JMPT Highlights

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A patient presents with back pain.

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Patel and Kettner (p. 724) report on a patient with malignant pleural mesothelioma who presented to a chiropractic clinic. They review the pathophysiology of diseases associated with asbestos exposure.

Sham for manipulation. Vernon et al (p. 662) propose and evaluate a sham manipulation procedure for the cervical spine for use in future randomized clinical trials for cervical spine disorders. This is one of the first studies of its kind.

The science of manipulation. Ianuzzi and Khalsa (p. 673) compare the biomechanics of spinal manipulation and physiological axial rotations to determine wether speed or loading site affects facet joint capsule strain magnitudes or patterns.

Patient recall bias. Lewkovic and Haneline (p. 708) investigate the accuracy that patients with neck pain and/or headache can recall the mechanics of their cervical spine manipulative therapy immediately after its administration. Their findings may have an impact on using patient recall for determining the cause of adverse events.

Vertebral osteomyelitis.

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Ursprung et al (p. 713) present a typical clinical presentation of vertebral osteomyelitis and review the diagnostic imaging, pathophysiology of spontaneous vertebral osteomyelitis, and treatment options in the management of this condition.

Public health education in a chiropractic program. Globe et al (p. 702) investigate the impact of the dissemination of the model public curriculum at one United States chiropractic college on chiropractic interns during their outpatient clinical internship.

Evaluation of the SI joint distraction test. Levin et al (p. 688) evaluate whether the application and time interval of force exposure varies within and between therapists when they use sacroiliac distraction testing to provoke pain among subjects with sacroiliitis.

Chest pain and the benefit of manipulation.

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Chistensen et al (p. 654) complete a clinical trial to investigate if participants with chest pain originating from the spine would benefit from manual therapy.

H-Reflex and manipulation. Suter et al (p. 667) assess the H-reflex (a response when stretch in a spindle fiber results in fiber contraction in the same muscle and inhibition of fibers of antagonist muscles). They investigate the H-reflex after spinal manipulation as a function of experimental position in normal subjects and in patients with low-back pain.

An update on chiropractic utilization. Mootz et al (p. 645) collected information from randomly selected practicing chiropractors in Massachusetts and Arizona over the course of 2550 patient visits. They provide details about patient characteristics, sources of referrals, reasons for patient visits, diagnostic and treatment procedures used, and expected sources of payment.

Can pelvic blocking change range of motion? Hochman (p. 719) investigates if there are changes in lumbar and cervical range of motion measurements after supine pelvic blocking as used in the sacro-occipital technique.

Fatigue recovery effects of massage.

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Young et al (p. 696) investigate the effect of local effleurage massage on the recovery from fatigue in the small hand muscles.