Lumbar Vertebrae

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper examines the use of single-subject research methodology in clinical research. Specifically, the use of the multiple baseline design across subjects is discussed relative to its application to chiropractic research. Brief discussion of the history of the development of single-subject research methodology is presented along with discussions of its strengths and weaknesses, issues related to its use, and some of the fields in which it has been utilized.

Author(s): 
Center, D. B.
Leach, R. A.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A negative myelogram but a positive CT for an L5 disc protrusion is presented. Five months of medical care preceded chiropractic care; the insurance company involvement in a case where treatment mode is changed from usual orthodox medical procedures of epidural steroid injection and physical therapy to chiropractic distraction manipulation is detailed. Finally the clinical outcome of the case is provided.

Author(s): 
Cox, J. M.
Publication Title: 
Spine

Ninety-nine anteroposterior and lateral lumbar radiographs taken of men, 18 to 55 years of age, were randomly selected from participants in a population survey of low-back pain. Thirty-one (31%) had never had low-back pain; 44 (44%) had or were having mild low-back pain; and 24 (24%) had or were having severe low-back pain. Three chiropractors assessed 56 radiographic variables, which included determinations of disc space height, vertebral malalignments and subluxations, spondylosis, postural disturbances, relationships among pelvis and spine and other congenital or acquired abnormalities.

Author(s): 
Frymoyer, J. W.
Phillips, R. B.
Newberg, A. H.
MacPherson, B. V.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

An inter- and intra-examiner reliability study was conducted to determine the reliability of a standardized method of motion palpation. Eight senior students in the Palmer College Public Clinic palpated the thoracolumbar spine of 32 student volunteers. Each volunteer was palpated twice by each examiner to allow inter- and intra-examiner analysis. Each examiner had at least 1 yr of experience using the procedure. Only the most hypomobile motor unit of the spine was recorded. Analysis of the data revealed statistically significant agreement for intra-examiner reliability.

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

Avulsion of a supraspinous ligament is one potential cause of low back pain. Since the symptom pattern of this condition may mimic that of other, more common, conditions, a thorough biomechanical and radiological examination is necessary to ensure proper and successful management. The necessity for a thorough and complete biomechanical, laboratory and x-ray evaluation is emphasized before successful treatment can be initiated.

Author(s): 
van den Bos, M. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Presented is a case report of chiropractic manipulative therapy and transcutaneous neuromuscular stimulation utilized in the treatment of progressive adolescent idiopathic scoliosis. The curvature was shown to be progressing at the rate of 1.0 degrees/month for the 9 previous months. The patient's curvature was successfully stopped at 27 degrees and reversed to 17 degrees in the first 3 months of care. After 9 months of nighttime stimulation, the curvature was recorded at 23 degrees.

Author(s): 
Aspegren, D. D.
Cox, J. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

For many years, static standing x-ray views of the lumbar spine and pelvis have been evaluated to identify variations in the positional attitude of the osseous segments and to relate such findings with possible causes of low back pain and disability. This study of 110 cases of acute low back pain identified the frequency of occurrence of intervertebral disc-space wedging, the level where it most frequently occurred and the associated alterations in the attitude of the pelvis and adjacent vertebral segments.

Author(s): 
Reinert, O. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A case of sacroiliac syndrome and lumbar facet capsulitis coexisting with an asymptomatic grade II spondylolisthesis is presented. Spinal manipulative therapy is not contraindicated in the presence of spondylolisthesis if specific to the site of joint hypomobility and if the underlying spondylolisthesis is stable. Manipulation may prove to be diagnostic as well as therapeutic. The need to clinically assess whether the spondylolisthesis is symptomatic is discussed.

Author(s): 
Ventura, J. M.
Justice, B. D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Case records permeating the chiropractic literature, although claiming success utilizing conservative therapies, often are founded on isolated circumstances rather than scientific data. A detailed examination of such reports reveals a void with respect to definitive and specific approaches for the diagnosis and clinical management of disorders synonymous with chiropractic clinical practice. At best, therefore, such reports are fraught with empiricism, illustrating only the experiences of individual clinicians.

Author(s): 
Crawford, J. P.
Noble, W. J.
Vernon, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The incidence of a C7 spondylolisthesis has never been reported, and this paper shows the presence of C7 and L4 degenerative spondylolisthesis in a 66-yr-old female. No report of this combined problem has been reported. The clinical findings of the patient are given as well as treatment protocol.

Author(s): 
Cox, J. M.
Aspegren, D. D.

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