Physiotherapy for Patients with Soft Tissue Shoulder Disorders

Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials Geert J M G van der Heijden, senior researcher,a Danielle A W M van der Windt, research fellow,b Andrea F de Winter, research fellow b a Institute for Rehabilitation Research, PO Box 192, 6430 AD Hoensbroek, Netherlands, b Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, Netherlands Objective To assess the effectiveness of physiotherapy for patients with soft tissue shoulder disorders. Design A systematic computerized literature search of Medline and Embase, supplemented with citation tracking, for relevant trials with random allocation published before 1996….

Chiropractic Work with Finnish Adolescents

Back, neck, and shoulder pain in Finnish adolescents national crosssectional surveys Paula Hakala, research fellow a, Arja Rimpelä, professor of community health a, Jouko J Salminen, chief physician b, Suvi M Virtanen, senior researcher of Finnish Academy a, Matti Rimpelä, professor c. a Tampere School of Public Health, University of Tampere, FIN-33014 Tampere, Finland, b Department of Physical and Rehabilitation Medicine, University Hospital of Turku, Box 52, FIN-20520 Turku, Finland, c National Research and Development Centre for Welfare and Health, Box 220, FIN-00531 Helsinki, Finland Correspondence to: P Hakala paula.hakala@hel.fi Objectives To study changes in pain of the back and…

College Students and Neck Pain Problems

Chronic whiplash and central sensitization an evaluation of the role of a myofascial trigger points in pain modulation Abstract Background Although neck pain is common in young adulthood, studies on predictive factors for its onset and persistence are scarce. It is therefore important to identify possible risk factors among young adults so as to prevent the development of neck pain later in life. Methods A prospective study was carried out in healthy undergraduate students. At baseline, a self-administered questionnaire and standardized physical examination were used to collect data on biopsychosocial factors. At 3, 6, 9, and 12 months thereafter, follow-up…

Medicares Effect On Chiropractic Works

A longitudinal study of chiropractic use among older adults in the US Abstract Background Longitudinal patterns of chiropractic use in the United States, particularly among Medicare beneficiaries, are not well documented. Using a nationally representative sample of older Medicare beneficiaries we describe the use of chiropractic over fifteen years, and classify chiropractic users by annual visit volume. We assess the characteristics that are associated with chiropractic use versus nonuse, as well as between different levels of use. Method We analyzed data from two linked sources: the baseline (1993-1994) interview responses of 5,510 self-respondents in the Survey on Assets and Health…

Studies on Chiropractic Care vs Hospital Outpatient Care

Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up T W Meade, director,a Sandra Dyer, statistician,a Wendy Browne, research nurse,a A O Frank, consultant in rheumatology and rehabilitation b a Medical Research Council Epidemiology and Medical Care Unit, Wolfson Institute of Preventive Medicine, Medical College of St Bartholomew’s Hospital, London EC1M 6BQ, b Northwick Park Hospital, Harrow HA1 3UJ Correspondence to: Professor Meade. Abstract Objective: To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. Design: Randomised allocation of patients to chiropractic or hospital outpatient…

Migraines In Relation to Genetics

Increased familial risk and evidence of genetic factor in migraine Michael Bjorn Russell, research fellow,a Jes Olesen, professor a Department of Neurology, Glostrup Hospital, University of Copenhagen, DK-2600 Glostrup, Denmark Correspondence to: Dr Russell. Objective: To investigate familial occurrence of migraine with and without aura. Design: Familial occurrence of migraine with and without aura among first degree relatives and spouses of probands with migraine with or without aura and those who had never had migraine. All interviews of first degree relatives and spouses were done blindly by a neurological resident. The operational diagnostic criteria of the International Headache Society were used. Setting: General…

Roots of Osteopathy and Chiropractic Care

ABC of complementary medicine The manipulative therapies: osteopathy and chiropractic Andrew Vickers, Catherine Zollman. Osteopathy and chiropractic share a common origin. Their roots can be found in folk traditions of “bone setting,” and both were systematised in the late 19th century in the United States: Daniel D Palmer, the founder of chiropractic, is said to have met with Andrew Taylor Still, the founder of osteopathy, before setting up his own school. The therapies remain relatively similar, and many textbooks and journals are relevant to both. The term “manipulative therapy” refers to both osteopathy and chiropractic. High velocity thrust delivered by…

Success of Chiropractic Treatments

Experts in both UK and US believe that chiropractic works EDITOR Ernst and Assendelft’s editorial on chiropractic for low back pain seems to have been written more in a spirit of professional aversion than in one of critical doubt.1 This impression is conditioned by previous commentaries by these authors in the popular press and the biomedical literature. The question is, why? There is substantial scientific evidence that the manipulation that chiropractors (and indeed osteopaths and some physiotherapists) do for back pain is both effective and safe. This evidence has been reviewed by multidisciplinary panels of experts in both the United…

Comparison of Carpal Tunnel Treatments

Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients randomised controlled trial Isam Atroshi, associate professor1, Gert-Uno Larsson, orthopaedic surgeon1, Ewald Ornstein, orthopaedic surgeon1, Manfred Hofer, physical therapist2, Ragnar Johnsson, associate professor3, Jonas Ranstam, biostatistician4 1 Department of Orthopaedics, Hässleholm and Kristianstad Hospitals, SE-281 25 Hässleholm, Sweden, 2 Department of Physical and Occupational Therapy, Kristianstad Hospital, SE-291 85 Kristianstad, Sweden, 3 Department of Orthopaedics, Lund University Hospital, SE-221 00 Lund, Sweden, 4 National Swedish Competence Centre for Musculoskeletal Disorders, Lund University Hospital Correspondence to: I Atroshi Isam.Atroshi@skane.se Abstract Objectives To compare endoscopic and open…

Age and its Effects on Back Pain

Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A population-based study of 34,902 Danish twins 20–71 years of age Charlotte Leboeuf-Yde1 , Jan Nielsen2 , Kirsten O Kyvik3 , René Fejer4,5 and Jan Hartvigsen4,6 1 The Back Research Center, University of Southern Denmark, Ringe, Denmark 2 Department of Statistics, University of Southern Denmark, Odense, Denmark 3 Institute of Regional Health Research and The Danish Twin Registry, Epidemiology, Institute of Public Health, University of Southern Denmark, Odense, Denmark 4 Clinical Locomotion Science, Institute for Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark 5…