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Biomedical subjects

E Goldenberg

Publications and source records attributed to E Goldenberg.

41 records · Page 3Linked to original sources
PubMed1974

Can I have an ambulance, doctor?

In a study of the ambulance service to an outpatient physiotherapy centre in an urban area over half of the palients were aged over 65, a quarter made at least three visits to the centre weekly, and the average travel and waiting times for all patients was about two-and-a-half hours. There was a direct relation between distance from home to the centre and travelling time for morning but not afternoon attenders. A second survey after some changes in the transport arrangements showed some relatively small reductions in overall travelling and waiting time. It is concluded that even under favourable conditions an important side effect of outpatient physiotherapy is the probable fatigue and anxiety generated by ambulance travel.

Ambulances↗
PubMedDate not supplied

Manipulation for chronic neck pain. A double-blind controlled study.

Twenty-one with symptomatic cervical spondylosis or nonspecific neck pain were given an amnesic dose of diazepam before manipulation of the cervical spine. Eighteen patients served as controls and also received diazepam but no manipulation. Results were obtained in a randomized, double-blind fashion. Statements of outcome by patients and mean visual analog scales for pain and activity showed no significant differences between manipulation and control groups, though both tests favored manipulation. Control subjects subsequently treated by manipulation showed no consistent favorable response. Questionnaires dealing with personality, life events, social and medical histories, etc., provided no correlations with outcome, nor did radiographic findings. Diffuse local tenderness correlated with high pain scores after treatment. The authors conclude that the value of a single manipulation of the cervical spine has not been established and that further exploration of indications is needed. The use of intravenous diazepam should be considered because it allows a double-blind experimental design.

Adult↗