Effects of orthotic intervention and nine holes of simulated golf on club-head velocity in experienced golfers.

Objective: This study was an initial investigation evaluating the effects of orthotic intervention on club-head velocity (CHV) among a group of experienced golfers before and after 9 holes of simulated golf.

Setting: Northwestern College of Chiropractic, Bloomington, Minnesota.

Participants: Twelve experienced golfers were included in the study.

Extraspinal enthesopathy caused by isotretinoin therapy.

Objective: To discuss a case of diffuse peripheral enthesopathy in a patient previously treated with long-term isotretinoin (Accutane) for severe acne.

Clinical Features: A 47-year old man with 1 month history of moderate neck and right upper extremity pain, with hypoesthesia of the right second and third fingers. Palpable bony prominences around multiple superficial joints were noted on physical examination, raising the initial question of osteochondromatosis.

A feasibility study of chiropractic spinal manipulation versus sham spinal manipulation for chronic otitis media with effusion in children.

Background: Pediatric otitis media with effusion is a common and costly condition. Although chiropractors have anecdotally claimed success in treating otitis media, there is little research to support their claims.

Objective: A pilot study was undertaken for the purpose of assessing the feasibility of conducting a full-scale randomized clinical trial investigating the efficacy of chiropractic spinal manipulative therapy (SMT) for children with chronic otitis media with effusion.

Spinal manipulation: current state of research and its indications.

Based on the most recent and comprehensive systematic reviews, there is moderate evidence of short-term efficacy for spinal manipulation in the treatment of both acute and chronic low back pain. There is insufficient data available to draw conclusions regarding the efficacy for lumbar radiculopathy. The evidence is also not conclusive for the long-term efficacy of spinal manipulation for any type of low back pain.

The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache.

Background: Migraine headache affects approximately 11 million adults in the United States. Spinal manipulation is a common alternative therapy for headaches, but its efficacy compared with standard medical therapies is unknown.

Objective: To measure the relative efficacy of amitriptyline, spinal manipulation and the combination of both therapies for the prophylaxis of migraine headache.

A conservative approach for a patient with traumatically induced urinary incontinence.

Objective: To consider a conservative management plan for a patient suffering from diurnal enuresis.

Clinical Features: A 12-yr-old girl complained of left flank pain and involuntary urine loss that apparently began a short time after she fell backwards and landed on her coccyx. She had to wear a sanitary pad prophylactically throughout each day for more than a year because of unpredictable urinary incontinence.

Carpal tunnel syndrome: conservative and nonconservative treatment. A chiropractic physician's perspective.

Objective: To discuss the treatment of carpal tunnel syndrome (CTS) including indications for referral to medical evaluation and/or comanagement.

Data Source: More than 200 articles published in the health care literature from 1963 to 1997 and indexed on Medline concerning conservative and surgical intervention for CTS. Indexing terms used were "Carpal Tunnel," combined with keywords "Conservative" and "Surgery.

Comparative efficacy of conservative medical and chiropractic treatments for carpal tunnel syndrome: a randomized clinical trail.

Objective: To compare the efficacy of conservative medical care with chiropractic care in the treatment of carpal tunnel syndrome.

Design: Two-group, randomized, single-blind trial with 9 wk of treatment and a 1-month follow-up interview.

Setting: Wolfe-Harris Center for Clinical Studies at Northwestern College of Chiropractic in Bloomington, Minnesota.

Manipulative therapy in lower back pain with leg pain and neurological deficit.

Objective: To discuss a case of sciatica associated with lower back pain that originates in a disc. We discuss the use of manipulative therapy as a conservative approach and compare it with other conservative methods and with surgery.

Clinical Features: The patient suffered from lower back and left leg pain that had increased in severity over a 6-day period.

Effects of nine holes of simulated golf and orthotic intervention on balance and proprioception in experienced golfers.

Objective: To investigate effects of orthotic intervention on balance and proprioception among a group of experienced golfers.

Setting: Northwestern College of Chiropractic.

Participants: Twelve experienced golfers were included in the study.

Clinical research within the chiropractic profession: status, needs and recommendations.

In the current climate of accountability, health care financing reform and the demand on all health professions for evidence, there is an urgent need to expand clinical research activity within the profession. Those randomized clinical trials that have been reported in the literature have focused primarily on low back and headache pain. Only recently have studies been initiated to investigate the effectiveness of chiropractic interventions for conditions other than back pain.

Trunk exercise combined with spinal manipulative or NSAID therapy for chronic low back pain: a randomized, observer-blinded clinical trial.

