Prone Position

Publication Title: 
Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses

Postoperative face-down posturing (FDP) is recommended to optimize the effects of intraocular gas tamponade after vitrectomy. However, patients undergoing FDP usually experience physical and psychological burdens. This 3-armed, randomized, single-center trial investigated the effects of aromatherapy on FDP-related physical pain. Sixty-three patients under FDP were randomly allocated to one of three treatment groups: aromatherapy massage with essential oil (AT), oil massage without essential oil (OT), and a control group.

Author(s): 
Adachi, Naho
Munesada, Minako
Yamada, Noriko
Suzuki, Haruka
Futohashi, Ayano
Shigeeda, Takashi
Kato, Satoshi
Nishigaki, Masakazu
Publication Title: 
Pain

The effect of intensive dynamic back extensor exercises for patients with chronic low back pain was investigated in a controlled clinical trial in which chronic low back pain patients underwent a 3-month intensive training program with a total of 30 sessions. The 105 patients were divided into 3 groups: a treatment group, an alternative group which underwent 1/5 of the treatment group's exercise program per session, and an alternative group in which treatment consisted of thermotherapy, massage and mild exercise.

Author(s): 
Manniche, C.
Lundberg, E.
Christensen, I.
Bentzen, L.
Hesselsøe, G.
Publication Title: 
Pain Physician

Pudendal neuralgia (PN) involves severe, sharp pain along the course of the pudendal nerve, often aggravated with sitting. Current therapies include medication management, nerve blocks, decompression surgery, and neuromodulation. The ideal management for PN has not been determined. We present a case of a female with 1.5 years of sharp, burning pain of the left gluteal and perineal regions. She could not sit for longer than 10 to 15 minutes. Sacroiliac joint, epidural, and piriformis injections did not improve her pain.

Author(s): 
Rhame, Ellen E.
Levey, Kenneth A.
Gharibo, Christopher G.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine if prone leg length measurements for inequality are valid to estimate standing X-ray measured differences. DESIGN: Leg length inequality (LLI) was measured, in millimeters, with each patient prone and with a standing X-ray, by an experienced chiropractor. Correlation between the two was calculated, and dependent t test performed. SETTING: Private chiropractic practice. PARTICIPANTS: The first 50 new patients with low back pain (LBP) who were X-rayed were included in the study. RESULTS: Correlation between the two variables was 0.71.

Author(s): 
Rhodes, D. W.
Mansfield, E. R.
Bishop, P. A.
Smith, J. F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To assess the validity and reliability of prone and supine measurements of leg length inequality and to determine the potential use of measurements at the iliac crests and patient demographics as predictors to estimate standing leg length differential. DESIGN: Repeated prone and supine measurements of leg length inequality were made by an experienced chiropractor and compared with iliac crest and femur head measurements made on X-rays of standing patients. Multiple regression analysis was performed. SETTING: Private chiropractic practice.

Author(s): 
Rhodes, D. W.
Mansfield, E. R.
Bishop, P. A.
Smith, J. F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

PURPOSE: To abstract the essential elements of chiropractic prone leg checking and subject them to controlled, experimental parametric testing. DESIGN: Controlled, objective, repeated-measure analysis of the dynamic response of leg positions to distractive and compressive loading conditions. SETTING: Research laboratory in a chiropractic college. PARTICIPANTS: Twenty-five compression and 30 distraction subjects, most of whom were male, asymptomatic chiropractic students.

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

OBJECTIVE: To investigate the interexaminer reliability of the prone extended relative leg-length check as described by Activator Methods, Inc. SUBJECTS: Thirty-four subjects were selected from a pool of 52 consecutive patients visiting a private chiropractic office. METHODS: Exclusion criteria included congenital or acquired conditions known to affect lower extremity length and inability to lie prone for a 10-minute period. Two experienced chiropractors who specialize in Activator Methods and are "advanced-proficiency rated" by Activator Methods, Inc.

Author(s): 
Nguyen, H. T.
Resnick, D. N.
Caldwell, S. G.
Elston, E. W.
Bishop, B. B.
Steinhouser, J. B.
Gimmillaro, T. J.
Keating, J. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Flexion distraction has gained increased credibility as a therapeutic modality for treatment of low back pain. Although important work in the area has elucidated the intradiskal pressure profiles during flexion distraction, the accompanying neural responses have yet to be described. OBJECTIVE: The purpose of this pilot study was to assess neural reflex responses to motion with 3 degrees of freedom applied to the lumbar spine and to evaluate H-reflex responses of the soleus.

Author(s): 
Bulbulian, Ronald
Burke, Jeanmarie
Dishman, J. Donald
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Currently, no traditional chiropractic examination method to determine a spinal listing offers demonstrated guidance in treatment decisions for low back pain (LBP) patients. Development of an examination that bypasses the difficulty of accurately and reliably identifying a listing, yet provides guidance on manipulative vectors, could be very valuable to clinicians and patients. OBJECTIVE: To explore 2 potential protocols for provocation testing and assessment of directional preference using padded wedges.

Author(s): 
Lisi, Anthony J.
Cooperstein, Robert
Morschhauser, Elaine
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: The cavitation sounds heard during chiropractic adjustments of the spine are common phenomena; yet, their location relative to the technique used is relatively untested. OBJECTIVE: The purpose of this study was to locate the cavitation sounds during the L5 spinous hook adjustment and a lower sacroiliac adjustment. The sounds were analyzed for significant difference in location relative to the 2 techniques. METHODS: Thirty asymptomatic volunteers were randomly divided into 2 equal groups. Each group represented either the spinous hook adjustment or lower sacroiliac adjustment.

Author(s): 
Beffa, Roberto
Mathews, Robert

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