Manipulation, Orthopedic

Publication Title: 
Spine

STUDY DESIGN: Systematic review. OBJECTIVE: To assess current use of expertise-based randomization in trials of acupuncture or spinal manipulation for low back pain. SUMMARY OF BACKGROUND DATA: The randomized clinical trial is often referred to as the gold standard for providing evidence to guide therapeutic decisions.

Author(s): 
Johnston, Bradley C.
da Costa, Bruno R.
Devereaux, P. J.
Akl, Elie A.
Busse, Jason W.
Expertise-Based RCT Working Group
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Manipulation and mobilisation are often used, either alone or combined with other treatment approaches, to treat neck pain. OBJECTIVES: To assess if manipulation or mobilisation improves pain, function/disability, patient satisfaction, quality of life, and global perceived effect in adults with acute/subacute/chronic neck pain with or without cervicogenic headache or radicular findings. SEARCH STRATEGY: CENTRAL (The Cochrane Library 2009, issue 3) and MEDLINE, EMBASE, Manual Alternative and Natural Therapy, CINAHL, and Index to Chiropractic Literature were updated to July 2009.

Author(s): 
Gross, Anita
Miller, Jordan
D'Sylva, Jonathan
Burnie, Stephen J.
Goldsmith, Charles H.
Graham, Nadine
Haines, Ted
Brønfort, Gert
Hoving, Jan L.
Publication Title: 
Spine

STUDY DESIGN: Systematic review. OBJECTIVE: To assess current use of expertise-based randomization in trials of acupuncture or spinal manipulation for low back pain. SUMMARY OF BACKGROUND DATA: The randomized clinical trial is often referred to as the gold standard for providing evidence to guide therapeutic decisions.

Author(s): 
Johnston, Bradley C.
da Costa, Bruno R.
Devereaux, P. J.
Akl, Elie A.
Busse, Jason W.
Expertise-Based RCT Working Group
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Manipulation and mobilisation are commonly used to treat neck pain. This is an update of a Cochrane review first published in 2003, and previously updated in 2010. OBJECTIVES: To assess the effects of manipulation or mobilisation alone compared wiith those of an inactive control or another active treatment on pain, function, disability, patient satisfaction, quality of life and global perceived effect in adults experiencing neck pain with or without radicular symptoms and cervicogenic headache (CGH) at immediate- to long-term follow-up.

Author(s): 
Gross, Anita
Langevin, Pierre
Burnie, Stephen J.
Bédard-Brochu, Marie-Sophie
Empey, Brian
Dugas, Estelle
Faber-Dobrescu, Michael
Andres, Cristy
Graham, Nadine
Goldsmith, Charles H.
Brønfort, Gert
Hoving, Jan L.
LeBlanc, Francis
Publication Title: 
The Journal of Trauma

In this study, intravenous diazepam was a convenient, safe, and entirely adequate replacement of anesthesia for orthopaedia manipulations. It was administered in the hospital emergency room to both healthy and ill patients. A wide age range of patients was treated, and many very difficult reductions were accomplished. It is the author's firm opinion, however, that the physician using this technique should be capable of using emergency respiratory resuscitation equipment and that such equipment should be immediately available.

Author(s): 
Gunther, S. F.
Usnr, L. M.
Publication Title: 
The Journal of Emergency Medicine

Hypnosis can diminish pain and anxiety for many emergency patients during examinations and procedures. While hypnosis has been used for millennia and was demonstrated to be of use in clinical medicine more than a century ago, modern physicians have been reluctant to adopt this technique in clinical practice. This article describes four children with angulated forearm fractures who had no possible access to other forms of analgesia during reduction, and in whom hypnosis was used successfully. A simple method for hypnotic induction is described.

Author(s): 
Iserson, K. V.
Publication Title: 
JAMA

A randomized clinical trial of rotational manipulation was conducted on 95 patients with low back pain selected for (1) the absence of any contraindications for vertebral manipulation, (2) the absence of any psychosocial problems that might affect the outcome of treatment, (3) the absence of any previous experience with manipulative therapy, and (4) the presence of palpatory cues indicating that manipulation might be successful. Patients were randomly assigned to one of two groups: an experimental group receiving manipulation therapy and a control group receiving soft-tissue massage.

Author(s): 
Hoehler, F. K.
Tobis, J. S.
Buerger, A. A.
Publication Title: 
Schweizerische Medizinische Wochenschrift

Soft tissue rheumatism (extraarticular rheumatism) is a group of common disorders found separately as independent disorders or as a symptom of systemic joint or spine diseases. The most frequent soft tissue rheumatisms are tendinopathies, rheumatism of muscles with myofascial pains, fibrositis of subcutaneous tissue and, finally, bursitis and inflammations of tendon sheaths. The commonest therapeutic procedures are non-steroidal anatirheumatic drugs, local infiltrations of corticosteroids, and physiotherapy.

Author(s): 
Gross, D.
Publication Title: 
Clinical Orthopaedics and Related Research

Spinal manipulative therapy is one of the most commonly used treatments for patients with low back pain. It is both a manual diagnostic and a treatment method. Manual diagnosis includes the palpation of vertebral position, vertebral motion, joint play, end feel, soft tissue texture changes, and muscle contracture. Manipulative treatment can be divided into seven categories: long-lever, nonspecific manipulation; specific, short-lever high-velocity spinal adjustments; active or functional manipulation; mobilization; manual traction; soft tissue massage; and point pressure manipulation.

Author(s): 
Haldeman, S.
Publication Title: 
International Disability Studies

In the past few years modalities of traditional Chinese rehabilitative therapy have changed from an experimental approach towards the shaping of a modernized and scientific system. The landmark of this process is characterized by adoption of scientific methods in the appraisal of efficacy, provision of experimental evidence to unveil the mechanisms for the treatments and development of new modalities by innovation with modern technology.

Author(s): 
Zhuo, D. H.

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