Objectives: To study the relative efficacy of three different treatment for chronic low back pain (CLBP). Two preplanned comparisons were made: (a) Spinal manipulative therapy (SMT) combined with trunk strengthening exercises (TSE) vs. SMT combined with trunk stretching exercises, and (b) SMT combined with TSE vs.

A holistic approach to severe headache symptoms in a patient unresponsive to regional manual therapy.

Objective: To discuss the case of a patient suffering from severe headache complaints who was previously unresponsive to regional cervical spine care.

Clinical Features: A prodrome was described. In addition to headache itself, associated symptoms included light sensitivity, blurred vision and nausea.

Chiropractic care, including craniosacral therapy, during pregnancy: a static-group comparison of obstetric interventions during labor and delivery.

Objective: To determine whether the addition of chiropractic care including craniosacral therapy to a regimen of standard obstetric pregnancy results in fewer obstetric interventions during labor and delivery.

Design: Retrospective, case-matched, static-group comparison.

Setting: The study group was obtained from a college faculty-based clinic and received chiropractic care in addition to their routine obstetrical care.

Spinal manipulation vs. amitriptyline for the treatment of chronic tension-type headaches: a randomized clinical trial.

Objective: To compare the effectiveness of spinal manipulation and pharmaceutical treatment (amitriptyline) for chronic tension-type headache.

Design: Randomized controlled trial using two parallel groups. The study consisted of a 2-wk baseline period, a 6-wk treatment period and a 4-wk posttreatment, follow-up period.

The validity of thoracolumbar paraspinal scanning EMG as a diagnostic test: an examination of the current literature.

Objective: The purpose of this literature review was to assess the current validity of thoracolumbar paraspinal scanning EMG as practiced by the chiropractic profession within the context of adequate and acceptable epidemiological standards for validating a new diagnostic test.

Data Sources, Study Selection And Data Extraction: Sources for the primary literature citations were obtained from several indexing services (MEDLINE--April 1993 to 1989; Index to Chiropractic Literature--1991 to 1980, Chiropractic Research Archives Collection--Vol. I-IV and Chiropractic Literature Analysis and Retrieval System) and hand searched under the subject heading of electromyography.

The practice of chiropractic in South Dakota: a survey of chiropractors.

Objective: To identify the professional and demographic characteristics of the chiropractors in South Dakota.

Design: Mail survey that covered four major areas: 1) demographics of the chiropractors, 2) population served, 3) factors influencing the economic aspects of the practice, and 4) practice characteristics. A reminder was sent 1 month following the first mailing.

The tension headache, migraine headache continuum: a hypothesis.

There is evidence in the literature that tension-type and migraine headaches do not exist as discrete pathophysiologic entities but form a continuum. The mechanisms for tension and migraine headaches are discussed and the evidence for this continuum, both basic scientific and clinical, is reviewed. A model for chronic headaches based on this evidence and based on clinical observations by the author is presented.

Inter- and intraexaminer reliability of a single, digital inclinometric range of motion measurement technique in the assessment of lumbar range of motion.

Objective: The between and within examiner reliability of a range of motion digital inclinometer was evaluated for lumbar flexion, extension and right and left lateral flexion.

Design: Blinded, lumbar range of motion instrumentation reliability.

Setting: Private college research and ambulatory patient care facility.

Clinical presentation of a patient with multiple sclerosis and response to manual chiropractic adjustive therapies.

Objective: To present a clinical case presentation of a patient with multiple sclerosis (MS). Diagnostic criteria are presented, including advanced imaging; and, for the first time, a potential relationship between chiropractic manual adjustive therapies and the symptoms associated with MS is presented.

Clinical Features: A 32-yr-old male presented with numbness from the lower trunk to the distal lower extremities, anteriorly and posteriorly, bilaterally equal.

Resolution of infantile Erb's palsy utilizing chiropractic treatment.

Objective: To present a case study of infantile Erb's palsy that responded to conservative chiropractic care.

Clinical Features: A 5-wk-old infant boy suffered from a limp left arm. A clinical diagnosis of Erb-Duchenne palsy was made.

Interexaminer reliability of eight evaluative dimensions of lumbar segmental abnormality: Part II.

Objective: The objectives of this study were to assess the interexaminer agreement of palpation for soft tissue and osseous pain along with visual observations in the lumbar spine. Second, the interexaminer agreement of dermothermograph and surface electromyographic (EMG) scans of the lumbar spine were assessed. Third, to perform these evaluations on symptomatic low back patients.