Journal of Chiropractic Medicine RSS feed: Current Issue. The Journal of Chiropractic Medicine is a peer-reviewed journal devoted to providing a forum for the chiropractic profession to disseminate information dedicated to the developing primary care emphasis within the profession. The journal focuses on providing practical and applicable information for the practicing doctor of chiropractic.http://www.journalchiromed.com/?rss=yesElsevier Inc.en © 2009 National University of Health Sciences. Published by Elsevier Inc. All rights reserved. Journal of Chiropractic Medicine1556-370784December 2009 © 2009 National University of Health Sciences. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.journalchiromed.com/article/PIIS1556370709001126/abstract?rss=yesAbstract: Objective: The purpose of this study was to determine the feasibility of a chiropractic practice-based research network to investigate the treatment of acute neck pain (ANP) and to report resulting findings.Methods: Participating chiropractors recruited sequentially presenting ANP patients on their initial visit to the office. Patients were treated by the chiropractors using their usual methods. Data were prospectively collected by having patients complete the Neck Disability Index, Characteristic Pain Intensity score, and a patient satisfaction questionnaire. Questionnaires were completed during routine office visits at baseline and then at weeks 1, 2, 4, 8, and 26, either in the office or by mail.Results: Ten chiropractors supplied data on 99 patients. The number of cases contributed by each of the participating chiropractors ranged from 1 to 54, with a mean (SD) of 9.2 (10.5). Mean (SD) Neck Disability Index scores were 36 (17.9) at baseline and 9.8 (12.2) at the final evaluation; the Characteristic Pain Intensity scores were initially 55.3 (20.4) and were 24.5 (21.5) at the final evaluation. Transient minimal adverse effects were reported by chiropractors for only 7 (7.8%) patients. No serious adverse reactions were reported.Conclusion: The practice-based research methodology used in this study appears to be a feasible way to investigate chiropractic care for ANP, and its methodologies could be used to plan future research.Chiropractic care for patients with acute neck pain: results of a pragmatic practice-based feasibility studyMichael T. Haneline, Robert Cooperstein10.1016/j.jcm.2009.08.003Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Original Articles143155http://www.journalchiromed.com/article/PIIS1556370709001060/abstract?rss=yesAbstract: Objective: This feasibility study was conducted to further the development of a line of investigation into the potential effects of spinal manipulation/manual therapy on cervicogenic dizziness, balance, and neck pain in adults.Methods: A single-group, preexperimental, feasibility study was conducted at a chiropractic college health center and a senior fitness center with a target sample size of 20 patients (40 years or older). Patients were treated by either a clinician or a chiropractic student intern for 8 weeks. The Dizziness Handicap Inventory was the primary outcome measurement, with the Short Form Berg Balance Scale (SF-BBS) and the Neck Disability Index used as secondary outcome measurements.Results: Twenty-seven patients were recruited over a period of 13 months. Twenty-one patients enrolled in the study; but because of 2 dropouts, 19 patients completed the treatment. A median Dizziness Handicap Inventory change score of +7 points was calculated for those dizziness patients, with 3 patients improving by at least 18 points, indicating a clinically meaningful change. Seven of the 15 patients who performed the SF-BBS attained at least a 4-point improvement with an effect size of 1.2. A median Neck Disability Index change score of +1 was calculated for those patients with neck pain.Twelve minor adverse reactions were reported by 8 patients, with 3 of those reactions lasting longer than 24 hours.Conclusion: A large effect size was calculated for the SF-BBS. Most patients demonstrated improved balance, and some showed reduced dizziness and neck pain. Involving interns in care proved feasible. Further studies with comparison groups and larger samples are needed to explore the promising results of this study before any cause and effect relationship can be determined.Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility studyRichard G. Strunk, Cheryl Hawk10.1016/j.jcm.2009.08.002Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Original Articles156164http://www.journalchiromed.com/article/PIIS1556370709001059/abstract?rss=yesAbstract: Objective: There has been a steady growth of chiropractic treatment using spinal manipulative therapy (SMT) that aims to increase the performance of athletes in various sports. This study evaluates the effect of SMT by chiropractors on the performance of golf players.Methods: Golfers of 2 golf clubs in São Paulo, Brazil, participated in this study. They were randomized to 1 of 2 groups: Group I received a stretch program, and group II received a stretch program in addition to SMT. Participants in both groups performed the same standardized stretching program. Spinal manipulative therapy to dysfunctional spinal segments was performed on group II only. All golfers performed 3 full-swing maneuvers. Ball range was considered as the average distance for the 3 shots. Treatment was performed after the initial measurement, and the same maneuvers were performed afterward. Each participant repeated these procedures for a 4-week period. Student t test, Mann-Whitney nonparametric test, and 1-way analysis of variance for repeated measures with significance level of 5% were used to analyze the study.Results: Forty-three golfers completed the protocol. Twenty participants were allocated to group I and 23 to group II. Average age, handicap, and initial swing were comparable. No improvement of full-swing performance was observed during the 4 sessions on group I (stretch only). An improvement was observed at the fourth session of group II (P = .005); when comparing the posttreatment, group II had statistical significance at all phases (P = .003).Conclusions: Chiropractic SMT in association with muscle stretching may be associated with an improvement of full-swing performance when compared with muscle stretching alone.Effect of spinal manipulative therapy with stretching compared with stretching alone on full-swing performance of golf players: a randomized pilot trialSoraya M.V. Costa, Yumi E.T. Chibana, Leandro Giavarotti, Débora S. Compagnoni, Adriana H. Shiono, Janice Satie, Eduardo S.B. Bracher10.1016/j.jcm.2009.06.002Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Original Articles165170http://www.journalchiromed.com/article/PIIS1556370709001072/abstract?rss=yesAbstract: Objective: The purpose of this article is to offer a narrative review and discuss the possible relationship between temporomandibular disorders (TMDs) and whiplash injuries.Methods: Databases from 1966 to present were searched including PubMed; Manual, Alternative, and Natural Therapy Index System; and Cumulative Index for Nursing and Allied Health Literature. Search terms used included whiplash injury, temporomandibular disorders and craniomandibular disorders. Inclusion criteria consisted of studies on orofacial pain of a musculoskeletal origin addressing the following topics: posttraumatic temporomandibular disorder (pTMD) incidence and prevalence, mechanism of injury, clinical findings and characteristics, prognosis (including psychologic factors). Excluded were studies of orofacial pain from nontraumatic origin, as well as nonmusculoskeletal causes including neurologic, vascular, neoplastic, or infectious disease.Results: Thirty-two studies describing the effects of whiplash on TMD were reviewed based on inclusion/exclusion criteria. The best evidence from prospective studies indicates a low to moderate incidence and prevalence. Only 3 studies addressed mechanism of injury theories. Most studies focusing on clinical findings and characteristics suggest significant differences when comparing pTMD to idiopathic/nontraumatic patients. Regarding prognosis, most studies suggest a significant difference when comparing pTMD to idiopathic/nontraumatic TMD patients, with pTMD having a poorer prognosis.Conclusions: There is conflicting evidence regarding the effects of whiplash on the development of TMD. Furthermore, because of lack of homogeneity in the study populations and lack of standardization of data collection procedures and outcomes measured, this review cannot conclusively resolve the controversies that exist concerning this relationship. This review of the literature is provided to clarify the issues and to provide useful clinical information for health care providers managing TMD such as doctors of chiropractic, physical therapists, dentists, and medical doctors.The relationship of whiplash injury and temporomandibular disorders: a narrative literature reviewCharles E. Fernandez, Abid Amiri, Joseph Jaime, Paul Delaney10.1016/j.jcm.2009.07.006Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Literature Review171186http://www.journalchiromed.com/article/PIIS1556370709001035/abstract?rss=yesAbstract: Objective: This article describes the chiropractic clinical management and therapeutic benefits accruing to a patient with temporomandibular joint (TMJ) disorder and spinal muscular atrophy type III.Clinical Features: A 35-year-old white man presented at the university