Journal of Manipulative and Physiological Therapeutics RSS feed: Current Issue. Journal of Manipulative and Physiological Therapeutics (JMPT) is dedicated to the advancement of chiropractic health care. It provides the latest information on current developments in therapeutics , as well as reviews of clinically oriented research and practical information for use in clinical settings. The Journal's editorial board includes some of the world's leading clinical low-back and spine researchers from medicine, osteopathy, chiropractic, and post-secondary education. JMPT , the premier biomedical publication in the chiropractic profession, publishes peer-reviewed original articles, case reports, journal abstracts, commentary, and new media reviews. Readers include chiropractors, osteopaths, physical therapists, physiatrists, radiologists, and sports medicine specialists. JMPT is the only chiropractic journal included in Index Medicus. It is also indexed/abstracted in Current Contents/Clinical Medicine and Index to Chiropractic Literature. Special discount of $99 offered to COCA members. Benefits to authors We also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services . Please see our Guide for Authors for information on article submission. If you require any further information or help, please visit our support pages: http://support.elsevier.com http://www.jmptonline.org/?rss=yesElsevier Inc.en © 2013 Published by Elsevier Inc. All rights reserved. Journal of Manipulative and Physiological Therapeutics0161-4754363March 2013 © 2013 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.jmptonline.org/article/PIIS0161475413000808/abstract?rss=yesEditorial Board10.1016/S0161-4754(13)00080-8Journal of Manipulative and Physiological Therapeutics 36, 3 (2013)2013-03-01Journal of Manipulative and Physiological Therapeutics2013-03-01363S0161-4754(13)X0004-1IFCIFChttp://www.jmptonline.org/article/PIIS0161475413000547/abstract?rss=yesAbstract: Objective: Nonspecific back pain is associated with high use of diagnostic imaging in primary care, yet current evidence suggests that routine imaging of the spine is unnecessary. The objective of this study is to describe current practice patterns in spine radiograph utilization among doctors of chiropractic enrolled in an American provider network.Methods: A cross-sectional analysis of administrative claims data from one of the largest providers of complementary health care networks for health plans in the United States was performed. Survey data containing provider demographics were linked with routinely collected data on spine radiograph utilization and patient characteristics aggregated at the provider level. We calculated rates and variations of spine radiographs over 12 months. Negative binomial regression was performed to identify significant predictors of high radiograph utilization and to estimate the associated incidence risk ratio.Results: Complete data for 6946 doctors of chiropractic and 249193 adult patients were available for analyses. In 2010, claims were paid for a total of 91542 new patient examinations and 23369 spine radiographs (including17511 ordered within 5 days of initial patient examination). The rate of spine radiographs within 5 days of an initial patient visit was 204 per 1000 new patient examinations. Significant predictors of higher radiograph utilization rates included the following: practicing in the Midwest or South US census regions, practicing in an urban or suburban setting, chiropractic school attended, and being a male provider in full-time practice with more than 20 years of experience.Conclusion: Chiropractic school attended and practice location were the most influential predictors of spine radiograph utilization among network chiropractors. This information may help to inform the development and evaluation of a tailored intervention to address overuse of radiograph utilization.Practice Patterns in Spine Radiograph Utilization Among Doctors of Chiropractic Enrolled in a Provider Network Offering Complementary Care in the United StatesAndré E. Bussières, Anne E. Sales, Timothy Ramsay, Steven Hilles, Jeremy M. Grimshaw10.1016/j.jmpt.2013.04.002Journal of Manipulative and Physiological Therapeutics 36, 3 (2013)2013-05-10Journal of Manipulative and Physiological Therapeutics2013-05-10363S0161-4754(13)X0004-1Original Article127142http://www.jmptonline.org/article/PIIS0161475413000535/abstract?rss=yesAbstract: Objective: The purpose of this study was to complete a systematic review of manual and manipulative therapy (MMT) for common upper extremity pain and disorders including the temporomandibular joint (TMJ).Methods: A literature search was conducted using the Cumulative Index of Nursing Allied Health Literature, PubMed, Manual, Alternative, and Natural Therapy Index System (MANTIS), Physiotherapy Evidence Database (PEDro), Index to Chiropractic Literature, Google Scholar, and hand search inclusive of literature from January 1983 to March 5, 2012. Search limits included the English language and human studies along with MeSH terms such as manipulation, chiropractic, osteopathic, orthopedic, and physical therapies. Inclusion criteria required an extremity peripheral diagnosis (for upper extremity problems including the elbow, wrist, hand, finger and the (upper quadrant) temporomandibular joint) and MMT with or without multimodal therapy. Studies were assessed using the PEDro scale in conjunction with modified guidelines and systems. After synthesis and considered judgment scoring was complete, evidence grades of “A, B, C and I” were applied.Results: Out of 764 citations reviewed, 129 studies were deemed possibly to probably useful and/or relevant to develop expert consensus. Out of 81 randomized controlled or clinical trials, 35 were included. Five controlled or clinical trials were located and 4 were included. Fifty case series, reports and/or single-group pre-test post-test prospective case series were located with 32 included. There is Fair (B) level of evidence for MMT to specific joints and the full kinetic chain combined generally with exercise and/or multimodal therapy for lateral epicondylopathy, carpal tunnel syndrome, and temporomandibular joint disorders, in the short term.Conclusion: The information from this study will help guide practitioners in the use of MMT, soft tissue technique, exercise, and/or multimodal therapy for the treatment of a variety of upper extremity complaints in the context of the hierarchy of published and available evidence.Manipulative and Multimodal Therapy for Upper Extremity and Temporomandibular Disorders: A Systematic ReviewJames W. Brantingham, Tammy Kay Cassa, Debra Bonnefin, Mario Pribicevic, Andrew Robb, Henry Pollard, Victor Tong, Charmaine Korporaal10.1016/j.jmpt.2013.04.001Journal of Manipulative and Physiological Therapeutics 36, 3 (2013)2013-05-22Journal of Manipulative and Physiological Therapeutics2013-05-22363S0161-4754(13)X0004-1Literature Review143201http://www.jmptonline.org/article/PIIS0161475413000821/abstract?rss=yesTable of Contents10.1016/S0161-4754(13)00082-1Journal of Manipulative and Physiological Therapeutics 36, 3 (2013)2013-03-01Journal of Manipulative and Physiological Therapeutics2013-03-01363S0161-4754(13)X0004-1FrontmatterA1A1http://www.jmptonline.org/article/PIIS0161475413000845/abstract?rss=yesInformation for Readers10.1016/S0161-4754(13)00084-5Journal of Manipulative and Physiological Therapeutics 36, 3 (2013)2013-03-01Journal of Manipulative and Physiological Therapeutics2013-03-01363S0161-4754(13)X0004-1FrontmatterA2A2