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At least 775 records · Page 43Linked to original sources
PubMed1992

[Complications of cervical spine manipulation. A case of "locked-in syndrome"].

The current craze for cervical spine manipulation is due to its rapid and even dramatic results and to the ineffectiveness of many treatments prescribed by physicians. Complications of thoracic or lumbar spine manipulation are very rarely reported, but this is not the case with the cervical spine. We present the case of a woman who suffered a severely disabling complication caused by an "osteopathic" manoeuvre. This technique should be rejected as it is dangerous and as harmless methods can be used with good results in common cervicalgia, even if it is very severe.

Adult↗
PubMed2000

Communication between general and manipulative practitioners: a survey.

A survey of general practitioners (GPs) in the south of England was undertaken to determine their understanding and communication needs in referring patients to practitioners of manipulation. Eighty-six out of 309 GPs replied to a postal questionnaire (28% response). The results suggest that, while routine communication is important for improving understanding, GPs appear to have a preference for disciplines of which they have personal experience. The majority of responders favoured receiving a report on one side of A5 paper when the patient completes treatment. This should contain the nature of treatment and advice given and an indication of its outcome. Those who desired an initial report wanted it to contain a summary of the nature of the problem, a brief history, a summary of relevant findings from the examination, any investigations and a prognosis. Many GPs commented that they were more comfortable in referring to physiotherapists because they felt they had a better understanding of the treatment involved. Furthermore, chiropractic and osteopathic terminologies were reported to be confusing more often than physiotherapy terminology. Bearing in mind the potential bias in responses due to its geographical limitations and low response rate, this study provides useful indicators for manipulative and GPs who wish to work more closely together.

Adult↗
PubMed1975

Heterodox practitioners and the availability of specialist advice.

The characteristics of the principal categories of more professional heterodox practice are examined. It is concluded that rheumatic diseases are one of the likeliest fields for conflcit between orthodox and fringe medicine. The distribution of manpower engaged in alternative systems of health care is compared with that of orthodox medical services. The limited data on utilization of unorthodox remedies are reviewed. Far from conflict ensuing, it is argued that dialogue must develop in order to submit procedures like manipulation to satisfactory clinical trial.

Acupuncture Therapy↗
PubMed1994

Whiplash as a total-body injury.

In our highly active society, individuals and groups push their physical limits. Consequently, the incidence of whiplash injury is increasing. Patients may not recover rapidly or fully from a whiplash injury, thus leading to chronic neck and spinal symptoms and litigation. Physicians must recognize whiplash injury as a manifestation of total-body trauma and treat accordingly, with particular emphasis on alleviating abnormal tension of the fascia. Precise description of the accident, followed by healing methods tailored to well-defined bodily injury, aids in effective management. Whiplash injury poses a challenge to the osteopathic physician to sharpen skills in defining the injury based on the details of the accident and to incorporate myofascial release treatment into traditional modes of whiplash treatment. Fortunately, many highly respected osteopathic physicians have written extensively on the subject and the tools are at hand to refine treatment for both acute and chronic whiplash.

Accidents, Traffic↗
PubMed1997

Managing back pain in general practice--is osteopathy the new paradigm?

Back pain is a common problem in general practice, and is of enormous economic importance. A recent report urges general practitioners (GPs) to refer early for manual therapies, such as osteopathy. The key concept to understanding osteopathic principles is somatic dysfunction. This is a disorder of function, rather than pathology, of the musculoskeletal and related systems. Its characteristic features are asymmetry of anatomical landmarks, asymmetry of joint movement, tissue texture changes, and tenderness. The scientific basis of the tissue texture changes and tenderness can be explained in terms of the 'facilitated segment', but the cause of movement asymmetry remains elusive. Randomized controlled trials provide some support for the use of osteopathic treatment in acute low back pain. It is proposed that somatic dysfunction is the new paradigm for non-specific back pain.

Back Pain↗
PubMed1991

The sociopolitical development of British chiropractic.

This paper presents a brief history of British chiropractic and its relationship with chiropractic in North America and on the European continent. The relatively strong presence of osteopathy as a form of manual medicine and the laissez-faire market conditions which Common Law permits alternative health practitioners to practice under, regardless of training and qualifications, have historically impeded the growth of chiropractic in Britain. Nevertheless, the opening of the Anglo-European College of Chiropractic in Bourne-mouth in 1965 has resulted in a rapid increase in the number of chiropractors in Britain. The growing interest of certain strategic British elites in manipulative therapy as a method for treating musculoskeletal problems in the general population is enhancing the legitimacy of both chiropractic and osteopathy.

Chiropractic↗
PubMed1993

Study of 500 patients attending an osteopathic practice.

The experiences of 500 consecutive patients presenting with a new episode of illness at a five practitioner osteopathic practice in an east midlands town is reported. The osteopath completed a structured questionnaire about each patient who then completed two symptom questionnaires, one before treatment and a second four months later. Questionnaires were completed by osteopaths for 495 patients (99.0%). Almost all patients completed the first questionnaire (98.6%) and 367 patients (73.4%) completed the second questionnaire. Female patients had more treatment sessions than male patients (3.2 versus 2.7 over the four month period, P < 0.01) and suffered from more spinal muscular problems and postural imbalance than males (P < 0.05). The commonest diagnostic group was spinal joint sprain and patients with this diagnosis reported significantly better symptom improvement at four months than those in other diagnostic groups. Greater improvement at four months was also associated with shorter duration of illness before treatment (P < 0.001). The 147 patients who had seen their general practitioner before attending the osteopath had worse symptoms of a longer duration than the 347 patients who had not seen their general practitioner (P < 0.001), but showed greater improvement in symptoms over the subsequent four months. It is concluded that suitable patients should be encouraged to attend an osteopath early on in an illness. In subsequent episodes, if osteopathic treatment is of benefit to them, patients should attend before they see their general practitioner.

Adult↗
PubMed1998

[Osteopathy and chiropractic].

Osteopathy and chiropractic represent two challenging domains with a specific degree of multiplicity and complexity. This makes a complete appraisal difficult and impossible to appreciate in one single analysis. These disciplines exist since more than one century. An hermeneutic approach permits to understand their genesis but indicates also the nonsense of trying to transfer and apply earliest principles nowadays. It seems that most, but not all, practicing clinicians take into account recent developments in physiology, biomechanics and pathophysiology. Clinical studies and especially their meta-analyses on base of precise criteria permit to clarify the indications, therapeutic efficiency as well as socio-economic advantages. The meta-analyses point also at the poor quality of most clinical studies even if in the last years an improvement can be noted. Fundamental studies exist in both domains revealing interesting information that have permitted to reject several preconceived ideas and to clarifs others. Research topics as the morphology of the intervertebral disk before and after application of a manipulative technique are discussed. Results of experimental determination of global and segmental amplitudes in the cervical and in the lumbar spine during a manipulation in healthy subjects are reported. Finally the necessity but also the difficulties inherent to research studies in osteopathy and in chiropractic will be discussed.

Chiropractic↗