chiropractic outpatient clinic with a complaint of masseter muscle pain and mouth-opening restriction. Temporomandibular joint range of motion evaluation revealed restricted opening (11 mm interincisival), and pain was rated by the patient at an intensity of 5 on a pain scale of 0 to 10.Intervention and Outcome: Chiropractic care was provided and included TMJ mobilization, myofascial therapy, trigger point therapy, and light spinal mobilizations of the upper cervical vertebrae. Final evaluation of TMJ range of motion showed active opening of 12 mm with absence of pain and muscle tenderness of the jaw.Conclusion: This case suggests that a patient with musculoskeletal disorders related to underlying neurodegenerative pathologies may benefit from chiropractic management adapted to their condition. In the present case, chiropractic treatment of the TMJ represented a viable, low-cost approach with limited adverse effects compared with surgery.Conservative care of temporomandibular joint disorder in a 35-year-old patient with spinal muscular atrophy type III: a case studySébastien Houle, Martin Descarreaux10.1016/j.jcm.2009.07.005Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Case Reports187192http://www.journalchiromed.com/article/PIIS1556370709001047/abstract?rss=yesAbstract: Objective: The purpose of this paper is to present a case of a child with Prader-Willi syndrome and the observed improvement in the degree of scoliosis, immune function, and behavior documented during the course of her treatment.Clinical Features: A 7-year-old girl presented to Kentuckiana Children's Center with a 15° lumbar levoscoliosis and diagnosis of Prader-Willi syndrome.Intervention and Outcome: The treatment plan consisted of chiropractic adjustments, craniosacral therapy, movement therapy, and nutritional therapy. Over the course of treatment, her muscle strength, tone, and motor activity increased. She improved in coordination of gait and balance. Over the course of 3 years, her scoliosis decreased to 4° to 5°. Improvements in immune function and a reduction in anxiety type behaviors were documented by the parents and doctor of chiropractic over the course of 5 years.Conclusions: This case report describes the improvements and progression of one female child with Prader-Willi syndrome under chiropractic and multidisciplinary care.Inclusion of chiropractic care in multidisciplinary management of a child with Prader-Willi syndrome: a case reportRebekah A. Wittman, Sharon A. Vallone10.1016/j.jcm.2009.08.001Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2Case Reports193199http://www.journalchiromed.com/article/PIIS1556370709001084/abstract?rss=yesAmerican Chiropractic Board of Sports Physicians call for abstracts: 2010 Chiropractic Sports Sciences Symposium10.1016/j.jcm.2009.10.001Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2News and Announcements From the ACBSP200200http://www.journalchiromed.com/article/PIIS1556370709001096/abstract?rss=yesThe lines are less blurred: independent medical examinations and limited doctor-patient relationshipWarren T. Jahn10.1016/j.jcm.2009.10.002Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2News and Announcements From the CFS201202http://www.journalchiromed.com/article/PIIS1556370709001102/abstract?rss=yesFederal Rules of Evidence update of Rule 502Leanne N. Cupon10.1016/j.jcm.2009.10.003Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2News and Announcements From the CFS203203http://www.journalchiromed.com/article/PIIS1556370709001114/abstract?rss=yesMessage from the President of the International Academy of Chiropractic NeurologyJoseph S. Ferezy10.1016/j.jcm.2009.10.004Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2News and Announcements From the IACN204204http://www.journalchiromed.com/article/PIIS1556370709001151/abstract?rss=yesEditorial Board10.1016/S1556-3707(09)00115-1Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2FrontmatterA1A1http://www.journalchiromed.com/article/PIIS1556370709001175/abstract?rss=yesMasthead10.1016/S1556-3707(09)00117-5Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2FrontmatterA2A2http://www.journalchiromed.com/article/PIIS1556370709001163/abstract?rss=yesTable of Contents10.1016/S1556-3707(09)00116-3Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2FrontmatterA3A4http://www.journalchiromed.com/article/PIIS1556370709001187/abstract?rss=yesInstructions for Authors10.1016/S1556-3707(09)00118-7Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2FrontmatterA5A8http://www.journalchiromed.com/article/PIIS1556370709001199/abstract?rss=yesCopyright form10.1016/S1556-3707(09)00119-9Journal of Chiropractic Medicine 8, 4 (2009)2009-12-01Journal of Chiropractic Medicine2009-12-0184S1556-3707(09)X0005-2FrontmatterA9A9