Dislocations

Publication Title: 
The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
Author(s): 
Langer, L. O.
Publication Title: 
The American Journal of Orthopedics
Author(s): 
Matles, A. L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine the feasibility of conducting a randomized clinical trial in the private practice setting examining short- and long-term effects of chiropractic adjustments for subjects with essential hypertension compared with a brief soft tissue massage, as well as a nontreatment control group. DESIGN: Randomized controlled-comparison trial with 3 parallel groups. SETTING: Private practice outpatient chiropractic clinic. PATIENTS: Twenty-three subjects, aged 24 to 50 years with systolic or diastolic essential hypertension.

Author(s): 
Plaugher, Gregory
Long, Cynthia R.
Alcantara, Joel
Silveus, Alyssa D.
Wood, Herbert
Lotun, Kapildeo
Menke, J. Michael
Meeker, William C.
Rowe, Stephen H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report discusses a patient with a pathologic fracture of the C2 vertebra secondary to osteolytic metastasis from squamous cell carcinoma of the lung. CLINICAL FEATURES: The patient was a 68-year-old man with a chief complaint of neck pain who was referred by his physician to a chiropractic office. The initial onset of neck pain began after a forceful sneeze that resulted in a sensation of "a twig snapping" in the neck. Radiographs revealed osteolytic destruction and pathologic fracture of the C2 spinous process.

Author(s): 
Davis, Matthew A.
Taylor, John A. M.
Publication Title: 
Journal of Dental Research

This study evaluated the one-year effect of physical therapy on pain and mandibular dysfunction associated with anterior disc displacement without reduction of the temporomandibular joint (closed lock). Forty-nine individuals were randomly assigned to either a physical therapy group [n = 23, mean age (SD) 34.7 (14.0) yrs] or a control group [n = 26, mean age 38.5 (15.1) yrs]. At baseline and after 3, 6, 12, 26, and 52 wks, pain and mandibular function were evaluated. All patients received extensive information about avoiding parafunctions and oral habits on all evaluation days.

Author(s): 
Craane, B.
Dijkstra, P. U.
Stappaerts, K.
De Laat, A.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Case records (523) were chosen at random from the files of J.F. Grostic, D.C. (deceased) for retrospective determination of the effects of chiropractic adjustments on atlas positioning relative to the occiput and axis. For each patient the recorded degrees of (1) atlas rotation and (2) laterality, both before and soon after spinal manipulative therapy, were extracted from the x-ray reports. Frequency histograms were made of pre- and post-adjustment degrees of laterality and rotation and the relative change of values analyzed statistically.

Author(s): 
Grostic, J. D.
DeBoer, K. F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A reliability study was conducted to determine whether palpatory findings on the cervical spine, obtained under normal chiropractic clinical conditions were reproducible. Forty normal freshman chiropractic students underwent static and motion palpation of their cervical spines by three different chiropractors. Intra- and inter-examiner reliability of findings was assessed by concordance statistics (weighted kappa). There was statistically significant agreement of findings for all three examiners only for fixations in the lower cervical spine.

Author(s): 
DeBoer, K. F.
Harmon, R.
Tuttle, C. D.
Wallace, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A review of the literature reveals strong evidence for both the mechanical model of disease production (structural) and the neurobiological model (functional). Outdated models which attempt to describe a scientific basis for chiropractic theory are inadequate and indeed harmful to the progress and acceptance of chiropractic. Pragmatic or empirical arguments that "Chiropractic works and that's what counts" have served a useful purpose, but now must be augmented by extant research findings. The "paradigm shift" is on.

Author(s): 
Dishman, R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Intervertebral dysfunction refers to a biomechanical fault which is abnormal in both its dynamic and static components. A subluxation may be considered as being fixated and also slightly malpositioned in one or more axes of rotation. Subluxation may be considered as one component of a complex or syndrome of intervertebral dyskinesia, dysarthrosis or dysfunction. The biochemical and histological components explain some of the pain mechanisms, tissue changes and residual effects of acute and chronic intervertebral fixation and the need for repeated spinal manipulations and prolonged care.

Author(s): 
Dishman, R. W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The relationship between a cervical chiropractic adjustment, in subluxated vs. unsubluxated subjects, and autonomic response monitored as change in pupillary diameter was evaluated in 15 subjects.

Author(s): 
Briggs, L.
Boone, W. R.

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