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Whiplash Can Affect Sense of Position and Balance

Whiplash Can Affect Sense of Position and Balance

Although whiplash injuries are quite common, research is only beginning to describe the diverse symptoms that can develop when the neck has experienced trauma. Even a minor whiplash injury, such as may occur while playing sports, can have a significant impact on the delicate structures of the neck. Position sense or balance is how we [..]

Cervical Spondylosis and Neck Pain

Cervical Spondylosis and Neck Pain

British Medical JournalMarch 10, 2007;334:527-531Allan I Binder, consultant rheumatologistPresenting Features of Cervical SpondylosisSYMPTOMS* Cervical pain aggravated by movement* Referred pain (occiput, between the shoulder blades, upper limbs)* Retro-orbital or temporal pain (from C1 to C2)* Cervical stiffness—reversible or irreversible* Vague numbness, tingling, or weakness in upper limbs* Dizziness or vertigo* Poor balance* Rarely: syncope, migraine, [..]

Cervical spine manipulation alters sensorimotor integration: A somatosensory evoked potential study

Cervical spine manipulation alters sensorimotor integration: A somatosensory evoked potential study

Clinical NeurophysiologyFebruary 2007 Feb;118(2):391-402Haavik-Taylor H, Murphy BOBJECTIVE:To study the immediate sensorimotor neurophysiological effects of cervical spine manipulation using somatosensory evoked potentials (SEPs).METHODS:Twelve subjects with a history of reoccurring neck stiffness and/or neck pain, but no acute symptoms at the time of the study were invited to participate in the study.An additional twelve subjects participated in [..]

Pathophysiological Model for Chronic Low Back Pain

Pathophysiological Model for Chronic Low Back Pain

Integrating Connective Tissue and Nervous System MechanismsMedical HypothesesVolume 68, Issue 1, January 2007, Pages 74-80Helene M. Langevin and Karen J. ShermanThe primary author is from the Department of Neurology, University of Vermont, College of Medicine.FROM ABSTRACTAlthough chronic low back pain (cLBP) is increasingly recognized as a complex syndrome with multifactorial etiology, the pathogenic mechanisms leading [..]

Long-Term Follow-up of a Randomized Clinical Trial

Long-Term Follow-up of a Randomized Clinical Trial

Assessing the Efficacy of Medication, Acupuncture, and Spinal Manipulation for Chronic Mechanical Spinal Pain SyndromesJournal of Manipulative and Physiological TherapeuticsJanuary 2005, Volume 28, Number 1Reinhold Muller, PhD, Lynton G.F. Giles, DC, PhDThis study is a follow-up to the study in Spine, July 15, 2003, which showed the short-term superiority of chiropractic adjustment over Celebrex, Vioxx, and acupuncture [..]

Chronic Spinal Pain

Chronic Spinal Pain

A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation SpineJuly 15, 2003; 28(14):1490-1502Lynton G. F. Giles, DC, PhD; Reinhold Muller, PhDFROM THE ABSTRACT:Study Design.A randomized controlled clinical trial was conducted.Objective.To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 weeks duration) spinal pain because the value of medicinal and popular forms of [..]

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial

Cost effectiveness of physical treatments for back pain in primary care UK BEAM Trial Team (Andrea Manca)British Medical Journal329:1381 December 11, 2004FROM ABSTRACTObjectiveTo assess the cost effectiveness of adding spinal manipulation, exercise classes, or manipulation followed by exercise (“combined treatment”) to “best care” in general practice for patients consulting with low back pain.DesignStochastic cost utility [..]

Nonoperative Management of Low Back Pain and Lumbar Disc Degeneration

Nonoperative Management of Low Back Pain and Lumbar Disc Degeneration

An Instructional Course Lecture,American Academy of Orthopaedic SurgeonsTHE JOURNAL OF BONE AND JOINT SURGERYVOLUME 86-A · NUMBER 8 · AUGUST 2004BY DARREL S. BRODKE, MD, AND STEPHEN M. RITTER, MDTHESE AUTHORS NOTE:Low back pain is often a difficult problem to solve.“There is a paucity of evidence from the health professional literature regarding its cause, management, and [..]

Comparative Analysis of Individuals With and Without Chiropractic Coverage

Comparative Analysis of Individuals With and Without Chiropractic Coverage

Patient Characteristics, Utilization, and CostsArchives of Internal MedicineOctober 11, 2004;164:1985-1992Antonio P. Legorreta, MD, MPH; R. Douglas Metz, DC; Craig F. Nelson, DC, MS; Saurabh Ray, PhD; Helen Oster Chernicoff, MD, MSHS; Nicholas A. DiNubile, MDFROM ABSTRACT:Background: Back pain accounts for more than $100 billion in annual US health care costs and is the second leading [..]

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain
A symptomatic classification of whiplash injury and the implications for treatment

A symptomatic classification of whiplash injury and the implications for treatment

The Journal of Orthopaedic MedicineVolume 21(l), 1999, pp. 22-25S Khan, J Cook, M Gargan G BannisterUniversity Department of Orthopaedic Surgery, Bristol, UKFROM INCLUDED ABSTRACTObjective:To determine which patients with chronic whiplash will benefit from chiropractic treatment.Design:Retrospective review by structured telephone interviews of 93 consecutive patients seen in chiropractic clinic.Setting:Independent chiropractic clinic in a large city.Subjects:93 patients, [..]

Chiropractic treatment of chronic ‘whiplash’ injuries

Chiropractic treatment of chronic ‘whiplash’ injuries

InjuryVolume 27, Issue 9, November 1996, Pages 643-645N. Woodward, J. C. H. Cook, M. F. Gargan and G. C. BannisterUniversity Department of Orthopaedic Surgery, Bristol, UKFROM ABSTRACTForty-three percent of patients will suffer long-term symptoms following ‘whiplash’ injury, for which no conventional treatment has proven to be effective.A retrospective study was undertaken to determine the effects [..]