Nephrolithiasis with unusual initial symptoms.

Objective: To describe a less common initial symptom of nephrolithiasis, its diagnostic pitfalls, risk factors, and mimicry of other conditions. Intervention and long-term management of nephrolithiasis is also discussed.

Clinical Features: A Caucasian man aged 25 years had sudden bilateral inguinal and occasional periumbilical pain.

Interexaminer reliability of the palpation of trigger points in the trunk and lower limb muscles.

Objectives: To determine the interexaminer reliability of palpation of three characteristics of trigger points (taut band, local twitch response, and referred pain) in patients with subacute low back pain, to determine whether training in palpation would improve reliability, and whether there was a difference between the physiatric and chiropractic physicians.

Design: Reliability study.

Setting: Whittier Health Campus, Los Angeles College of Chiropractic.

Missed cervical spine fracture: chiropractic implications.

Objective: To discuss the case of a patient with an anterior compression fracture of the cervical spine, which had been overlooked on initial examination.

Clinical Features: A 36-year-old man was seen at a chiropractic clinic 1 month after diving into the ocean and hitting his head on the ocean floor. He chipped a tooth but denied loss of consciousness.

Interexaminer reliability of activator methods' relative leg-length evaluation in the prone extended position.

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.

A survey of the accessibility of chiropractic clinics to the disabled.

Objective: To determine to what degree chiropractic clinics are complying with the Americans with Disabilities Act (ADA), which mandates that health care clinics be accessible to the disabled.

Methods: A survey was developed and mailed to 200 chiropractic clinics in Orange and Los Angeles counties. The survey asked about the essential necessities for health care clinics to be accessible to the wheelchair-bound, the blind, and the deaf.

Manipulative management of post-Colles' fracture weakness and diminished active range of motion.

Objective: To discuss the management of a patient with wrist weakness and a diminution in active range of motion resulting from Colles' fracture.

Clinical Features: A 58-year-old woman complained of persistent loss of grip strength and mobility in her right wrist. These complaints were from Colles' fracture occurring 19 months before initiation of care.

A descriptive analysis of the Journal of Manipulative and Physiological Therapeutics, 1989-1996.

Background: Two previous reports have summarized the content, institutional affiliations, academic training and funding sources for articles published in the Journal of Manipulative and Physiological Therapeutics (JMPT) from 1978-1986 and 1987-1988.

Objectives: (a) to quantitatively assess the types of articles published in the JMPT from 1989-1996; (b) to identify the affiliations of contributors to the JMPT during this period; (c) to identify the academic backgrounds of contributors to the JMPT from 1989-1996; (d) to identify funding sources for scholarly works published in the JMPT during this period; (e) to identify the proportionate contributions of female authors; (f) to assess the proportion of articles contributed, i.e.

Interobserver reliability of detecting lumbar intervertebral disc high-intensity zone on magnetic resonance imaging and association of high-intensity zone with pain and anular disruption.

Study Design: Retrospective analysis of a spine imaging center's records of patients with chronic low back pain referred by tertiary care facilities.

Objectives: 1) To assess the interobserver reliability of detecting lumbar intervertebral disc high-intensity zone on T2-weighted magnetic resonance imaging, and 2) to assess the relation between high-intensity zone and discography or post-computed tomography in symptomatic patients with low back pain.

Summary Of Background Data: Two of the three previous studies on this subject found an association between high-intensity zone and the presence of Grade 4 anular disruption with discographic reproduction of patients' exact low back pain.

Lymphedema as a cause of unilateral leg swelling: a case report with 6-yr follow-up.

Objective: To discuss a case of unilateral lower extremity swelling caused by an uncommon condition, lymphedema praecox. An emphasis is placed on diagnostic imaging.

Clinical Features: A 48-yr-old man suffered from low back and left leg pain.

Rotary manipulation for cervical radiculopathy: observations on the importance of the direction of the thrust.

Objective: To describe the clinical presentation of eight patients with cervical spine radiculopathy, the manipulation technique used for each patient and the outcomes of treatment.

Clinical Features: The cause of radiculopathy in four patients was disc herniation. The other four patients had a combination of spondylosis, disc herniation and sprain injury.

Managed care preapproval and its effect on the cost of Utah worker compensation claims.

Objective: To determine the effect of preauthorization of chiropractic services costs in non-surgical back injury cases in a managed care environment. The program was implemented in the chiropractic provider group by the Worker Compensation Fund of Utah. The results were compared with those of similar injury claims in a separate provider group in which there was no preauthorization program.

Manipulative reduction and management of anterior sternoclavicular joint dislocation.

Objective: To discuss the management of a patient suffering from an anterior sternoclavicular joint dislocation secondary to blunt trauma from a motor vehicle accident.

Clinical Features: A 75-yr-old woman suffered from difficulty in swallowing and chest pain after release from a foreign medical facility. Anteroposterior chest X-rays demonstrated an anterior and superior displacement of the right sternoclavicular joint.

George Goodheart, Jr., D.C., and a history of applied kinesiology.

Applied Kinesiology (AK), founded by Michigan chiropractor George J. Goodheart, Jr., is a popular diagnostic and therapeutic system used by many health care practitioners.

The state of the art of research on chiropractic education.

Objective: To review the current status of research on chiropractic education, including barriers to chiropractic educational research, and provide recommendations for future research activities.

Design: Narrative literature review with annotated bibliography and formal consensus statements using a modified nominal group process.

Methods: A literature search from January 1985 to May 1996.

Comparison of entrance requirements for health care professions.

Objective: To compare U.S. chiropractic college admissions requirements with those of allopathy, osteopathy, optometry, podiatry and dentistry.

Advertising in chiropractic, 1939-1944: an introspective look at the early years of the Chirogram.

The Chirogram was a popular and widespread chiropractic journal that was reborn in 1939 and lasted for 40 years. With 8,000 copies circulated for the debut May 1939 issue, the journal grew steadily to 11,000 copies per month by December 1944. As one of the largest journals of its time, the Chirogram was well supported by vendors that supplied chiropractors with products and services.

Description of integrated competency examination: tools to assess the chiropractic curriculum effectiveness and students' competency levels.

Los Angeles College of Chiropractic (LACC) has developed a variety of methods to monitor the effectiveness of its competency based/problem-centered curriculum. The College introduced two Integrative Competency Examination courses (ICE I and ICE II) to assess the chiropractic program's effectiveness and students' competency levels. The ICE courses are pass/fail examinations that use a multistation, objective structured clinical examination (OSCE) format that involves standardized patients along with cognitive assessment of basic science information as methods of evaluation.

Cleveland chiropractic: the early years, 1917-1933.

Although the Cleveland family is well known in the profession for the two colleges that carry its name, relatively few of the details of the early activities of these chiropractic pioneers are recalled. This paper traces the early lives and careers of Ruth Ashworth and Carl S. Cleveland, Sr.