine
Jan Hartvigsen, Line P Sorensen, Kristian Graesborg, Niels Grunnet-Nilsson
BACKGROUND: The vast majority of information on chiropractic and chiropractic patients originates from English-speaking countries. Lately, however, reports describing chiropractic patients and practice in other European countries have emerged. OBJECTIVE: To describe basic characteristics of Danish chiropractic patients. DESIGN: Survey questionnaire. All chiropractic clinics in Denmark were asked to collect information on new patients during 1 randomly assigned week in 1999...
March 2002: Journal of Manipulative and Physiological Therapeutics
C J Colloca, T S Keller
BACKGROUND: Studies investigating posteroanterior (PA) forces in spinal stiffness assessment have shown relationships to spinal level, body type, and lumbar extensor muscle activity. Such measures may be important determinants in discriminating between patients who are asymptomatic and those who have low back pain. However, little objective evidence is available concerning variations in PA stiffness and their clinical significance. Moreover, although several studies have assessed only load input in relation to stiffness, a more complete assessment based on dynamic stiffness measurements (force/velocity) and concomitant neuromuscular response may offer more information concerning mechanical properties of the low back...
October 2001: Journal of Manipulative and Physiological Therapeutics
C J Colloca, T S Keller
STUDY DESIGN: Surface electromyographic reflex responses associated with mechanical force, manually assisted (MFMA) spinal manipulative therapy were analyzed in this prospective clinical investigation of 20 consecutive patients with low back pain. OBJECTIVES: To characterize and determine the magnitude of electromyographic reflex responses in human paraspinal muscles during high loading rate mechanical force, manually assisted spinal manipulative therapy of the thoracolumbar spine and sacroiliac joints...
May 15, 2001: Spine
S Rubinstein, C E Pfeifle, M W van Tulder, W J Assendelft
BACKGROUND: Despite the worldwide popularity of chiropractic, there is still relatively little known about the patients who visit chiropractors in the Netherlands and other European countries. OBJECTIVE: To describe in-depth the patient population of new patients to chiropractors in the Netherlands. DESIGN: Study population consisted of 10 consecutive new patients per participating chiropractor. A retrospective-type questionnaire was used...
October 2000: Journal of Manipulative and Physiological Therapeutics
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